To clarify the effectiveness of music intervention for improving the well-being of patients undergoing coronary procedures for coronary heart disease, we conducted full-text searches of various databases (MEDLINE, Cochrane Library, CINAHL, ProQuest, and Airiti Library; 1966–2019) to identify randomized controlled trials and quasi-experimental studies of music intervention in recipients of angiography or percutaneous coronary intervention. Outcome measures included anxiety, discomfort, pain, heart rate, and blood pressure. The Cochrane methodology, Jadad Quality Score, and ROBINS-I were employed to evaluate evidence from 10 studies. Music intervention reduced anxiety (effect size: Z = 2.15, p = .03; six studies) and discomfort of lying (Z = 2.40, p = .02; two studies), but did not affect pain (Z = 0.94; two studies), heart rate (Z = 0.94; five studies), or blood pressure (systolic, Z = 1.27; diastolic, Z = 1.32; four studies) (all p > .05). The heterogeneity among studies was high. Large-scale, transcultural, high-quality trials are warranted to confirm the benefit of music intervention in patients undergoing coronary procedures.
AlvesA. I.RabiaisI. C.PestanaL.RodriguesM.ÁvilaH.. . . CamaraR.FaiaI. (2016). Effects of music therapy in intensive care patients. International Journal of Nursing, 3, 88-94.
AngioliR.De Cicco NardoneC.PlottiF.CafàE. V.DugoN.DamianiP.. . . TerranovaC. (2014). Use of music to reduce anxiety during office hysteroscopy: Prospective randomized trial. Journal of Minimally Invasive Gynecology, 21, 454-459.
4.
ArgstatterH.HaberboschW.BolayH. V. (2006). Study of the effectiveness of musical stimulation during intracardiac catheterization. Clinical Research in Cardiology, 95, 514-522.
5.
BallyK.CampbellD.ChesnickK.TranmerJ. E. (2003). Effects of patient-controlled music therapy during coronary angiography on procedural pain and anxiety distress syndrome. Critical Care Nurse, 23, 50-58.
6.
BashiriM.AkçalıD.CoşkunD.CindorukM.DikmenA.Ucaner CifdalozB. U. (2018). Evaluation of pain and patient satisfaction by music therapy in patients with endoscopy/colonoscopy. Turkish Journal of Gastroenterology, 29, 574-579.
7.
BenjaminE. J.MuntnerP.AlonsoA.BittencourtM. S.CallawayC. W.CarsonA. P.. . . ViraniS. S. (2019). Heart disease and stroke statistics—2019 update: A report from the American Heart Association. Circulation, 139, e56-e528.
8.
BuckleyU.ShivkumarK. (2016). Stress-induced cardiac arrhythmias: The heart-brain interaction. Trends in Cardiovascular Medicine, 26, 78-80.
9.
BuffumM. D.SassoC.SandsL. P.LanierE.YellenM.HayesA. (2006). A music intervention to reduce anxiety before vascular angiography procedures. Journal of Vascular Nursing, 24, 68-73.
10.
CadiganM. E.CarusoN. A.HaldemanS. M.McNamaraM. E.NoyesD. A.SpadaforaM. A.CarrollD. L. (2001). The effects of music on cardiac patients on bed rest. Progress in Cardiovascular Nursing, 16, 5-13.
11.
ChiavettaN. M.MartinsA. R. S.HenriquesI. C. R.FregniF. (2014). Differences in methodological quality between positive and negative published clinical trials. Journal of Advanced Nursing, 70, 2389-2403.
12.
CiğerciY.KısacıkÖ. G.ÖzyürekP.ÇevikC. (2019). Nursing music intervention: A systematic mapping study. Complementary Therapies in Clinical Practice, 35, 109-120.
13.
DoğanM. V.ŞenturanL. (2012). The effect of music therapy on the level of anxiety in the patients undergoing coronary angiography. Open Journal of Nursing, 2, 165-169.
