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Ooi S, Eskaroos MA, Pather S, Carter J, Saidi S. Patient expectations and experiences with loop electrosurgical excision procedure in inpatient and outpatient settings. Aust N Z J Obstet Gynaecol 2022; 62:720-724. [PMID: 35762277 DOI: 10.1111/ajo.13556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Accepted: 05/12/2022] [Indexed: 11/27/2022]
Abstract
BACKGROUND Loop electrosurgical excision procedure (LEEP) for high-grade squamous intraepithelial lesion is performed in both an inpatient setting under general anaesthesia and an outpatient setting under local anaesthesia. Efficacy and safety are comparable and outpatient LEEP may save time and cost in the Australian setting. AIMS We aim to compare patient satisfaction with inpatient LEEP compared to outpatient LEEP for Australian best practice. MATERIALS AND METHODS This was a prospective quantitative and qualitative cohort study. An online questionnaire was sent to patients undergoing inpatient and outpatient LEEP to assess satisfaction with the procedure. Further histopathological and demographic data were also collected from the medical records. Groups were compared using Fischer's exact test and pain scores were compared using non-parametric tests. RESULTS Ninety-three outpatients and 52 inpatients responded to the survey. No difference was found between groups with regard to rate of positive histopathological margins or number of passes required. Outpatients found the procedure to be more convenient than inpatients (P = 0.007), and experienced more pain during the procedure than the inpatient group (P < 0.001). There was no significant difference in pain scores following the procedure or post-procedure anxiety. CONCLUSIONS Outpatient LEEP is an acceptable and well-tolerated procedure, comparable to inpatient LEEP. Regardless of the option chosen, patients are highly likely to be satisfied with their choice. Increased efforts should be made to reduce pre-procedural anxiety, which may in turn reduce expectations and experiences of pain.
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Affiliation(s)
- Sara Ooi
- Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
| | | | - Selvan Pather
- University of Sydney, Sydney, New South Wales, Australia.,Chris O'Brien Lifehouse, Sydney, New South Wales, Australia
| | - Jonathan Carter
- University of Sydney, Sydney, New South Wales, Australia.,Chris O'Brien Lifehouse, Sydney, New South Wales, Australia
| | - Samir Saidi
- University of Sydney, Sydney, New South Wales, Australia.,Chris O'Brien Lifehouse, Sydney, New South Wales, Australia
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Dingle GA, Sharman LS, Bauer Z, Beckman E, Broughton M, Bunzli E, Davidson R, Draper G, Fairley S, Farrell C, Flynn LM, Gomersall S, Hong M, Larwood J, Lee C, Lee J, Nitschinsk L, Peluso N, Reedman SE, Vidas D, Walter ZC, Wright ORL. How Do Music Activities Affect Health and Well-Being? A Scoping Review of Studies Examining Psychosocial Mechanisms. Front Psychol 2021; 12:713818. [PMID: 34566791 PMCID: PMC8455907 DOI: 10.3389/fpsyg.2021.713818] [Citation(s) in RCA: 36] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Accepted: 08/03/2021] [Indexed: 11/13/2022] Open
Abstract
Background: This scoping review analyzed research about how music activities may affect participants' health and well-being. Primary outcomes were measures of health (including symptoms and health behaviors) and well-being. Secondary measures included a range of psychosocial processes such as arousal, mood, social connection, physical activation or relaxation, cognitive functions, and identity. Diverse music activities were considered: receptive and intentional music listening; sharing music; instrument playing; group singing; lyrics and rapping; movement and dance; and songwriting, composition, and improvisation. Methods: Nine databases were searched with terms related to the eight music activities and the psychosocial variables of interest. Sixty-three papers met selection criteria, representing 6,975 participants of all ages, nationalities, and contexts. Results: Receptive and intentional music listening were found to reduce pain through changes in physiological arousal in some studies but not others. Shared music listening (e.g., concerts or radio programs) enhanced social connections and mood in older adults and in hospital patients. Music listening and carer singing decreased agitation and improved posture, movement, and well-being of people with dementia. Group singing supported cognitive health and well-being of older adults and those with mental health problems, lung disease, stroke, and dementia through its effects on cognitive functions, mood, and social connections. Playing a musical instrument was associated with improved cognitive health and well-being in school students, older adults, and people with mild brain injuries via effects on motor, cognitive and social processes. Dance and movement with music programs were associated with improved health and well-being in people with dementia, women with postnatal depression, and sedentary women with obesity through various cognitive, physical, and social processes. Rapping, songwriting, and composition helped the well-being of marginalized people through effects on social and cultural inclusion and connection, self-esteem and empowerment. Discussion: Music activities offer a rich and underutilized resource for health and well-being to participants of diverse ages, backgrounds, and settings. The review provides preliminary evidence that particular music activities may be recommended for specific psychosocial purposes and for specific health conditions.
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Affiliation(s)
- Genevieve A. Dingle
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Leah S. Sharman
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Zoe Bauer
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- School of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, QLD, Australia
| | - Emma Beckman
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- School of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, QLD, Australia
| | - Mary Broughton
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- School of Music, The University of Queensland, Brisbane, QLD, Australia
| | - Emma Bunzli
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Robert Davidson
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- School of Music, The University of Queensland, Brisbane, QLD, Australia
| | - Grace Draper
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Sheranne Fairley
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- University of Queensland Business School, Brisbane, QLD, Australia
| | - Callyn Farrell
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Libby Maree Flynn
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- School of Music, The University of Queensland, Brisbane, QLD, Australia
| | - Sjaan Gomersall
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- School of Health and Rehabilitation Sciences, University of Queensland, St Lucia, QLD, Australia
| | - Mengxun Hong
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Joel Larwood
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Chiying Lee
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Jennifer Lee
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- School of Health and Rehabilitation Sciences, University of Queensland, St Lucia, QLD, Australia
| | - Lewis Nitschinsk
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Natalie Peluso
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Sarah Elizabeth Reedman
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- Child Health Research Centre, University of Queensland, Brisbane, QLD, Australia
| | - Dianna Vidas
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Zoe C. Walter
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Olivia Renee Louise Wright
- UQ Music, Dance and Health Research Group, The University of Queensland, Brisbane, QLD, Australia
- School of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, QLD, Australia
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