The Effect of Traditional Iranian Music on Anxiety and Physiological Parameters of Patients before Coronary Artery Bypass Graft (CABG): A Randomized Controlled Trial
-
Samereh Rasoli
,
Ebrahim Nasiri-Formi
,
Heydar Dadkhah-Tirani
,
Mohammad Esmaelpour-Bandboni
,
Aryan Asaolahpour
Abstract
Background: Coronary artery bypass graft (CABG) surgery is a primary treatment for coronary artery occlusion. Anxiety is a common preoperative concern among patients undergoing this procedure. This study aimed to investigate the effect of listening to traditional Iranian music on anxiety in patients before CABG surgery. Methods: This randomized controlled trial involved 66 patients scheduled for CABG surgery. Patients were randomly assigned to either the control or intervention group, with 33 patients in each group. The intervention group listened to traditional music on an MP3 player for 20 minutes, while the control group received an MP3 player without music. Anxiety levels were measured using the Spielberger Anxiety Questionnaire before and after the intervention. Data were analyzed using the Student’s t-test, the paired t-test, and the Mann-Whitney U-test with SPSS software version 21.
Results: There was no significant difference in anxiety severity between the 2 groups before the intervention (music group: 106.45±10.67 and control group: 116.36±9.78; P=0.798). However, after the intervention, there was a significant difference between the groups (music group: 65.82±7.54 vs control group: 113.72±13.04; P=0.001). There were no significant differences in physiological parameters (blood pressure, heart rate, and respiration rate) between the groups before the intervention (P<0.078). Following the intervention, systolic (P<0.013) and diastolic (P<0.003) blood pressure significantly decreased in the intervention group compared with the control group.
Conclusion: Traditional Iranian music therapy can be a noninvasive, low-cost, and accessible tool to reduce anxiety in patients undergoing CABG surgery.
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6. Mirbagher Ajorpaz N, Mohammadi A, Najaran H, Khazaei S. Effect of music on postoperative pain in patients under open heart surgery. Nurs Midwifery Stud 2014;3:e20213.
7. Tajdini M, Behnoush AH, Pashang M, Jameie M, Khalaji A, Sadeghian S, Vasheghani-Farahani A, Poorhosseini H, Masoudkabir F, Hosseini K, Davoodi S, Sahebjam M, Barkhordari K, Ashraf H, Shafiei A, Karimi A; T. H. C. Surgery Databank Collaborators. Heart surgery over two decades: what we have learned about results and changing risks. BMC Cardiovasc Disord 2024;24:195.
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10. Kongsawatvorakul C, Charakorn C, Paiwattananupant K, Lekskul N, Rattanasiri S, Lertkhachonsuk AA. Limited Impact of Music Therapy on Patient Anxiety with the Large Loop Excision of Transformation Zone Procedure - a Randomized Controlled Trial. Asian Pac J Cancer Prev 2016;17:2853-2856.
11. Pedramrazi S, Mohammadabadi A, Rooddehghan Z, Haghani S. Effectiveness of Peer-Based and Conventional Video Education in Reducing Perioperative Depression and Anxiety Among Coronary Artery Bypass Grafting Patients: A Randomized Controlled Trial. J Perianesth Nurs 2024:S1089-9472(23)01067-5.
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13. Fazlollahpour-Rokni F, Shorofi SA, Mousavinasab N, Ghafari R, Esmaeili R. The effect of inhalation aromatherapy with rose essential oil on the anxiety of patients undergoing coronary artery bypass graft surgery. Complement Ther Clin Pract 2019;34:201-207.
14. Gorji N, Moeini R, Mozaffarpur S. On the Therapeutic Applications of Music Therapy in Persian Medicine. Trad Integr Med 2021;6:41-54.
15. Sayadi Mank-Halati M, Rezaei M, Farzaei MH, Khatony A. Comparing the effects of rosemary aromatherapy and music therapy on anxiety levels in patients undergoing general surgery: A randomized controlled clinical trial. Explore (NY) 2024;20:102976.
