Cancer - Prostate(구연) (E-131)

소음 제거 헤드폰과 음악이 경직장 초음파 전립선 생검을 받는 환자에게 영향을 미치는가?
화순전남대학교병원 비뇨의학과교실
정호석, 조현진, 구진석, 송재익, 이호연, 김재현, 임도경, 김태희, 은성종, 오주용, 유성현, 김명수, 황의창, 오경진, 김선옥, 정승일, 강택원, 권동득, 박광성
Purpose: To evaluate the effect of music with noise-canceling headphones on men undergoing transrectal ultrasound-guided prostate biopsy (TRUSBx) in a prospective randomized study.
Materials & Methods: From January to February 2020, 94 men who underwent TRUSBx at our institution were randomized into groups without music (group 1, n = 47) and with music from noise-canceling headphones (group 2, n = 47). We examined the patients' clinical characteristics and compared the objective and subjective measurements before and after the procedures. Primary outcomes included vital signs, the State-Trait Anxiety Inventory (STAI, 20–80) scale, and the visual analog scale (VAS, 0–10) for the assessments of pain, satisfaction, and willingness to repeat the procedure.
Results: There were no significant differences in patients' characteristics or the pre-biopsy status between the groups. Post-biopsy vital signs for objective parameters were statistically similar between the groups, but subjective parameters were not. Post-biopsy STAI-State and VAS scores were significantly lower and VAS scores for the patients' satisfaction and willingness to repeat the procedure were significantly higher in group 2 than in group 1 (p = 0.004, p = 0.009, p = 0.004, and p = 0.003, respectively). In addition, changes in the STAI-State score before and after the procedure were significant in group 2 (p = 0.001).
Conclusions: Music from noise-canceling headphones may have beneficial effects on anxiety, pain, satisfaction, and willingness to repeat the procedure in men undergoing TRUSBx.
keywords : Transrectal ultrasound-guided prostate biopsy (TRUS Bx.), State-Trait Anxiety Inventory (STAI), Visual Analog Scale (VAS)