The Effect of Music Therapy on Pain, Anxiety, Agitation and Sedation in Cardiac Intensive Care Patients: Randomized Controlled Study


Büdüş F., GÖKALP K.

Pain Management Nursing, cilt.26, sa.4, ss.433-440, 2025 (SCI-Expanded, SSCI, Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 26 Sayı: 4
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1016/j.pmn.2025.01.017
  • Dergi Adı: Pain Management Nursing
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
  • Sayfa Sayıları: ss.433-440
  • Anahtar Kelimeler: Anxiety, Intensive care, Music therapy, Pain, Psychiatric nursing
  • Atatürk Üniversitesi Adresli: Evet

Özet

Purpose: This study aimed to determine the effect of music therapy on pain, anxiety, agitation, and sedation levels in patients hospitalized in the cardiac intensive care unit following coronary angiography. Method: The study was conducted in a parallel randomized controlled experimental model with patients treated in the Cardiac Intensive Care Unit of a hospital in Eastern Turkey. Sixty patients with coronary angiography were randomly assigned to the experimental (n = 30) and control (n = 30) groups. "Personal Data Form," "Pain Visual Analog Scale (Pain-VAS)," "Anxiety Visual Analog Scale (Anxiety-VAS)" and "Richmond Agitation and Sedation Scale (RASS)" were used for data collection. Chi-square, independent/dependent samples t-test, and repeated measures ANOVA were used to analyze the data. Results: It was determined that the decrease in pain, anxiety, agitation and sedation levels of the patients in the experimental group was statistically significant (p ≤ .001). The changes in the control group were insignificant. It was determined that music therapy application had a significant, and large effect of 70.4% on pain, 64.6% on anxiety, and 72.2% on agitation and sedation. Conclusion: Music therapy has been found to reduce pain, anxiety, agitation, and sedation in patients after coronary angiography, demonstrating a broad effect. It is recommended that music therapy be used as a nursing practice in the intensive care unit.