The Effect Of Paın And Anxıety Durıng Coronary Angıography

June 22, 2026 updated by: Hüseyin Buğra Çiftçi, Manisa Celal Bayar University

The Effect Of Stress Ball And Musıc Interventıon Applıed To Patıents Durıng Coronary Angıography On Paın And Anxıety

This research is a randomized controlled experimental study conducted to determine the effects of stress ball application and music playback during coronary angiography on patients' pain and anxiety levels and vital signs (systolic/diastolic blood pressure, pulse).

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Objective: This research is a randomized controlled experimental study conducted to determine the effects of stress ball application and music listening during coronary angiography on patients' pain and anxiety levels and vital signs (systolic/diastolic blood pressure, pulse). Materials and Methods: The study sample consisted of 180 individuals who applied for coronary angiography at the cardiology laboratory of a city hospital between March and December 2025, including 60 control group, 60 stress ball group, and 60 music group, totaling 180 individuals. Data were collected using the "Patient Identification Form," "Visual Analog Scale (VAS)," "State-Trait Anxiety Scale (STAI-1)," and "Vital Signs Form." Patients in the intervention groups received the prescribed protocols (standard music playlist or stress ball placement in the dominant hand) throughout the procedure, while the control group received only routine clinical care.

Findings: Patients who used a stress ball and listened to music during coronary angiography had statistically significantly lower mean post-procedure pain and anxiety scores compared to the control group (p<0.05). Although there was a significant difference in anxiety and pain levels between the intervention groups, both methods were determined to be effective compared to standard care. Conclusion: It can be said that stress ball and music therapy methods applied during coronary angiography are effective, reliable, and cost-effective non-pharmacological nursing interventions in reducing patients' pain and anxiety levels and stabilizing hemodynamic parameters.

Study Type

Interventional

Enrollment (Actual)

180

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey (Türkiye)
    • Yunusemre
      • Manisa, Yunusemre, Turkey (Türkiye), 45010
        • Manisa City Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Those undergoing coronary angiography for the first time,
  • Those undergoing groin angiography,
  • Those over 18 years of age,
  • Those who are not drug or alcohol dependent,
  • Those who do not have hearing impairments,
  • Those who have not used any medication that will produce an analgesic effect within 6 hours before the procedure,
  • Those who are not prevented from using a stress ball in their left hand,
  • Those who are oriented to the place and time,
  • Those who do not have a history of serious psychological problems in the past 6 months,
  • Those who do not use any medication that suppresses anxiety symptoms,
  • Those who agree to participate in the study are included.

Exclusion Criteria:

  • Patients with severe heart failure or serious cardiovascular disease,
  • Patients who will require sedation or anesthesia during the procedure,
  • Patients who dislike music for cultural reasons,
  • Patients who require urgent treatment for cardiac dysrhythmias,
  • Patients with hearing problems,
  • Patients who cannot actively use their hands (such as those with hemiplegia, fractures, fistulas, etc.) are not included.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
No Intervention: Control Group
The normal procedure was followed.
Experimental: stress ball Group
Participants receive a stress ball during the procedure/intervention period in addition to routine care.
Behavioral: Stress Ball
Participants are provided with a stress ball to squeeze during the procedure.
Experimental: Music Group
Participants listen to music during the procedure/intervention period in addition to routine care.
Behavioral: Music Therapy
Participants listen to relaxing music during the procedure.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
State-Trait Anxiety Scale
Time Frame: I evaluated it in 30 minutes.
Anxiety levels among groups of patients undergoing angiography.
I evaluated it in 30 minutes.

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Visual Analog Scale (VAS)
Time Frame: I finished it in 30 minutes.
Pain assessment between groups during angiography for the patient.
I finished it in 30 minutes.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Manisa Celal Bayar University

Investigators

  • Principal Investigator: Hüseyin Buğra Çiftçi, Master Students, Manisa Celal Bayar University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 3, 2025

Primary Completion (Actual)

October 21, 2025

Study Completion (Actual)

March 31, 2026

Study Registration Dates

First Submitted

May 19, 2026

First Submitted That Met QC Criteria

June 22, 2026

First Posted (Actual)

June 24, 2026

Study Record Updates

Last Update Posted (Actual)

June 24, 2026

Last Update Submitted That Met QC Criteria

June 22, 2026

Last Verified

June 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • MCBÜ-HEM-HC-01

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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