Effect of music on state anxiety scores in patients undergoing fiberoptic bronchoscopy

Objective: To study the effect of music on state anxiety levels in patients undergoing flexible fiberoptic bronchoscopy (FFB). Design: Randomized clinical trial using pretests, posttests, and two groups . Setting: Pulmonary special-procedures unit of a tertiary-care referral cent er. Patients: Sixty adult patients: 30 patients received music during bronchosc opy and 30 control subjects received no music. Results: The study population had baseline state anxiety levels similar to those previously reported in surgical patients (42.6 +/- 13 vs 42.7 +/- 14; p value, not significant [NS]) and higher than those reported in normal wo rking adults (42.6 +/- 13 vs 34.4 +/- 10; p < 0,001). Experimental and cont rol groups were similar in patient and procedure-related characteristics an d baseline pre-FFB state and trait anxiety scores. Although trait anxiety s cores decreased significantly after the procedure (pooled post-FFB scores o f 32.6 +/- 10 vs pre-FFB scores of 35.5 +/- 11; p < 0.001), no reductions w ere noted in state anxiety (pooled post-FFB scores of 42.8 +/- 13 vs pre-FF B scores of 42.6 +/- 13; p value, NS). More importantly, playing music thro ugh headphones during FFB did not result in a statistically or clinically s ignificant reduction in either state or trait anxiety when compared to cont rol subjects. Conclusion: Relaxation music administered through headphones to patients du ring flexible bronchoscopy does not decrease procedure-related state anxiet y.