Effect of Music Therapy On Patients Anxiety and Hemodynamic Parameters During Percutaneous Coronary Intervention: a Randomized Controlled Trial
Öz
Objective: This study was performed to determine the effect of music therapy on patients’ anxiety and hemodynamic parameters during percutaneous transluminal coronary angioplasty.Methods: The research was performed between dates February–April 2014 in an angiography unit. Patients were randomly allocated to either the control n=35 or the experimental groups n=35 . The data were collected by a demographic questionnaire, State-Trait Anxiety Inventory STAI -Form Tx-1”, “STAI-Form Tx-2” and a data sheet for documenting hemodynamic parameters. Descriptive statistics, chi square, Mann-Whitney U, Wilcoxon and t-tests were used in the evaluation of the data. t-tests were used in the analysis of the data.Results: Both control groups were similar to each other in terms of sociodemographic characteristics p>0.05 . Before the intervention, the study groups did not differ significantly in terms of anxiety level and hemodynamic parameters. The level of post-intervention anxiety in the experimental group was significantly higher than the pre-test readings 36.1±3.4 and 38.3±4.5 respectively; p=0.00 . At the same time the level of post-intervention anxiety in the control group was significantly higher than the pre-test readings 36.4±3.1 and 37.5±3.8 respectively; p=0.00 . Furthermore, there was no significant change in vital signs in both groups p>0.05 .Conclusion: This study showed that the music administered through headphones to patients during percutaneous coronary intervention does not decrease procedure-related state anxiety and vital signs
Anahtar Kelimeler
Kaynakça
- Onat A, Aydın M, Köroğlu B, Örnek E, Altay S, Çelik E, Karagöz A. TEKHARF 2011 Taraması: Ölümler ve uzun vadeli takipte performans. Arch Turk Soc Cardiol 2012;40:117–21.
- Meier B. Perkütan Koroner Girişimler. Çev. Şahinarslan A, İlkay E. İçinde: Topol EJ, editör. Kozan Ö, Çev. editörü. Textbook of Cardiovascular Medicine (Türkçe), 3. Baskı. Ankara: Güneş Tıp Kitabevi; 2008. s.1258–72.
- Karadeniz G, Altıparmak S, Aydemir Ö, Karadağ F. Koroner anjiografi öncesi anksiyete ve depresyon. 3P Dergisi 2005;13:43–7.
- Heart Journal 2014;17:54–7. https://doi.org/10.4274/khj.4775
- Schou K. Music therapy for stress and anxiety reduction in patients with coronary heart disease. J Med Music Ther 2014;7:11–23.
- Bradt J, Dileo C, Potvin N. Music for stress and anxiety reduction in coronary heart disease patients. Cochrane Database Syst Rev 2013;28:CD006577. https://doi.org/10.1002/14651858.CD006577.pub3
- Nilsson U, Lindell L, Eriksson A, Kellerth T. The effect of music intervention in relation to gender during coronary angiographic procedures: a randomized clinical trial. Eur J Cardiovasc Nurs 2009;8:200–6. https://doi.org/10.1016/j.ejcnurse.2009.01.001
- Weeks BP, Nilsson U. Music interventions in patients during coronary angiographic procedures: a randomized controlled study of the effect on patients’ anxiety and well-being. Eur J Cardiovasc Nurs 2011;10:88–93. https://doi.org/10.1016/j.ejcnurse.2010.07.002
- Uzun S, Vural H, Uzun M, Yokuşoglu M. State and trait anxiety levels before coronary angiography. J Clin Nurs 2008;17:602–7. https://doi. org/10.1111/j.1365-2702.2007.02018.x
- Öner N, LeCompte WA. Süreksiz Durumluk/Sürekli Kaygı Envanteri El Kitabı. İstanbul: Boğaziçi Üniversitesi Yayınları; 1983. s.28.
- Buzatto LL, Zanei SSV. Patients’ anxiety before cardiac catheterization. Einstein 2010;8:483–7.
- Bally K, Campbell D, Chesnick K, Tranmer JE. Effects of patient- controlled music therapy during coronary angiography on procedural pain and anxiety distress syndrome. Crit Care Nurse 2003;23:50–8.
- Nilsson U. Effectiveness of music interventions for women with high anxiety during coronary angiographic procedures: a randomized controlled. Eur J Cardiovasc Nurs 2012;11:150–3. https://doi. org/10.1016/j.ejcnurse.2010.10.006
- Demir Ö. Koroner anjiografi ve perkütan transluminal koroner angioplasti işlemi öncesi uygulanan progresif kas gevşeme ve müzik dinlemenin bireylerin anksiyete düzeylerine olan etkisi. Adnan Menderes Üniversitesi Sağlık Bilimleri Enstitüsü, Ruh Sağlığı ve Hastalıkları Hemşireliği Anabilim Dalı Yüksek Lisans Tezi. Aydın, 2013.
