Music therapy as an adjunct in cardiac device lead extraction procedures: A randomized controlled trial.
Anxiety
Cardiac devices
Medical music therapy
Pain
Procedure support
Stress
Journal
Applied nursing research : ANR
ISSN: 1532-8201
Titre abrégé: Appl Nurs Res
Pays: United States
ID NLM: 8901557
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
27
02
2020
revised:
24
09
2020
accepted:
21
10
2020
entrez:
7
12
2020
pubmed:
8
12
2020
medline:
19
8
2021
Statut:
ppublish
Résumé
Evidence of music therapy as an effective supportive therapy in invasive cardiac procedures is increasing, but more research is needed. To evaluate the impact of music therapy on stress responses during cardiac device lead extraction procedures performed in local anaesthesia. Sixty-four patients undergoing cardiac implantable electronic device lead extraction at Oslo University Hospital Ulleval from March 2018 to September 2019 were randomized to music therapy (n = 32) or control (n = 32). Primary endpoints were patient satisfaction with pain management and average pain intensity during the procedure. Secondary endpoints were average anxiety intensity, need for analgesic/anxiolytic drugs, blood pressure, heart and respiration rate. All patients in the music therapy group completed the intervention. Patient satisfaction with pain management was 10.00 (8.00, 10.00) in the music therapy vs. 10.00 (9.00, 10.00) in the control group (p = 0.85), and average level of pain 0.89 (0.22, 1.13) vs. 0.96 (0.36, 1.58), respectively (p = 0.38). Average anxiety score was 1.00 (0.33, 2.17) in the music therapy vs 1.67 (0.71, 3.35) in the control group (p = 0.056). The use of analgesic/anxiolytic drugs and physiological parameters were similar across groups. In this study of music therapy during cardiac device lead extractions, no effect was found on patient satisfaction with pain management or average pain level. A decrease in patient anxiety of borderline significance was observed in the music therapy group. More studies with more sensitive measures of pain and anxiety are needed to determine the value of music therapy in invasive cardiac procedures.
Sections du résumé
BACKGROUND
Evidence of music therapy as an effective supportive therapy in invasive cardiac procedures is increasing, but more research is needed.
AIMS
To evaluate the impact of music therapy on stress responses during cardiac device lead extraction procedures performed in local anaesthesia.
METHODS
Sixty-four patients undergoing cardiac implantable electronic device lead extraction at Oslo University Hospital Ulleval from March 2018 to September 2019 were randomized to music therapy (n = 32) or control (n = 32). Primary endpoints were patient satisfaction with pain management and average pain intensity during the procedure. Secondary endpoints were average anxiety intensity, need for analgesic/anxiolytic drugs, blood pressure, heart and respiration rate.
RESULTS
All patients in the music therapy group completed the intervention. Patient satisfaction with pain management was 10.00 (8.00, 10.00) in the music therapy vs. 10.00 (9.00, 10.00) in the control group (p = 0.85), and average level of pain 0.89 (0.22, 1.13) vs. 0.96 (0.36, 1.58), respectively (p = 0.38). Average anxiety score was 1.00 (0.33, 2.17) in the music therapy vs 1.67 (0.71, 3.35) in the control group (p = 0.056). The use of analgesic/anxiolytic drugs and physiological parameters were similar across groups.
CONCLUSIONS
In this study of music therapy during cardiac device lead extractions, no effect was found on patient satisfaction with pain management or average pain level. A decrease in patient anxiety of borderline significance was observed in the music therapy group. More studies with more sensitive measures of pain and anxiety are needed to determine the value of music therapy in invasive cardiac procedures.
Identifiants
pubmed: 33280783
pii: S0897-1897(20)30906-X
doi: 10.1016/j.apnr.2020.151376
pii:
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
151376Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.