14.
DoiS. A. R.Furuya-KanamoriL.ThalibL.BarendregtJ. J. (2017). Meta-analysis in evidence-based healthcare: A paradigm shift away from random effects is overdue. International Journal of Evidence Based Healthcare, 15, 152-160.
15.
EvansD. (2001). Music as an intervention for hospital patients: a systematic review. Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews. Adelaide, S. Australia, Australia: Joanna Briggs Institute for Evidence Based Nursing and Midwifery, Systematic Review, 15. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK68592/.
16.
ForooghyM.Mottahedian TabriziE.HajizadehE.PishgooB. (2015). Effect of music therapy on patients’ anxiety and hemodynamic parameters during coronary angioplasty: A randomized controlled trial. Nursing and Midwifery Studies, 4, e25800.
17.
GallagherR.TrotterR.DonoghueJ. (2010). Preprocedural concerns and anxiety assessment in patients undergoing coronary angiography and percutaneous coronary interventions. European Journal of Cardiovascular Nursing, 9, 38-44.
18.
GasperszR.NawijnL.LamersF.PenninxB. W. J. H. (2018). Patients with anxious depression: Overview of prevalence, pathophysiology and impact on course and treatment outcome. Current Opinion in Psychiatry, 31, 17-25.
19.
GolinoA. J.LeoneR.GollenbergA.ChristopherC.StangerD.DavisT. M.. . . FriesenM. A. (2019). Impact of an active music therapy intervention on intensive care patients. American Journal of Critical Care, 28, 48-55.
20.
GuétinS.BrunL.DeniaudM.ClercJ. M.ThayerJ. F.KoenigJ. (2016). Smartphone-based music listening to reduce pain and anxiety before coronarography: A focus on sex differences. Alternative Therapies in Health and Medicine, 22, 42-45.
21.
GuyattG.RennieD.MeadeM. O.CookD. J. (2015). Users’ guides to the medical literature: Essentials of evidence-based clinical practice (3rd ed.). Washington: American Medical Association.
22.
HamelW. J. (2001). The effects of music intervention on anxiety in the patient waiting for cardiac catheterization. Intensive and Critical Care Nursing, 17, 279-285.
23.
HigginsJ.GreenS. (Ed.) (updated March 2011). Cochrane handbook for systematic reviews of interventions. The Cochrane Collaboration (5.1.0 version). Retrieved from http://handbook-5-1.cochrane.org, 2011.
24.
HoleJ.HirschM.BallE.MeadsC. (2015). Music as an aid for five recovery in adults: A systematic review and meta-analysis. Lancet, 386, 1659-1671.
25.
JadadA. R.MooreR. A.CarrollD.JenkinsonC.ReynoldsD. J. M.GavaghanD. J.McQuayH. J. (1996). Assessing the quality of reports of randomized clinical trials: Is blinding necessary?Controlled Clinical Trials, 17, 1-12.
26.
KühlmannA. Y. R.de RooijA.KroeseL. F.van DijkM.HuninkM. G. M.JeekelJ. (2018). Meta-analysis evaluating music interventions for anxiety and pain in surgery. British Journal of Surgery, 105, 773-783.
27.
LautenbacherS.PetersJ. H.HeesenM.ScheelJ.KunzM. (2017). Age changes in pain perception: A systematic-review and meta-analysis of age effects on pain and tolerance thresholds. Neuroscience and Biobehavioral Reviews, 75, 104-113.
28.
LeeC. H.LeeC. Y.HsuM. Y.LaiC. L.SungY. H.LinC. Y.LinL. (2017). Effects of music intervention on state anxiety and physiological indices in patients undergoing mechanical ventilation in the intensive care unit. Biological Research for Nursing, 19, 137-144.
29.