- Forooghy M, Mottahedian Tabrizi E, Hajizadeh E, Pishgoo B. Effect of music therapy on patients’ anxiety and hemodynamic parameters during coronary angioplasty: a randomized controlled trial. Nurs Midwifery Stud 2015;4:e25800. https://doi.org/10.17795/ nmsjournal25800
- Hamel WJ. The effects of music intervention on anxiety in the patient waiting for cardiac catheterization. Intensive Crit Care Nurs 2001;17:279–85. https://doi.org/10.1054/iccn.2001.1594
- Argstatter H, Haberbosch W, Bolay HV. Study of the effectiveness of musical stimulation during intracardiac catheterization. Clin Res Cardiol 2006;95:514–22. https://doi.org/10.1007/s00392-006-0425-4
- Vizeli Doğan M, Şenturan L. The effect of music therapy on the level of anxiety in the patients undergoing coronary angiography. Open J Nurs 2012;2:165–9. https://doi.org/10.4236/ojn.2012.23025
- Stermer E, Levy N, Beny A, Meisels R, Tamir A. Ambience in the endoscopy room has little effect on patients. J Clin Gastroenterol 1998;26:256–8.
- Taylor-Piliae RE, Molassiotis A. An exploration of the relationships between uncertainty, psychological distress and type of coping strategy among Chinese men after cardiac catheterization. J Adv Nurs 2001;33:79–88.
- Colt HG, Powers A, Shanks TG. Effect of music on state anxiety scores in patients undergoing fiberoptic bronchoscopy. Chest 1999;116:819–24.
- 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;21:194–200.
- Taylor-Piliae RE, Chair SY. The effect of nursing interventions utilizing music therapy or sensory information on Chinese patients’ anxiety prior to cardiac catheterization: a pilot study. Eur J Cardiovasc Nurs 2002;1:203–11. https://doi.org/10.1016/S1474-5151(02)00037-3
- Chan MF. Effects of music on patients undergoing a C-clamp procedure after percutaneous coronary interventions: a randomized controlled trial. Heart Lung 2007;36:431–9. https://doi.org/10.1016/j. hrtlng.2007.05.003
Perkütan Koroner Girişim Uygulanan Hastalarda Müzik Terapinin Anksiyete Düzeyi ve Yaşam Bulgularına Etkisi; Randomize Kontrollü Çalışma
Öz
Amaç: Bu çalışma, perkütan koroner girişim sırasında uygulanan müziğin hastaların anksiyete ve yaşam bulgularına etkisini belirlemek amacıyla, randomize kontrollü deneysel çalışma olarak yapılmıştır.Yöntem: Araştırma, bir koroner anjiyografi ünitesine başvuran, 35 kontrol 35 müdahale olmak üzere toplam 70 hasta ile Şubat–Nisan 2014 tarihleri arasında yürütülmüştür. Hastalar bilgisayar ortamında hazırlanan randomizasyon yöntemi ile müdahale ve kontrol olmak üzere iki ayrı gruba ayrılmıştır. Araştırmanın verileri; Hasta Tanıtım Formu, Durumluk-Sürekli Kaygı Envanteri ve Yaşam Bulguları Takip Formu kullanılarak toplanmıştır. Verilerin değerlendirilmesinde, tanımlayıcı istatistikler, ki-kare, MannWhitney U, Wilcoxon ve t-testleri kullanılmıştır.Bulgular: Çalışmada her iki grup sosyo-demografik özellikler bakımından benzer bulunmuştur p>0,05 . Müdahaleden önce, çalışma grupları kaygı düzeyi ve hemodinamik parametreler açısından anlamlı farklılık göstermemiştir. İşlem sonrası hem müdahale 36,1±3,4 ve 38,3±4,5; p=0,00 hem de kontrol grubundaki 36,4±3,1 ve 37,5±3,8; p=0,00 bireylerin durumluk kaygı düzeylerinin istatistiksel olarak önemli ölçüde arttığı saptanmıştır. Ayrıca, her iki grupta da uygulama sonrası yaşam bulgularında anlamlı bir değişiklik olmadığı belirlenmiştir p>0,05 .Sonuç: Çalışmada perkütan koroner girişim sırasında kulaklıkla dinletilen müziğin anksiyete ve yaşam bulgularını azaltmada etkili olmadığı tespit edilmiştir
Anahtar Kelimeler
Kaynakça
- Onat A, Aydın M, Köroğlu B, Örnek E, Altay S, Çelik E, Karagöz A. TEKHARF 2011 Taraması: Ölümler ve uzun vadeli takipte performans. Arch Turk Soc Cardiol 2012;40:117–21.
- Meier B. Perkütan Koroner Girişimler. Çev. Şahinarslan A, İlkay E. İçinde: Topol EJ, editör. Kozan Ö, Çev. editörü. Textbook of Cardiovascular Medicine (Türkçe), 3. Baskı. Ankara: Güneş Tıp Kitabevi; 2008. s.1258–72.