16. Palmer JB, Lane D, Mayo D, Schluchter M, Leeming R. Effects of Music Therapy on Anesthesia Requirements and Anxiety in Women Undergoing Ambulatory Breast Surgery for Cancer Diagnosis and Treatment: A Randomized Controlled Trial. J Clin Oncol 2015;33:3162-3168.
17. Saeidi M, Soroush A, Komasi S, Brugnera A, Patucelli M, Carrozzino D, Fulcheri M, Compare A. Efficacy of Alternative Cardiac Rehabilitation Delivery Formats in Improving Psychological Symptoms after Coronary Artery Bypass Grafting. J Tehran Heart Cent 2018;13:103-107.
18. Ventura T, Gomes MC, Carreira T. Cortisol and anxiety response to a relaxing intervention on pregnant women awaiting amniocentesis. Psychoneuroendocrinology 2012;37:148-56.
19. Heidari S, Babaii A, Abbasinia M, Shamali M, Abbasi M, Rezaei M. The Effect of Music on Anxiety and Cardiovascular Indices in Patients Undergoing Coronary Artery Bypass Graft: A Randomized Controlled Trial. Nurs Midwifery Stud 2015;4:e31157.
20. Flores-Gutiérrez EO, Terán Camarena Va. Music Therapy in Generalized Anxiety Disorder. The Arts in Psychotherapy 2015;44:19-24.
21. Sharafi A, Davoodi S, Karimi AA, Ahmadi H, Abbasi K, Sheikh Fathollahi M, Bina P, Soleymanzadeh M, Fehri A, Davaran S, Jahangheeri S, Kassaian SE. Impact of Angiotensin-converting enzyme inhibitors and Angiotensin receptor blockers on mortality of coronary artery bypass grafting. J Tehran Heart Cent 2013;8:177-181.
22. Zengin S, Kabul S, Al B, Sarcan E, Doğan M, Yildirim C. Effects of music therapy on pain and anxiety in patients undergoing port catheter placement procedure. Complement Ther Med 2013;21:689-696.
23. 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.
24. Hagemann PMS, Martin LC, Neme CMB. The effect of music therapy on hemodialysis patients' quality of life and depression symptoms. J Bras Nefrol 2019;41:74-82.
25. Liu Y, Petrini MA. Effects of music therapy on pain, anxiety, and vital signs in patients after thoracic surgery. Complement Ther Med 2015;23:714-718.
26. Drzymalski DM, Tsen LC, Palanisamy A, Zhou J, Huang CC, Kodali BS. A Randomized Controlled Trial of Music Use During Epidural Catheter Placement on Laboring Parturient Anxiety, Pain, and Satisfaction. Anesth Analg 2017;124:542-547.
27. Nilsson U. The effect of music intervention in stress response to cardiac surgery in a randomized clinical trial. Heart Lung 2009;38:201-207.
28. Kavakli AS, Kavrut Ozturk N, Yavuzel Adas H, Kudsioglu ST, Ayoglu RU, Özmen S, Sagdic K, Yapici N. The effects of music on anxiety and pain in patients during carotid endarterectomy under regional anesthesia: A randomized controlled trial. Complement Ther Med 2019;44:94-101.
29. Ashok A, Shanmugam S, Soman A. Effect of Music Therapy on Hospital Induced Anxiety and Health Related Quality of Life in Coronary Artery Bypass Graft Patients: A Randomised Controlled Trial.J Clin of Diagn Res 2019;13:YC05-YC09.
30. 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.
31. Karalar M, Keles I, Doğantekin E, Kahveci OK, Sarici H. Reduced Pain and Anxiety with Music and Noise-Canceling Headphones During Shockwave Lithotripsy. J Endourol 2016;30:674-677.
32. Reynaud D, Bouscaren N, Lenclume V, Boukerrou M. Comparing the effects of self-selected MUsic versus predetermined music on patient ANXiety prior to gynaecological surgery: the MUANX randomized controlled trial. Trials 2021;22:535.
2. Woodruff RC, Tong X, Khan SS, Shah NS, Jackson SL, Loustalot F, Vaughan AS. Trends in Cardiovascular Disease Mortality Rates and Excess Deaths, 2010-2022. Am J Prev Med 2024;66:582-589.
