Please use this identifier to cite or link to this item: http://repository.kln.ac.lk/handle/123456789/10623
Title: A randomized control study of audio versus visual distraction to reduce patient discomfort during colonoscopy
Authors: de Silva, A.P.
Nandamuni, Y.
Rajapakshe, N.N.
Nanayakkara, S.
Perera, K.R.
Kodisinghe, S.K.
Subasinghe, S.K.C.
Niriella, M.A.
Dassanayake, A.S.
Pathmeswaran, A.
de Silva, H.J.
Keywords: visual distraction
Issue Date: 2015
Publisher: Sri lanka Medical Association
Citation: Proceedings of the Sri Lanka Medical Association, Anniversary Academic Sessions. 2015; 60(sup 1): 147
Abstract: INTRODUCTION AND OBJECTIVES: Colonoscopy can cause discomfort and anxiety in patients. Heavy sedation as premedication can lead to complications in elderly and those with co-morbidities. This has led to possible use of audio-visual distraction during the procedure. We compared effects of audio versus visual distraction in reducing discomfort during colonoscopy. METHOD: 131 consecutive patients who underwent colonoscopy were randomized into three groups: allowed to listen to music of their choice during colonoscopy (AD), allowed to watch a film of their choice (VD) and neither as control (C). Patient controlled sedation (PCS) was administered to all three groups; 25 mg pethidine in 5 mg aliquots and 2.5 mg midazolam in 0.5 mg aliquots. All patients were assessed for pain, number of 'top-ups' of sedation, total dose of pethidine and midazolam and patient cooperation and willingness for a repeat procedure. RESULTS: There were 131 patients (AD=43; VD=44; O44). The AD group had significantly less pain and discomfort (p=0.033) compared to VD and Cgroups. There was no significant difference in number of 'top-ups' of sedation, total doses of pethidine and midazolam among the groups. Better patient cooperation (p=0.002) was evident in ADgroup compared with VD and C groups. There was nt> difference between the AD and VD groups in willingness to undergo a repeat procedure. CONCLUSION: Listening to music of your choice during colonoscopy seems to reduce pain and discomfort and increase the patients' cooperation. This may be a useful and simple tool in screening colonoscopy.
Description: Oral Presentation Abstract (OP56), 128th Annual Scientific Sessions, Sri Lanka Medical Association, 6th-8th July 2015 Colombo, Sri Lanka
URI: http://repository.kln.ac.lk/handle/123456789/10623
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