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

• Published in: Cardiology in the young Vol. 33; no. 2; pp. 213 - 220
• Main Authors: Moon, Ju Ryoung, Song, Jinyoung, Huh, June, Kang, I-Seok, Kim, Jung Hawn, Park, Seung Woo, Chang, Sung-A
• Format: Journal Article
• Language: English
• Published: Cambridge, UK Cambridge University Press 01.02.2023
• Subjects: Adult; Anxiety; Anxiety - etiology; Anxiety - therapy; Cardiac Catheterization; Catheterization; Catheters; Cortisol; Data collection; Female; Heart rate; Hormones; Humans; Hydrocortisone; Intervention; Laboratories; Male; Middle Aged; Music; Music Therapy; Nervous system; Original Article; Patients; Psychosocial/Exercise/Obesity/Quality of Life; Questionnaires; Research Design; Sample size; Software; Variance analysis; United States > US; anxiety; heart septal defect, atrial; music therapy; cardiac catheterization
• ISSN: 1047-9511; 1467-1107
• DOI: 10.1017/S1047951122000439

This study evaluated the effect of music intervention on the anxiety and stress responses of patients who underwent an interventional cardiac catheterisation. 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. 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. 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.