3. Wu L, Yao Y. Exploring the effect of music therapy as intervention to reduce anxiety pre- and post-operatively in CABG surgery: A quantitative systematic review. Nurs Open 2023;10:7544-7565.
4. Molavi Vardanjani M, Masoudi Alavi N, Razavi NS, Aghajani M, Azizi-Fini E, Vaghefi SM. A randomized-controlled trial examining the effects of reflexology on anxiety of patients undergoing coronary angiography. Nurs Midwifery Stud 2013;2:3-9.
5. Rezaee M, Darroudi H, Etemad L, Shad AN, Zardast Z, Kohansal H, Ghayour-Mobarhan M, Sadeghian F, Moohebati M, Esmaily H, Darroudi S, Ferns GA. Anxiety, a significant risk factor for coronary artery disease: what is the best index. BMC Psychiatry 2024;24:443.
6. Mirbagher Ajorpaz N, Mohammadi A, Najaran H, Khazaei S. Effect of music on postoperative pain in patients under open heart surgery. Nurs Midwifery Stud 2014;3:e20213.
7. Tajdini M, Behnoush AH, Pashang M, Jameie M, Khalaji A, Sadeghian S, Vasheghani-Farahani A, Poorhosseini H, Masoudkabir F, Hosseini K, Davoodi S, Sahebjam M, Barkhordari K, Ashraf H, Shafiei A, Karimi A; T. H. C. Surgery Databank Collaborators. Heart surgery over two decades: what we have learned about results and changing risks. BMC Cardiovasc Disord 2024;24:195.
8. Bedaso A, Ayalew M. Preoperative anxiety among adult patients undergoing elective surgery: a prospective survey at a general hospital in Ethiopia. Patient Saf Surg 2019;13:18.
9. Amiri MJ, Sadeghi T, Negahban Bonabi T. The effect of natural sounds on the anxiety of patients undergoing coronary artery bypass graft surgery. Perioper Med (Lond) 2017;6:17.
10. Kongsawatvorakul C, Charakorn C, Paiwattananupant K, Lekskul N, Rattanasiri S, Lertkhachonsuk AA. Limited Impact of Music Therapy on Patient Anxiety with the Large Loop Excision of Transformation Zone Procedure - a Randomized Controlled Trial. Asian Pac J Cancer Prev 2016;17:2853-2856.
11. Pedramrazi S, Mohammadabadi A, Rooddehghan Z, Haghani S. Effectiveness of Peer-Based and Conventional Video Education in Reducing Perioperative Depression and Anxiety Among Coronary Artery Bypass Grafting Patients: A Randomized Controlled Trial. J Perianesth Nurs 2024:S1089-9472(23)01067-5.
12. Tully PJ, Winefield HR, Baker RA, Denollet J, Pedersen SS, Wittert GA, Turnbull DA. Depression, anxiety and major adverse cardiovascular and cerebrovascular events in patients following coronary artery bypass graft surgery: a five year longitudinal cohort study. Biopsychosoc Med 2015;9:14.
13. Fazlollahpour-Rokni F, Shorofi SA, Mousavinasab N, Ghafari R, Esmaeili R. The effect of inhalation aromatherapy with rose essential oil on the anxiety of patients undergoing coronary artery bypass graft surgery. Complement Ther Clin Pract 2019;34:201-207.
14. Gorji N, Moeini R, Mozaffarpur S. On the Therapeutic Applications of Music Therapy in Persian Medicine. Trad Integr Med 2021;6:41-54.
15. Sayadi Mank-Halati M, Rezaei M, Farzaei MH, Khatony A. Comparing the effects of rosemary aromatherapy and music therapy on anxiety levels in patients undergoing general surgery: A randomized controlled clinical trial. Explore (NY) 2024;20:102976.
16. Palmer JB, Lane D, Mayo D, Schluchter M, Leeming R. Effects of Music Therapy on Anesthesia Requirements and Anxiety in Women Undergoing Ambulatory Breast Surgery for Cancer Diagnosis and Treatment: A Randomized Controlled Trial. J Clin Oncol 2015;33:3162-3168.