- Karadeniz G, Altıparmak S, Aydemir Ö, Karadağ F. Koroner anjiografi öncesi anksiyete ve depresyon. 3P Dergisi 2005;13:43–7.
- Heart Journal 2014;17:54–7. https://doi.org/10.4274/khj.4775
- Schou K. Music therapy for stress and anxiety reduction in patients with coronary heart disease. J Med Music Ther 2014;7:11–23.
- Bradt J, Dileo C, Potvin N. Music for stress and anxiety reduction in coronary heart disease patients. Cochrane Database Syst Rev 2013;28:CD006577. https://doi.org/10.1002/14651858.CD006577.pub3
- Nilsson U, Lindell L, Eriksson A, Kellerth T. The effect of music intervention in relation to gender during coronary angiographic procedures: a randomized clinical trial. Eur J Cardiovasc Nurs 2009;8:200–6. https://doi.org/10.1016/j.ejcnurse.2009.01.001
- Weeks BP, Nilsson U. Music interventions in patients during coronary angiographic procedures: a randomized controlled study of the effect on patients’ anxiety and well-being. Eur J Cardiovasc Nurs 2011;10:88–93. https://doi.org/10.1016/j.ejcnurse.2010.07.002
- Uzun S, Vural H, Uzun M, Yokuşoglu M. State and trait anxiety levels before coronary angiography. J Clin Nurs 2008;17:602–7. https://doi. org/10.1111/j.1365-2702.2007.02018.x
- Öner N, LeCompte WA. Süreksiz Durumluk/Sürekli Kaygı Envanteri El Kitabı. İstanbul: Boğaziçi Üniversitesi Yayınları; 1983. s.28.
- Buzatto LL, Zanei SSV. Patients’ anxiety before cardiac catheterization. Einstein 2010;8:483–7.
- Bally K, Campbell D, Chesnick K, Tranmer JE. Effects of patient- controlled music therapy during coronary angiography on procedural pain and anxiety distress syndrome. Crit Care Nurse 2003;23:50–8.
- Nilsson U. Effectiveness of music interventions for women with high anxiety during coronary angiographic procedures: a randomized controlled. Eur J Cardiovasc Nurs 2012;11:150–3. https://doi. org/10.1016/j.ejcnurse.2010.10.006
- Demir Ö. Koroner anjiografi ve perkütan transluminal koroner angioplasti işlemi öncesi uygulanan progresif kas gevşeme ve müzik dinlemenin bireylerin anksiyete düzeylerine olan etkisi. Adnan Menderes Üniversitesi Sağlık Bilimleri Enstitüsü, Ruh Sağlığı ve Hastalıkları Hemşireliği Anabilim Dalı Yüksek Lisans Tezi. Aydın, 2013.
- Forooghy M, Mottahedian Tabrizi E, Hajizadeh E, Pishgoo B. Effect of music therapy on patients’ anxiety and hemodynamic parameters during coronary angioplasty: a randomized controlled trial. Nurs Midwifery Stud 2015;4:e25800. https://doi.org/10.17795/ nmsjournal25800
- Hamel WJ. The effects of music intervention on anxiety in the patient waiting for cardiac catheterization. Intensive Crit Care Nurs 2001;17:279–85. https://doi.org/10.1054/iccn.2001.1594
- Argstatter H, Haberbosch W, Bolay HV. Study of the effectiveness of musical stimulation during intracardiac catheterization. Clin Res Cardiol 2006;95:514–22. https://doi.org/10.1007/s00392-006-0425-4
- Vizeli Doğan M, Şenturan L. The effect of music therapy on the level of anxiety in the patients undergoing coronary angiography. Open J Nurs 2012;2:165–9. https://doi.org/10.4236/ojn.2012.23025
- Stermer E, Levy N, Beny A, Meisels R, Tamir A. Ambience in the endoscopy room has little effect on patients. J Clin Gastroenterol 1998;26:256–8.
- Taylor-Piliae RE, Molassiotis A. An exploration of the relationships between uncertainty, psychological distress and type of coping strategy among Chinese men after cardiac catheterization. J Adv Nurs 2001;33:79–88.
- Colt HG, Powers A, Shanks TG. Effect of music on state anxiety scores in patients undergoing fiberoptic bronchoscopy. Chest 1999;116:819–24.
- 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;21:194–200.
- Taylor-Piliae RE, Chair SY. The effect of nursing interventions utilizing music therapy or sensory information on Chinese patients’ anxiety prior to cardiac catheterization: a pilot study. Eur J Cardiovasc Nurs 2002;1:203–11. https://doi.org/10.1016/S1474-5151(02)00037-3
- Chan MF. Effects of music on patients undergoing a C-clamp procedure after percutaneous coronary interventions: a randomized controlled trial. Heart Lung 2007;36:431–9. https://doi.org/10.1016/j. hrtlng.2007.05.003
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Research Article |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Haziran 2018 |
| Yayımlandığı Sayı | Yıl 2018Sayı: 2 |