The Effect of Music on Anxiety and Cardiovascular Indices in Patients Undergoing Coronary Artery Bypass Graft: A Randomized Controlled Trial

Saeide Heidari, Atye Babaii, Mohammad Abbasinia, Mahdi Shamali, Mohammad Abbasi, Mahboobe Rezaei, Saeide Heidari, Atye Babaii, Mohammad Abbasinia, Mahdi Shamali, Mohammad Abbasi, Mahboobe Rezaei

Abstract

Background: The instability of cardiovascular indices and anxiety disorders are common among patients undergoing coronary artery bypass graft (CABG) and could interfere with their recovery. Therefore, improving the cardiovascular indices and anxiety is essential.

Objectives: This study aimed to investigate the effect of music therapy on anxiety and cardiovascular indices in patients undergoing CABG.

Patients and methods: In this randomized controlled trial, 60 patients hospitalized in the cardiovascular surgical intensive care unit of Shahid Beheshti Hospital in Qom city, Iran, in 2013 were selected using a consecutive sampling method and randomly allocated into the experimental and control groups. In the experimental group, patients received 30 minutes of light music, whereas in the control group, patients had 30 minutes of rest in bed. The cardiovascular indices and anxiety were measured immediately before, immediately after and half an hour after the study. Data were analyzed using the chi-square test and repeated measures analysis of variance.

Results: Compared to the immediately before intervention, the mean anxiety scores immediately after and 30 minutes after the intervention were significantly lower in the experimental group (P < 0.037) while it did not significantly change in the control group. However, there were no significant differences regarding the cardiovascular indices in the three consecutive measurements (P > 0.05).

Conclusions: Music therapy is effective in decreasing anxiety among patients undergoing CABG. However, the intervention was not effective on cardiovascular indices. Music can effectively be used as a non-pharmacological method to manage anxiety after CABG.

Keywords: Anxiety; Cardiovascular System; Coronary Artery Bypass Graft; Music Therapy.

Figures

Figure 1.. The Study Flow Diagram
Figure 1.. The Study Flow Diagram
Figure 2.. The Trend of Change in…
Figure 2.. The Trend of Change in Anxiety Score During the Study
Figure 3.. The Trend of Change in…
Figure 3.. The Trend of Change in Heart Rate During the Study
Figure 4.. The Trend of Change in…
Figure 4.. The Trend of Change in Systolic Blood Pressure During the Study
Figure 5.. The Trend of Change in…
Figure 5.. The Trend of Change in Diastolic Blood Pressure During the Study
Figure 6.. The Trend of Change in…
Figure 6.. The Trend of Change in Mean Arterial Pressure During the Study

