Music Application in Patients Undergoing Percutaneous Coronary Intervention

The Effect of Music on Healing in Patients Undergoing Percutaneous Coronary Intervention

This study was planned to examine the effect of music application on recovery in patients undergoing coronary angiography (CAG) and to obtain the opinions of patients and nurses about music.This study was conducted to examine the effect of music application on recovery in patients undergoing CAG and to obtain the opinions of patients and nurses about music.The study was planned as a pre-test, post-test design, single-center, randomized controlled experimental study. The study is planned to be conducted in the CAG unit of a university hospital between July 2023 and December 2023, the study sample will be composed of a total of 210 individuals, 105 in each group (music applied group before and after the procedure = 105, control group = 105) To collect data in the study, the "Patient Information Form", Vital Signs Evaluation Form", "Numerical Rating Scale", State-Trait Anxiety Inventory, "Perianesthesia Comfort Scale" and "Patient Satisfaction Survey on Nursing Care Quality" were used.

Study Overview

• Status: Active, not recruiting
• Conditions: Healthy; Patient Satisfaction; Nurse's Role
• Intervention / Treatment: Other: musical application

Detailed Description

In the study, before the patients in the music group (MG) who would undergo planned CAG listened to music, while the patients were in the ward before the procedure; Patient information form, vital signs registration form, numerical rating scale, state-trait anxiety scale were applied, then 15-20 minutes. Music prepared with expert suggestions (Rast, Acemasiran, and Huseyni modes) 15-20 min. was listened to. After the procedure, patients in MG are given 15-20 minutes before being discharged. music was played. Then, the vital signs registration form, Numerical Rating Scale, state-trait anxiety scale, Perianesthesia Comfort Scale, and Patient Satisfaction Survey on Nursing Care Quality were administered for the last time. The specified survey forms were applied to the patients in Control Group before and after the procedure, and they were not allowed to listen to music.

• Study Type: Interventional
• Enrollment (Estimated): 210
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Umuttepe Campus, İzmit
    • Kocaeli, Umuttepe Campus, İzmit, Turkey, 41380
      • Kocaeli University Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• being between the ages of 18-65,
• being literate,
• having no communication or hearing impairment or neurological-psychiatric disease,
• not taking sedatives before the procedure
• not having undergone PCI before
• being in the waiting room at least 20 minutes before the procedure.

Exclusion Criteria:

• Under the age of 18
• Do not speak Turkish
• Have a hearing problem
• Without a place and time orientation
• Have any psychiatric illness
• Using sedative or analgesic drugs in the last 24 hours
• To be intervened outside the femoral area
• Previous angiography procedure
• Non-volunteer individuals will not be included in the study

