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

Journal

Pain Management Nursing

Year

2025

Abstract

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.

Music and Health Institute Terms

Pain; Pain Management and Control; Anxiety; Agitation; Cardiovascular Diseases; Hospital Setting; Intensive Care Unit (ICU); Subjective Measures; Music Medicine

Indexed Terms

Anxiety; Intensive care; Pain; Psychiatric nursing

Study Type

Randomized Controlled Trial; Quantitative Methods

Document Type

Article

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