References

    1. Sendelbach SE, Halm MA, Doran KA, Miller EH, Gaillard P. Effects of music therapy on physiological and psychological outcomes for patients undergoing cardiac surgery. J Cardiovasc Nurs. 2006;21(3):194–200.
    1. Vance JL, Shanks AM, Woodrum DT. Intraoperative bispectral index monitoring and time to extubation after cardiac surgery: secondary analysis of a randomized controlled trial. BMC Anesthesiol. 2014;14:79. doi: 10.1186/1471-2253-14-79.
    1. Hajibagheri A, Babaii A, Adib-Hajbaghery M. Effect of Rosa damascene aromatherapy on sleep quality in cardiac patients: a randomized controlled trial. Complement Ther Clin Pract. 2014;20(3):159–63. doi: 10.1016/j.ctcp.2014.05.001.
    1. Krauseneck T, Krahenmann O, Heimendahl J, Schelling G, Padberg F. [Psychiatric disorders in intensive care--part three: psychic reactions, affective and anxiety disorders]. Anasthesiol Intensivmed Notfallmed Schmerzther. 2007;42(3):180–7. doi: 10.1055/s-2007-974579.
    1. Dehdari T, Heidarnia A, Ramezankhani A, Sadeghian S, Ghofranipour F. Anxiety, self efficacy expectation and social support in patients after coronary angioplasty and coronary bypass. Iran J Public Health. 2008;37(4):119–25.
    1. Dehghani H, Dehghani KH, Nasiriani KH, Banaderakhshan H. the Effect of Familiarization With Cardiac Surgery Process on the Anxiety of Patients Undergoing Coronary Artery Bypass Graft Surgery. Mod Care. 2013;10(4):257–63.
    1. Trikha A, Rewari V. Sedation, Analgesia and Muscle Relaxation in the Intensive Care Unit. Ind J Anesth. 2008;52(5):620–31.
    1. Comeaux T, Comeaux T. The effect of complementary music therapy on the patient's postoperative state anxiety, pain control, and environmental noise satisfaction. Medsurg Nurs. 2013;22(5):313–8.
    1. Allred KD, Byers JF, Sole ML. The effect of music on postoperative pain and anxiety. Pain Manag Nurs. 2010;11(1):15–25. doi: 10.1016/j.pmn.2008.12.002.
    1. Fayazi S, Babashahi M, Rezaei M. The effect of inhalation aromatherapy on anxiety level of the patients in preoperative period. Iran J Nurs Midwifery Res. 2011;16(4):278–83.
    1. Nilsson U. The effect of music intervention in stress response to cardiac surgery in a randomized clinical trial. Heart Lung. 2009;38(3):201–7. doi: 10.1016/j.hrtlng.2008.07.008.
    1. Bauer BA, Cutshall SA, Anderson PG, Prinsen SK, Wentworth LJ, Olney TJ, et al. Effect of the combination of music and nature sounds on pain and anxiety in cardiac surgical patients: a randomized study. Altern Ther Health Med. 2011;17(4):16–23.
    1. Twiss E, Seaver J, McCaffrey R. The effect of music listening on older adults undergoing cardiovascular surgery. Nurs Crit Care. 2006;11(5):224–31.
    1. Emami Zeydi A, Jafari H, Khani S, Esmaeili R, Gholipour Baradari A. The effect of music on the vital signs and SpO2 of patients after open heart surgery: a randomized clinical trial. [in Persian]. J Mazandaran Univ Med Sci. 2011;21(82):73–82.
    1. Hatem TP, Lira PI, Mattos SS. The therapeutic effects of music in children following cardiac surgery. J Pediatr (Rio J). 2006;82(3):186–92. doi: 10.2223/jped.1473.
    1. Babaee S, Shafiei Z, Sadeghi MM, Nik AY, Valiani M. Effectiveness of massage therapy on the mood of patients after open-heart surgery. Iran J Nurs Midwifery Res. 2012;17(2 Suppl 1):S120–4.
    1. Facco E, Zanette G, Favero L, Bacci C, Sivolella S, Cavallin F, et al. Toward the validation of visual analogue scale for anxiety. Anesth Prog. 2011;58(1):8–13. doi: 10.2344/0003-3006-58.1.8.
    1. Abend R, Dan O, Maoz K, Raz S, Bar-Haim Y. Reliability, validity and sensitivity of a computerized visual analog scale measuring state anxiety. J Behav Ther Exp Psychiatry. 2014;45(4):447–53. doi: 10.1016/j.jbtep.2014.06.004.
    1. Appukuttan D, Vinayagavel M, Tadepalli A. Utility and validity of a single-item visual analog scale for measuring dental anxiety in clinical practice. J Oral Sci. 2014;56(2):151–6.
    1. Gunnarsdottir TJ, Jonsdottir H. Does the experimental design capture the effects of complementary therapy? A study using reflexology for patients undergoing coronary artery bypass graft surgery. J Clin Nurs. 2007;16(4):777–85. doi: 10.1111/j.1365-2702.2006.01634.x.
    1. Jafari H, Emami Zeydi A, Khani S, Esmaeili R, Soleimani A. The effects of listening to preferred music on pain intensity after open heart surgery. Iran J Nurs Midwifery Res. 2012;17(1):1–6.
    1. Dogan MV, Senturan L. The effect of music therapy on the level of anxiety in the patients undergoing coronary angiography. Open Nurs J. 2012;2(3):165–9. doi: 10.4236/ojn.2012.23025.
    1. Hudetz JA, Iqbal Z, Gandhi SD, Patterson KM, Byrne AJ, Pagel PS. Postoperative delirium and short-term cognitive dysfunction occur more frequently in patients undergoing valve surgery with or without coronary artery bypass graft surgery compared with coronary artery bypass graft surgery alone: results of a pilot study. J Cardiothorac Vasc Anesth. 2011;25(5):811–6. doi: 10.1053/j.jvca.2010.05.003.
    1. Babaii A, Abbasinia M, Hejazi SF, Tabaei SRS, Dehghani F. The Effect of Listening to the Voice of Quran on Anxiety before Cardiac Catheterization: A Randomized Controlled Trial. Health, Spirituality Med Ethics. 2015;2(2):8–14.
    1. Snyder M, Lindquist R. Complementary and Alternative Therapies in Nursing. 6th ed. New York: Springer; 2010.
    1. Korhan EA, Khorshid L, Uyar M. The effect of music therapy on physiological signs of anxiety in patients receiving mechanical ventilatory support. J Clin Nurs. 2011;20(7-8):1026–34. doi: 10.1111/j.1365-2702.2010.03434.x.
    1. Naderi F, Aghaei A, Mohammad-zadeh M, Nazemi S, Salmani F, Rashvand M. The Effects of music therapy on Pain Threshold, Anxiety, distress response and Hemodynamic Parameters during dressing changes in burn patients. [in Persian]. Ofogh Danesh. 2014;20(1):63–8.
    1. Rentfrow PJ, Goldberg LR, Levitin DJ. The structure of musical preferences: a five-factor model. J Pers Soc Psychol. 2011;100(6):1139–57. doi: 10.1037/a0022406.
    1. Zeinali S, Ashrafian P, Beirami M. A comparative study of personality factors and mental health components in heart patients and normal ones. [in Persian]. Urmia Med J. 2011;22(5):432–8.

Source: PubMed

Sponsors and Collaborators

Medical Conditions

Drug Interventions

3
Subscribe