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control group; Patients in this group received routine care and no music application was performed.
Experimental: Experimental group; The patient information form, vital signs registration form, and state-trait anxiety scale were administered to the patients in the music group while they were in the ward before being sent to the CAG laboratory. Afterward, Rast, Acemasiran, and Huseyni music from Classical Turkish Music modes were optionally offered to the patients, and before the CAG procedure (while the patient was waiting for the procedure in the CAG laboratory), the music preferred by the patients was played with headphones for 15-20 minutes in order not to disturb other patients. After CAG, 15 minutes after the patient arrived at the service, he listened to music for 15-20 minutes. Then, the vital signs registration form, state-trait anxiety scale, Perianesthesia Comfort Scale-PCS" and Patient Satisfaction Survey on Nursing Care Quality (PSSNCQ) were applied.	Other: musical application; Rast, Acemasiran, and Huseyni from Classical Turkish Music modes were optionally offered to the patients in the music group, and the patient's preferred music was listened to through headphones for 15-20 minutes before the CAG procedure. Following the interviews, musical genres were arranged as instrumental, without words, at 70 decibels in terms of rhythm and duration, at approximately 60 metronomes per minute, and were played according to the person's preference. Instrumental music was loaded onto the portable MP3 player provided by the researchers.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Means of subjective pain scores	Numerical Rating Scale was used to measure the pain intensity of the patients. This scale, which aims to determine the pain intensity of patients regarding the procedure area, aims to explain the patient's pain with numbers.It is stated that numerical scales are more widely adopted by patients because they facilitate the definition of pain intensity, facilitate scoring and recording, and are useful in floor and ceiling effect assessment. The form ranging from 0 to 10 was used in the research. In the form, 0 points are considered "no pain", 1-3 points are considered "mild pain", 4-6 points are considered "moderate pain", and 7 and above points are considered "severe pain".	before and up to 30 minutes after the coronary angiography
Means of body temperature (0C)	It will be measured by the researcher responsible for the application using an infrared thermometer.	before and up to 30 minutes after the coronary angiography
Means of systolic blood pressure (mmHg)	The measurement on the arm, which is not operated with a digital blood pressure meter, will be made by researcher responsible for the application.	before and up to 30 minutes after the coronary angiography
Means of diastolic blood pressure (mmHg)	The measurement on the arm, which is not operated with a digital blood pressure meter, will be made by the researcher responsible for the application.	before and up to 30 minutes after the coronary angiography
Means of heart rate (/minutes)	It will be measured by the researcher responsible for the application with a pulse oximeter in the unprocessed arm.	before and up to 30 minutes after the coronary angiography
Means of respiratory rate (/minutes)	It will be counted by the researcher responsible for the application by monitoring chest movements for one minute.	before and up to 30 minutes after the coronary angiography
Means of oxygen saturation (%)	It will be measured by the researcher responsible for the application with a pulse oximeter in the unprocessed arm.	before and up to 30 minutes after the coronary angiography
Means of subjective anxiety scores	These scales determine state and trait anxiety levels, and include two separate sections consisting of a total of 40 items developed based on the two-factor anxiety concept. The first 20 of these measure the situation-related anxiety level, and the items from 21 to 40 measure the individual's trait anxiety level. It is stated that 20-39 points obtained from the scale are considered as "mild", 40-59 points as "moderate", 60-79 points as "severe anxiety" and 80 points as "panic".	before and up to 30 minutes after the coronary angiography
Means of Perianesthesia Comfort Scale Scores	The Perianesthesia Comfort Scale scale which reveals the individual's thoughts, emotions, and self-understanding during the stages of the surgical process, consists of 24 items and the expressions are in Likert type ranging from 1 to 6 points. The highest total score that can be obtained from the scale is 144, and the lowest total score is 24. The average value is determined by dividing the total score obtained by the number of scale items and the result is stated in the 1-6 distribution. The highest total score that can be obtained from the scale is 144, and the lowest total score is 24. The average value is determined by dividing the total score obtained by the number of scale items and the result is stated in the 1-6 distribution. A low score indicates that comfort is bad, and a high score indicates that comfort is good.	Up to 30 minutes from coronary angiography
Means of Patient Satisfaction Survey on Nursing Care Quality Scores	Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ): This scale which comprises 19 items in total, includes 4 items that evaluate the perception of general satisfaction and are not included in the calculation. A 5-point Likert-type scale is scored between "(5) excellent" and "(1) poor". The PSNCQQ, where two different methods can score, was scored by adding the scores for all items and averaging each patient.	Up to 30 minutes from coronary angiography

Collaborators and Investigators

• Sponsor: Kocaeli University
• Investigators: Principal Investigator: Selda MERT, PhD, Kirsehir Ahi Evran University

Study record dates

Study Major Dates

• Study Start (Actual): July 10, 2023
• Primary Completion (Actual): December 31, 2023
• Study Completion (Estimated): May 31, 2024

Study Registration Dates

• First Submitted: February 27, 2024
• First Submitted That Met QC Criteria: February 27, 2024
• First Posted (Actual): March 5, 2024

Study Record Updates

• Last Update Posted (Actual): March 12, 2024
• Last Update Submitted That Met QC Criteria: March 7, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Keywords: pain; recovery; anxiety; quality of care; vital signs; nursing care; confor
• Other Study ID Numbers: 77979112

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: The research will be made available through the journal after it is published.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No