Key result
Music-based intervention significantly reduced anxiety levels compared to control in patients undergoing cardiac catheterization, though it did not significantly affect vital signs.
Why the study?
Cardiac catheter insertion remains a stressful and anxiety-provoking experience despite local anesthetics, prompting evaluation of music-based interventions on anxiety and stress-related vital signs.
Does music-based intervention reduce anxiety and stress-related vital signs in adult patients undergoing cardiac catheterization?
Meta-Analysis (n=1,204)
Does music-based intervention reduce anxiety and stress-related vital signs in adult patients undergoing cardiac catheterization?
Music-based interventions are effective at reducing anxiety in patients undergoing cardiac catheterization, though they do not significantly alter vital signs.
Supports incorporating music-based interventions pre-catheterization to ease anxiety; extends non-pharmacologic options in procedural cardiology.
This work aimed to evaluate the effect of music-based intervention (MBI) on anxiety and stress-related vital signs (heart rate, respiratory rate and blood pressure) in patients undergoing cardiac catheterization. A systematic review and meta-analysis. This systematic review and meta-analysis was conducted according to PRISMA guidelines. PubMed, Cochrane Library, Embase and CINAHL were systematically searched from inception to October 31, 2023. Two authors independently searched electronic databases, selected literature, extracted data and assessed the risk of bias according to the eligibility criteria. The Review Manager software (RevMan version 5.4.1) was used to perform meta-analysis. Eleven randomized controlled trials (RCTs) with adult patients (n = 1204) (passive music therapy, 8 studies; passive music listening, 3 studies) were enrolled and brought into qualitative assessment. Nine of these RCTs (n = 868) were taken into quantitative analysis. Meta-analysis using the random-effects model revealed that the difference in the pre-post anxiety level in the music group was significantly greater than that in the control group. However, meta-analysis results for heart rate, respiratory rate, systolic blood pressure and diastolic blood pressure did not show significant differences. The findings suggested that MBI had a significant effect on reducing anxiety in patients undergoing cardiac catheterization. However, the limited quantity and quality of included studies highlight the need for additional research to comprehensively analyze the influence of MBI on anxiety reduction in this patient population. • Cardiac catheterization is one of the most widely performed cardiac procedures in the world. • Despite the use of local anesthetics during cardiac catheterization procedures, the process of catheter insertion remains a stressful and anxiety-provoking experience for patients. • Music-based intervention (MBI) has been proven effective in improving certain clinical outcomes in hospitalized patient. • This study aimed to evaluate the effect of MBI on anxiety and stress-related vital signs in patients undergoing cardiac catheterization. • The findings suggested that MBI had a significant effect on reducing anxiety in patients undergoing cardiac catheterization.
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Wang et al. (2024) conducted a meta-analysis in cardiac catheterization (n=1,204). Music-based intervention (MBI) vs. control group was evaluated on pre-post anxiety level and stress-related vital signs. Music-based intervention significantly reduced anxiety levels compared to control in patients undergoing cardiac catheterization, though it did not significantly affect vital signs.
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