Music Interventions in Percutaneous Coronary Procedures: A Meta-Analysis

Abstract

To clarify the effectiveness of music intervention for improving the well-being of patients undergoing coronary procedures for coronary heart disease, we conducted full-text searches of various databases (MEDLINE, Cochrane Library, CINAHL, ProQuest, and Airiti Library; 1966–2019) to identify randomized controlled trials and quasi-experimental studies of music intervention in recipients of angiography or percutaneous coronary intervention. Outcome measures included anxiety, discomfort, pain, heart rate, and blood pressure. The Cochrane methodology, Jadad Quality Score, and ROBINS-I were employed to evaluate evidence from 10 studies. Music intervention reduced anxiety (effect size: Z = 2.15, p = .03; six studies) and discomfort of lying ( Z = 2.40, p = .02; two studies), but did not affect pain ( Z = 0.94; two studies), heart rate ( Z = 0.94; five studies), or blood pressure (systolic, Z = 1.27; diastolic, Z = 1.32; four studies) (all p > .05). The heterogeneity among studies was high. Large-scale, transcultural, high-quality trials are warranted to confirm the benefit of music intervention in patients undergoing coronary procedures.

Music-induced analgesia for adults and older adults during femoral arterial sheath removal after cardiac catheterization: a randomized clinical trial protocol

“…It was observed that musical intervention is effective in reducing anxiety, but it does not apply for the assessment of pain, HR and BP, whose results indicate that musical intervention was not superior to routine care. The meta-analysis concluded that studies included in the sample are heterogeneous and suggested performing new high-quality RCTs with music intervention to confirm these findings [ 23 ].…”

Characteristics of music intervention to reduce anxiety in patients undergoing cardiac catheterization: scoping review

“…Different strategies have been used to treat anxiety in patients undergoing cardiac catheterization; among them, music interventions have received attention from researchers [ 1 , 2 , 3 ]. The therapeutic use of music is recognized for its low cost [ 4 ], ease of application, and good acceptability [ 1 , 2 , 3 , 4 ].…”

“…Different strategies have been used to treat anxiety in patients undergoing cardiac catheterization; among them, music interventions have received attention from researchers [ 1 , 2 , 3 ]. The therapeutic use of music is recognized for its low cost [ 4 ], ease of application, and good acceptability [ 1 , 2 , 3 , 4 ]. However, the results of studies on the effectiveness of these interventions are controversial [ 2 , 3 ], which can be attributed to little attention being paid to the mechanisms of action of music for achieving the desired health outcomes [ 5 , 6 ].…”

“…The therapeutic use of music is recognized for its low cost [ 4 ], ease of application, and good acceptability [ 1 , 2 , 3 , 4 ]. However, the results of studies on the effectiveness of these interventions are controversial [ 2 , 3 ], which can be attributed to little attention being paid to the mechanisms of action of music for achieving the desired health outcomes [ 5 , 6 ]. Although recent systematic reviews aimed at assessing the effectiveness of music interventions, to date, no studies have synthesized the literature based on the characteristics of music interventions and whether the interventions were effective or not.…”

“…Although recent systematic reviews aimed at assessing the effectiveness of music interventions, to date, no studies have synthesized the literature based on the characteristics of music interventions and whether the interventions were effective or not. A lack of studies mapping the characteristics of effective music interventions prevents the selection of the most appropriate components of music interventions by clinicians and researchers, and compromises the synthesis of the available evidence, making it difficult to establish recommendations for use of this type of intervention in clinical practice [ 1 , 2 , 3 ].…”