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

Heidari, Saeedeh; Babaii, Atye; Abbasinia, Mohammad; Shamali, Mahdi; Abbasi, Mohammad; Rezaei, M

doi:10.17795/nmsjournal31157

Cited by 22 publications

(34 citation statements)

References 17 publications

(30 reference statements)

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“…The same type of analysis of the two studies 33 44 in which patients provided their own music also resulted in a significant reduction in anxiety (SMD = –0.46 (95% CI –0.82 to –0.11), p<0.01). Pooled data analysis of two studies 27 30 in which music was chosen by the researcher did not show a statistically significant effect on anxiety (SMD = –0.41 (95% CI –1.26 to 0.41), p=0.32).…”

Section: Resultsmentioning

confidence: 89%

“…Fourteen studies solely provided postoperative music, of which seven were in the ICU, 27 32 34 35 38 42 43 two in the surgical ward, 25 39 one in the ICU and ward 26 and four did not specify. 28 29 37 44 Five studies provided postoperative music in addition to preoperative and/or intraoperative music.…”

Section: Resultsmentioning

confidence: 99%

“…Overall, the risk of bias was found to be moderate to high. A high risk of selection bias was considered present in three studies (15%) due to open random allocation list, 27 random sequence generation based on odd and even numbers 33 and availability of the intervention, 43 respectively. Five studies provided insufficient details regarding the random sequence generation (20%) 34 39 40 42 44 and 11 studies (55%) regarding the allocation concealment.…”

Section: Resultsmentioning

confidence: 99%

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Music intervention to relieve anxiety and pain in adults undergoing cardiac surgery: a systematic review and meta-analysis

et al. 2021

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ObjectivesPrevious studies have reported beneficial effects of perioperative music on patients’ anxiety and pain. We performed a systematic review and meta-analysis of randomised controlled trials investigating music interventions in cardiac surgery.MethodsFive electronic databases were systematically searched. Primary outcomes were patients’ postoperative anxiety and pain. Secondary outcomes were hospital length of stay, opioid use, vital parameters and time on mechanical ventilation. PRISMA guidelines were followed and PROSPERO database registration was completed (CRD42020149733). A meta-analysis was performed using random effects models and pooled standardised mean differences (SMD) with 95% confidence intervals were calculated.ResultsTwenty studies were included for qualitative analysis (1169 patients) and 16 (987 patients) for meta-analysis. The first postoperative music session was associated with significantly reduced postoperative anxiety (SMD = –0.50 (95% CI –0.67 to –0.32), p<0.01) and pain (SMD = –0.51 (95% CI –0.84 to –0.19), p<0.01). This is equal to a reduction of 4.00 points (95% CI 2.56 to 5.36) and 1.05 points (95% CI 0.67 to 1.41) on the State-Trait Anxiety Inventory and Visual Analogue Scale (VAS)/Numeric Rating Scale (NRS), respectively, for anxiety, and 1.26 points (95% CI 0.47 to 2.07) on the VAS/NRS for pain. Multiple days of music intervention reduced anxiety until 8 days postoperatively (SMD = –0.39 (95% CI –0.64 to –0.15), p<0.01).ConclusionsOffering recorded music is associated with a significant reduction in postoperative anxiety and pain in cardiac surgery. Unlike pharmacological interventions, music is without side effects so is promising in this population.

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Section: Resultsmentioning

confidence: 89%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Music intervention to relieve anxiety and pain in adults undergoing cardiac surgery: a systematic review and meta-analysis

et al. 2021

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“…Pain reduction was enhanced by offering multiple interventions rather than a single music intervention. An opposite trend was seen for anxiety, where a single intervention had a larger effect. The largest beneficial effect on both anxiety and pain was seen when patients selected music from a list provided.…”

Section: Resultsmentioning

confidence: 91%

“…The literature search resulted in the inclusion of 92 RCTs in the systematic review (7385 patients). Eighty‐one of these were included in the meta‐analysis ( Fig .…”

Section: Resultsmentioning

confidence: 99%

Meta-analysis evaluating music interventions for anxiety and pain in surgery

Kühlmann

Rooij

Kroese

et al. 2018

British Journal of Surgery

231

191

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BackgroundThis study aimed to evaluate anxiety and pain following perioperative music interventions compared with control conditions in adult patients.MethodsEleven electronic databases were searched for full‐text publications of RCTs investigating the effect of music interventions on anxiety and pain during invasive surgery published between 1 January 1980 and 20 October 2016. Results and data were double‐screened and extracted independently. Random‐effects meta‐analysis was used to calculate effect sizes as standardized mean differences (MDs). Heterogeneity was investigated in subgroup analyses and metaregression analyses. The review was registered in the PROSPERO database as CRD42016024921.ResultsNinety‐two RCTs (7385 patients) were included in the systematic review, of which 81 were included in the meta‐analysis. Music interventions significantly decreased anxiety (MD –0·69, 95 per cent c.i. –0·88 to –0·50; P < 0·001) and pain (MD –0·50, –0·66 to –0·34; P < 0·001) compared with controls, equivalent to a decrease of 21 mm for anxiety and 10 mm for pain on a 100‐mm visual analogue scale. Changes in outcome corrected for baseline were even larger: MD –1·41 (–1·89 to –0·94; P < 0·001) for anxiety and –0·54 (–0·93 to –0·15; P = 0·006) for pain. Music interventions provided during general anaesthesia significantly decreased pain compared with that in controls (MD –0·41, –0·64 to –0·18; P < 0·001). Metaregression analysis found no significant association between the effect of music interventions and age, sex, choice and timing of music, and type of anaesthesia. Risk of bias in the studies was moderate to high.ConclusionMusic interventions significantly reduce anxiety and pain in adult surgical patients.

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Exploring the effect of music therapy as intervention to reduce anxiety pre‐ and post‐operatively in CABG surgery: A quantitative systematic review

Wu,

Yao

2023

Nursing Open

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AimPatients undergoing coronary artery bypass graft (CABG) surgery may experience psychological complications, which can increase mortality. This review aims to explore the efficacy of music therapy as an intervention to reduce anxiety pre‐ and post‐operatively in CABG surgery.DesignThis was a quantitative systematic review registered in PROSPERO (REDACTED).MethodsThis review used the PECOD framework to identify quantitative questions. We systematically searched seven electronic databases (Cochrane Central Register of Controlled Trials, CINAHL, MEDLINE, PubMed, Embase, PsycArticles, and PsycInfo) for articles published between 1 January 1992 and 13 July 2022. Studies were critically appraised, and the results of this systematic review yielded a narrative summary of the findings.ResultsFour randomized control trials and one quasi‐experimental study published in English were included in the review. Narrative analysis indicated that patients undergoing CABG who were assigned to the group receiving music therapy reported significantly reduced anxiety levels compared with controls who did not listen to music. In addition, music therapy can effectively be used as a non‐pharmacological intervention to manage anxiety pre‐ and post‐operatively in CABG surgery.No members of the public or patients were involved in the design or conduct of the study.

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

Cited by 22 publications

References 17 publications

Music intervention to relieve anxiety and pain in adults undergoing cardiac surgery: a systematic review and meta-analysis

Music intervention to relieve anxiety and pain in adults undergoing cardiac surgery: a systematic review and meta-analysis

Meta-analysis evaluating music interventions for anxiety and pain in surgery

Exploring the effect of music therapy as intervention to reduce anxiety pre‐ and post‐operatively in CABG surgery: A quantitative systematic review

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