Abstract
ObjectiveThe purpose of this study was to explore the effects of music therapy on pain, anxiety and depression in patients after coronary artery bypass grafting.MethodsA retrospective study of 99 patients after coronary artery bypass from January 2017 to January 2019 was conducted in a cardiac center in China. According to the different interventions, all the participants were divided into 3 groups: group A: music therapy; group B: rest without music therapy; and group C: conventional treatment. The Numerical Rating Scale (NRS), Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were used to measure the patient’s pain, anxiety and depression before and after 30 min of the intervention.ResultsThere were no significant differences in the NRS, SDS and SAS scores between the three groups of patients before the intervention. After 30 min of music therapy, the NRS, SDS and SAS scores of patients in group A were significantly lower than those before music therapy, and the differences were statistically significant. However, before and after the intervention in groups B and C, the NRS, SDS and SAS scores were not statistically significant. By comparison among the three groups after 30 min of intervention, the NRS, SDS and SAS scores in patients in group A were significantly lower than those in groups B and C, and the differences were statistically significant. The scores were not significantly different between groups B and C.ConclusionMusic therapy can effectively alleviate the pain, anxiety and depression of patients after coronary artery bypass grafting.
Highlights
Coronary atherosclerotic heart disease is one of the most common heart diseases in elderly individuals
This study summarized our experience in implementing music therapy for patients after coronary artery bypass grafting and evaluated its effects on improving patients’ postoperative pain, anxiety, and depression
The following inclusion criteria were used: tracheal intubation was removed on same the day as the surgery or the day, hemodynamics were stable, the patient was transferred to the general ward 1 to 2 days after surgery, the analgesia pump was stopped, the patient suffered no hearing impairment, and the patient was able to cooperate with the treatment and this research
Summary
Coronary atherosclerotic heart disease is one of the most common heart diseases in elderly individuals. The problems of postoperative pain, anxiety and depression have been taken seriously, the management and treatment are still incomplete [4, 5]. This study summarized our experience in implementing music therapy for patients after coronary artery bypass grafting and evaluated its effects on improving patients’ postoperative pain, anxiety, and depression. Music was chosen and played in group A for 30 min. Patients could choose their favorite music with the volume based on the their comfort. The patients had just a quiet rest for 30 min without playing music in group B. The patients in group C were given routine treatment with wearing headphones for 30 min, and normal activities were performed
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