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Effects of music on patients undergoing a C-clamp procedure after percutaneous coronary interventions: a randomized
1Kiang Wu Nursing College of Macau, Macao SAR, China.
Insights
Music therapy significantly reduced heart rate, respiratory rate, and pain scores in patients after percutaneous coronary interventions (PCI) undergoing C-clamp application. This simple, safe intervention improved both physiologic and psychologic parameters.
Area of Science:
- Cardiovascular Medicine
- Pain Management
- Music Therapy
Background:
- Percutaneous coronary interventions (PCI) can cause significant physiologic and psychologic distress.
- The C-clamp procedure post-PCI requires careful patient monitoring.
- Non-pharmacologic interventions are sought to manage patient discomfort.
Purpose of the Study:
- To evaluate the impact of music therapy on physiologic and psychologic parameters.
- To assess music's effect on patients undergoing C-clamp application after PCI.
Main Methods:
- A repeated-measures randomized controlled trial was conducted with 66 patients.
- Patients received 45 minutes of music therapy (Chinese classical, religious, or Western classical) or rest.
- Physiologic parameters (blood pressure, heart rate, respiratory rate, oxygen saturation) and pain scores were measured.
Main Results:
- Music therapy group showed statistically significant reductions in heart rate (P < .001), respiratory rate (P < .001), and oxygen saturation (P < .001).
- The music group also reported significantly lower pain scores (P < .001) compared to the control group.
- These findings indicate a positive effect of music on patient recovery.
Conclusions:
- Music therapy is a simple, safe, and effective intervention for managing post-PCI C-clamp pain.
- Music can mitigate harmful physiologic and psychologic responses in patients.
- This approach offers a valuable complementary therapy in cardiac care units.
Objective:
The study objective was to assess the effect of music on the physiologic and psychologic parameters in patients undergoing application of a C-clamp after percutaneous coronary interventions (PCI).
Design:
A repeated-measures randomized controlled trial was used.
Setting:
The study took place in three intensive care units in Hong Kong.
Patients:
Sixty-six patients undergoing application of a C-clamp after PCI were recruited.
Outcome Measures:
Physiologic parameters were blood pressure, heart rate, respiratory rate, and oxygen saturation. Psychologic parameters were measured using the University of California at Los Angeles universal pain score.
Intervention:
Patients were randomized to receive 45 minutes of music therapy or 45 minutes of an uninterrupted rest period. Three types of music were used, including Chinese classical music, religious music, and Western classical music that had slow beats and was relaxing. The data were collected from September 2004 to December 2005.
Results:
In the experimental group there were statistically significant reductions in heart rate (P < .001), respiratory rate (P < .001), and oxygen saturation (P < .001), and a lower pain score (P < .001) than in the control group.
Conclusion:
Music is a simple, safe, and effective method of reducing potentially harmful physiologic and psychologic responses arising from pain in patients post-PCI undergoing a C-clamp procedure.
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