LieberA. C.BoseJ.ZhangX.SeltzbergH.LoewyJ.RossettiA.. . . KellnerC. P. (2019). Effects of music therapy on anxiety and physiologic parameters in angiography: A systematic review and meta-analysis. Journal of NeuroInterventional Surgery, 11, 416-423.
30.
LuoD.WanX.LiuJ.TongT. (2018). Optimally estimating the sample mean from the sample size, median, mid-range, and/or mid-quartile range. Statistical Methods in Medical Research, 27, 1785-1805.
31.
MandelS. E.DavisB. A.SecicM. (2019). Patient satisfaction and benefits of music therapy services to manage stress and pain in the hospital emergency department. Journal of Music Therapy, 56, 149-173.
32.
Martin-SaavedraJ. S.Vergara-MendezL. D.Talero-GutiérrezC. (2018). Music is an effective intervention for the management of pain: An umbrella review. Complementary Therapies in Clinical Practice, 32, 103-114.
33.
NilssonU. (2012). Effectiveness of music interventions for women with high anxiety during coronary angiographic procedures: A randomized controlled. European Journal of Cardiovascular Nursing, 11, 150-153.
34.
NilssonU.LindellL.ErikssonA.KellerthT. (2009). The effect of music intervention in relation to gender during coronary angiographic procedures: A randomized clinical trial. European Journal of Cardiovascular Nursing, 8, 200-206.
35.
RejehN.Heravi-KarimooiM.TadrisiS. D.JahaniA.VaismoradiM.JordanS. (2016). The impact of listening to pleasant natural sounds on anxiety and physiologic parameters in patients undergoing coronary angiography: A pragmatic quasi-randomized-controlled trial. Complementary Therapies in Clinics and Practice, 25, 42-51.
36.
SoltaniE.NomaliM.GhiyasvandianS.KazemnejadA.ZakerimoghadamM. (2018). Effect of listening to preferred music on general comfort level among patients underwent coronary artery bypass graft surgery: A randomized controlled trial. Journal of Medical Research, 4, 233-239.
37.
SterneJ. A.HernánM. A.ReevesB. C.SavovićJ.BerkmanN. D.ViswanathanM.. . . HigginsJ. P. (2016). ROBINS-I: A tool for assessing risk of bias in non-randomised studies of interventions. BMJ, 355, i4919.
38.
SuS. F.ChangM. Y.HeC. P. (2018). Social support, unstable angina, and stroke as predictors of depression in patients with coronary heart disease. Journal of Cardiovascular Nursing, 33, 179-186.
39.
SuS. F.ChangM. Y.WuM. S.LiaoY. C. (2019). Safety and efficacy of using vascular closure devices for hemostasis on sheath removal after a transfemoral artery percutaneous coronary intervention. Japan Journal of Nursing Science, 16, 172-183.
40.
SuS. F.LiaoY. C.WuM. S. (2018). Age and pain as predictors of discomfort in patients undergoing transfemoral percutaneous coronary interventions. Heart and Lung, 47, 576-583.
41.
Taylor-PiliaeR. E.ChairS. Y. (2002). The effect of nursing interventions utilizing music therapy or sensory information on Chinese patients’ anxiety prior to cardiac catheterization: A pilot study. European Journal of Cardiovascular Nursing, 1, 203-211.
42.
TocciG.BarbatoE.ColucciaR.ModestinoA.PagliaroB.MastromarinoV.. . . VolpeM. (2016). Blood pressure levels at the time of percutaneous coronary revascularization and risk of coronary in-stent restenosis. American Journal of Hypertension, 29, 509-518.
43.
WeeksB. P.NilssonU. (2011). Music interventions in patients during coronary angiographic procedures: A randomized controlled study of the effect on patients’ anxiety and well-being. European Journal of Cardiovascular Nursing, 10, 88-93.
44.
ZhaoK.BaiZ. G.BoA.ChiI. (2016). A systematic review and meta-analysis of music therapy for the older adults with depression. International Journal of Geriatric Psychiatry, 31, 1188-1198.
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