"Effect of Music Therapy on Pain During Thyroid Fine Needle Aspiration " by Burcak Cavnar Helvaci, Sefika Burcak Polat et al.
 

Effect of Music Therapy on Pain During Thyroid Fine Needle Aspiration Biopsy; A Randomized Controlled Clinical Trial

Journal

Endocrine Practice: Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists

Year

2024

Abstract

INTRODUCTION: High-resolution ultrasonography devices have led to the increased detection of thyroid nodules and the need for fine-needle aspiration biopsy (FNAB). However, FNAB is an invasive procedure that can cause discomfort and pain. Music therapy has been used for centuries to alleviate pain, and our clinical trial was conducted to investigate its impact on pain scores during thyroid FNAB. MATERIALS AND METHODS: We conducted a randomized, controlled clinical trial, including adult patients undergoing thyroid FNAB. We evaluated the nonpharmacological intervention of listening to music before and during thyroid FNAB. We used a slow, nonlyrical, flowing melody with a tempo of 60 to 80 beats per minute as a therapeutic intervention for managing anxiety and pain. It had low tones, minimal percussion, and a volume of around 60 dB. The Beck Anxiety Inventory and Visual Pain Scale were used. RESULTS: The study included 529 patients assigned to either the music group (n = 258, 48.7%) or the control group (n = 271, 51.2%). The patients were categorized into subgroups based on either a single nodule (73.63%) or multiple nodules (24.18%). When all patients or single nodule and multiple data are examined separately, the intervention group showed statistically significantly lower pain scores than the control group. CONCLUSION: Our study is among the first on this topic and the largest in the available literature to demonstrate that listening to music during FNAB significantly reduces pain and anxiety. Music therapy is an effective, safe, and noninvasive intervention that can improve patient care and reduce distress and pain.

Music and Health Institute Terms

Pain; Procedural Pain; Discomfort; Invasive Medical Procedures; Music Listening; Recorded Music Listening; Music Medicine; Subjective Measures

Indexed Terms

Elderly; Anxiety; Biopsy, Fine-Needle; Pain; Pain Management; Pain Measurement; Thyroid Gland; Thyroid Nodule; anxiety score; fine needle aspiration biopsy; music effect; pain score; thyroid nodules

Study Type

Randomized Controlled Trial; Quantitative Methods

PubMed ID

PMID: 38522825

Document Type

Article

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