Key result
Phase I cardiac rehabilitation combined with 5-phase music demonstrated a significant treatment effect for depression (P = 0.02) and an interaction effect for anxiety (P = 0.02) compared to control and cardiac rehabilitation alone.
Why the study?
Patients often experience anxiety and depression after PCI for myocardial infarction, making effective emotional interventions a clinical research focus.
Does phase I cardiac rehabilitation combined with 5-phase music improve anxiety and depression in acute myocardial infarction patients after emergency percutaneous coronary intervention?
RCT (n=150)
Open-label
1:1:1 ratio
No
Does phase I cardiac rehabilitation combined with 5-phase music improve anxiety and depression in acute myocardial infarction patients after emergency percutaneous coronary intervention?
p-value: p=0.02
BACKGROUND: Percutaneous coronary intervention (PCI) is one of the main treatment methods for myocardial infarction (MI). Despite its positive effects, patients often experience different degrees of anxiety and depression after the intervention. Therefore, effectively changing the emotional state of patients with MI during PCI remains a focus of clinical research. AIM: To assess the effect of music therapy and motivational interviewing in young and middle-aged patients with anxiety and depression after PCI. METHODS: We collected data from January 2022 to December 2023 from 86 young and middle-aged patients with MI after PCI. They were divided into observation and control groups according to the random throwing method. The observation group consisted of 43 patients undergoing music therapy and motivational interviewing, and the control group (43 cases) underwent music therapy and conventional communication. The two groups were then compared on mood status [Chinese Brief Mood Status Scale (POMS)], coping methods [Medical Coping Methods Questionnaire (MCMQ) Chinese version], and healthy lifestyle behaviors [Heart Health Self-Efficacy and Self-Management (HH-SESM) scale]. RESULTS: < 0.05). CONCLUSION: The combined intervention of music therapy and motivational interviewing for young and middle-aged patients with anxiety and depression after MI can effectively regulate their mood, reduce anxiety and depression symptoms, and stimulate patients to actively face their condition. It also encourages the formation of healthy behavioral habits.
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Meng et al. (2024) conducted an RCT in Acute myocardial infarction (n=150). Phase I cardiac rehabilitation combined with 5-phase music vs. Routine nursing (control) or cardiac rehabilitation alone was evaluated on Hospital anxiety and depression scale (HADS) (p=0.02). Phase I cardiac rehabilitation combined with 5-phase music demonstrated a significant treatment effect for depression (P = 0.02) and an interaction effect for anxiety (P = 0.02) compared to control and cardiac rehabilitation alone.
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