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Effects of music on patients undergoing a C-clamp procedure after percutaneous coronary interventions
Moon Fai Chan1, Oi Chi Wong, Hoi Lam Chan
1The Hong Kong Polytechnic University, School of Nursing, Hung Hom, Hong Kong SAR. hsmfchan@inet.polyu.edu.hk
Insights
Listening to music significantly reduced pain and improved physiological responses in patients after percutaneous coronary interventions requiring a C-clamp. This safe intervention offers benefits for patient well-being.
Area of Science:
- Cardiology
- Pain Management
- Music Therapy
Background:
- Percutaneous coronary interventions (PCI) often require C-clamp application for hemostasis, causing patient pain and discomfort.
- Pain from PCI procedures can trigger stress responses, negatively impacting patient physical and mental health.
- Music listening is explored as a non-pharmacological intervention to alleviate situational discomfort and pain.
Purpose of the Study:
- To investigate the effect of music on physiological parameters and pain levels in patients undergoing C-clamp application post-PCI.
- To assess music's potential to mitigate negative physiological and psychological responses to procedural pain.
Main Methods:
- A randomized controlled trial involving 43 patients in intensive care units.
- Patients were allocated to either an experimental (music) group or a control group.
- Physiological variables and pain scores were measured at baseline and at 15, 30, and 45 minutes post-intervention.
Main Results:
- The music group showed significant reductions in heart rate, respiratory rate, and oxygen saturation compared to the control group.
- Statistically significant reductions in systolic blood pressure, heart rate, respiratory rate, and oxygen saturation were observed in the music group.
- Participants listening to music reported significantly lower pain scores at 45 minutes compared to the control group, which showed increased pain.
Conclusions:
- Music listening effectively reduced physiological responses to pain in patients post-PCI.
- Music is a simple, safe, and effective method for decreasing pain and associated physiological and psychological distress.
- The study demonstrates the benefits of music in preventing adverse physiological reactions to pain in a clinical setting.
Aim:
This paper reports a study to determine the effect of music on physiological parameters and level of pain in patients undergoing application of a C-clamp after percutaneous coronary interventions.
Background:
Most percutaneous coronary interventions are performed through the femoral artery. In order to stop bleeding and achieve homeostasis, a C-clamp is used after percutaneous coronary interventions. However, the experience is painful for patients and they inevitably suffer discomfort. Pain may lead to stress responses and may affect the physical and mental health of patients. One potential beneficial practice is having the patient listen to relaxing music, which might have the effect of reducing situational discomfort and pain.
Methods:
A randomized controlled study was conducted during the period September 2004 to March 2005. Forty-three people (20 experimental and 23 control) were recruited from the intensive care units of two acute care hospitals in Hong Kong. Physiological and psychological variables were collected at baseline and at 15, 30 and 45 minutes.
Results:
In the music group, there were statistically significant reductions (P=0.001) in heart rate, respiratory rate, and oxygen saturation than the control participants at 45 minutes. In the music group, statistically significant reductions (P=0.001) in systolic blood pressure, heart rate, respiratory rate and oxygen saturation were found at the four time points, but not in the control group. No statistically significant differences were found at baseline comparison of the two groups, but statistically significant differences in pain scores were found at 45 minutes for participants in the music group compared with the control group (P=0.003). Participants in the control group showed statistically significant increases in pain at 45 minutes compared with baseline (P<0.001).
Conclusions:
The benefits of preventing physiological reactions to pain were demonstrated. Music is a simple, safe and effective method of reducing potentially harmful physiological and psychological responses arising from pain.
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