The effects of music intervention on anxiety and stress responses in adults with CHD undergoing cardiac catheterisation

Abstract

Introduction: This study evaluated the effect of music intervention on the anxiety and stress responses of patients who underwent an interventional cardiac catheterisation. Methods: The study design was a pre- and post-test randomised controlled trial that included 94 patients who underwent a transcatheter atrial septal defect closure. Patients were allocated to receive either music intervention (n = 47) or usual care (n = 47) during the interventional cardiac catheterisation. Music intervention effectiveness was examined in terms of anxiety, salivary cortisol level, and heart rate variability. Results: The average age of participants was 45.40 years (±16.04) in the experimental group and 47.26 years (±13.83) in the control group. Two-thirds (66.0%) of the participants in each group were women. State anxiety (F = 31.42, p < 0.001), anxiety-numerical rating scale (F = 20.08, p < 0.001), salivary cortisol levels (F = 4.98, p = 0.021), and low-frequency component/high-frequency component ratio (F = 17.31, p < 0.001) in the experimental group were significantly reduced compared with those in the control group at the end of the music intervention. Conclusion: This study provides practical evidence of a reduction in anxiety and stress response from music intervention preceding an interventional cardiac catheterisation, indicating that this intervention should be considered in clinical management.

Non‐pharmacological strategies to reduce stress and anxiety in endovascular procedures: A scoping review

“…Moreover, a randomized clinical trial in South Korea evaluated the effect of a music intervention on the anxiety and stress responses of patients undergoing cardiac catheterization using the State Anxiety Inventory (SAI) and the numerical anxiety rating scale (NARS). The study revealed that the music intervention effectively reduced anxiety and stress responses that precede cardiac catheterization, emphasizing the importance of this type of intervention for anxiety management (Moon et al., 2022).…”

Education and Music Intervention to Reduce Anxiety: feasibility, potential efficacy and patient satisfaction in a pilot study

“…(20,21) Researchers assessed the effect of musical intervention on anxiety and stress responses in patients undergoing cardiac catheterization. (53) RCT that assessed the effectiveness of the musical intervention in terms of anxiety, cortisol level and HR variability showed evidence of a reduction in anxiety and stress response of the musical intervention preceding cardiac catheterization, indicating that this intervention should be considered. Anxiety was also assessed by STAI (F = 31.42, p < 0.001).…”

“…Anxiety was also assessed by STAI (F = 31.42, p < 0.001). (53) Literature review showed different psychological preparation strategies and relaxation techniques that have been tested to reduce anxiety, stabilize physiological parameters and reduce pain intensity. (25) Education regarding the procedure was observed in 11 of the 29 studies analyzed and was effective in reducing anxiety.…”

The Impact of mindfulness-based counseling on stress and anxiety before surgery in pregnant women with a history of cesarean section: A Controlled Interventional Study

“…Preoperative surgery not only requires a greater amount of anesthetic, but also results in increased catecholamine release causing tachycardia, hypertension, and cardiac arrhythmias. Moreover, anxiety before surgery is related to recovery and pain levels after surgery (4,5). A high prevalence of stress and anxiety has been observed in pregnant women (6).…”