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The Effect of Music on Pain, Anxiety, and Satisfaction During Mammography: A Randomized Clinical Trial
Sümeyye Köse1, Handan Özcan2, Hanefi Özbek3
1Department of Cancer, Pendik District Health Directorate, Istanbul, Turkey.
Aim:
This randomized controlled experimental study was conducted to investigate the effects of listening to music during mammography screening on pain perception, anxiety level, and overall satisfaction with the procedure.
Design:
This is a randomized controlled trial.
Methods:
This study was conducted with 74 women who underwent mammography at the Cancer Early Diagnosis, Screening and Education Center (KETEM) between February and April 2024. Participants were randomly assigned to an intervention group (listened to music during the procedure) and a control group (received routine care). Data were collected using a Demographic Information Form, State-Trait Anxiety Inventory (STAI-I), visual analog scale (VAS) for pain assessment, and satisfaction questionnaires. The intervention group listened to Evgeny Grinko's Valse via Bluetooth speakers during the procedure. Data were analyzed using SPSS 26 with Mann-Whitney U, Kruskal-Wallis, analysis of covariance, and Spearman's correlation tests.
Results:
Women in the music intervention group reported significantly lower levels of anxiety and pain (VAS scores) compared to the control group. A weak positive correlation was found between anxiety (STAI-I) and pain (VAS) after the procedure, while a weak negative correlation was observed between anxiety and satisfaction with the procedure.
Conclusions:
The findings suggest that listening to music during mammography may help reduce pain and anxiety levels and may increase procedure satisfaction in women.
Clinical Implications:
Music therapy may be a potentially effective nonpharmacological approach for managing procedure-related discomfort and anxiety in the specific participant population studied. As such, it could be considered a feasible, accessible, and cost-effective intervention to be supported and potentially integrated into nursing practice for mammography screening.