17. Saeidi M, Soroush A, Komasi S, Brugnera A, Patucelli M, Carrozzino D, Fulcheri M, Compare A. Efficacy of Alternative Cardiac Rehabilitation Delivery Formats in Improving Psychological Symptoms after Coronary Artery Bypass Grafting. J Tehran Heart Cent 2018;13:103-107.
18. Ventura T, Gomes MC, Carreira T. Cortisol and anxiety response to a relaxing intervention on pregnant women awaiting amniocentesis. Psychoneuroendocrinology 2012;37:148-56.
19. Heidari S, Babaii A, Abbasinia M, Shamali M, Abbasi M, Rezaei M. The Effect of Music on Anxiety and Cardiovascular Indices in Patients Undergoing Coronary Artery Bypass Graft: A Randomized Controlled Trial. Nurs Midwifery Stud 2015;4:e31157.
20. Flores-Gutiérrez EO, Terán Camarena Va. Music Therapy in Generalized Anxiety Disorder. The Arts in Psychotherapy 2015;44:19-24.
21. Sharafi A, Davoodi S, Karimi AA, Ahmadi H, Abbasi K, Sheikh Fathollahi M, Bina P, Soleymanzadeh M, Fehri A, Davaran S, Jahangheeri S, Kassaian SE. Impact of Angiotensin-converting enzyme inhibitors and Angiotensin receptor blockers on mortality of coronary artery bypass grafting. J Tehran Heart Cent 2013;8:177-181.
22. Zengin S, Kabul S, Al B, Sarcan E, Doğan M, Yildirim C. Effects of music therapy on pain and anxiety in patients undergoing port catheter placement procedure. Complement Ther Med 2013;21:689-696.
23. 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.
24. Hagemann PMS, Martin LC, Neme CMB. The effect of music therapy on hemodialysis patients' quality of life and depression symptoms. J Bras Nefrol 2019;41:74-82.
25. Liu Y, Petrini MA. Effects of music therapy on pain, anxiety, and vital signs in patients after thoracic surgery. Complement Ther Med 2015;23:714-718.
26. Drzymalski DM, Tsen LC, Palanisamy A, Zhou J, Huang CC, Kodali BS. A Randomized Controlled Trial of Music Use During Epidural Catheter Placement on Laboring Parturient Anxiety, Pain, and Satisfaction. Anesth Analg 2017;124:542-547.
27. Nilsson U. The effect of music intervention in stress response to cardiac surgery in a randomized clinical trial. Heart Lung 2009;38:201-207.
28. Kavakli AS, Kavrut Ozturk N, Yavuzel Adas H, Kudsioglu ST, Ayoglu RU, Özmen S, Sagdic K, Yapici N. The effects of music on anxiety and pain in patients during carotid endarterectomy under regional anesthesia: A randomized controlled trial. Complement Ther Med 2019;44:94-101.
29. Ashok A, Shanmugam S, Soman A. Effect of Music Therapy on Hospital Induced Anxiety and Health Related Quality of Life in Coronary Artery Bypass Graft Patients: A Randomised Controlled Trial.J Clin of Diagn Res 2019;13:YC05-YC09.
30. 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.
31. Karalar M, Keles I, Doğantekin E, Kahveci OK, Sarici H. Reduced Pain and Anxiety with Music and Noise-Canceling Headphones During Shockwave Lithotripsy. J Endourol 2016;30:674-677.
32. Reynaud D, Bouscaren N, Lenclume V, Boukerrou M. Comparing the effects of self-selected MUsic versus predetermined music on patient ANXiety prior to gynaecological surgery: the MUANX randomized controlled trial. Trials 2021;22:535.
| Files | ||
| Issue | Vol 19 No 3 (2024): J Teh Univ Heart Ctr | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jthc.v19i3.16861 | |
| Keywords | ||
| CABG Anxiety Music Hemodynamics Physiological responses Coronary artery disease | ||
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How to Cite
1.
Rasoli S, Nasiri-Formi E, Dadkhah-Tirani H, Esmaelpour-Bandboni M, Asaolahpour A. The Effect of Traditional Iranian Music on Anxiety and Physiological Parameters of Patients before Coronary Artery Bypass Graft (CABG): A Randomized Controlled Trial. J Tehran Heart Cent. 2024;19(3):184-191.
