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).
Why the study?
Five-phase music therapy has shown effectiveness across several diseases, but its effect combined with phase I cardiac rehabilitation in acute myocardial infarction patients after emergency PCI was unexplored.
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)
1:1:1
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?
Answers are grounded in this paper and cite their sources.
Phase I cardiac rehabilitation combined with 5-phase music therapy significantly alleviates anxiety and depression and improves sleep quality in patients recovering from AMI after emergency PCI.
BACKGROUND: Five-phase music therapy was reported to be effective in the treatment and rehabilitation of several diseases. This study explored the effect of phase I cardiac rehabilitation combined with 5-phase music in acute myocardial infarction (AMI) patients after emergency percutaneous coronary intervention. METHODS: This prospective pilot study enrolled AMI patients who received percutaneous coronary intervention from the Traditional Chinese Medicine Hospital from July 2018 to December 2019. The participants were randomized in a 1:1:1 ratio to the control, cardiac rehabilitation, and rehabilitation-music groups. The primary endpoint was the hospital anxiety and depression scale. The secondary endpoints were the myocardial infarction dimensional assessment scale, self-rating sleep status, 6-minute walk test, and left ventricular ejection fraction. RESULTS: The study included 150 AMI patients (n = 50/group). Hospital anxiety and depression scale showed significant time effects for both anxiety and depression (both P < .05), a treatment effect for depression (P = .02), and an interaction effect for anxiety (P = .02). A time effect was also observed for diet, sleep disorders, 6-minute walk test, and left ventricular ejection fraction (all P < .001). A difference among groups was observed for emotional reaction (P = .001). Interactions effects were observed for diet (P = .01) and sleep disorders (P = .03). CONCLUSION: Phase I cardiac rehabilitation combined with 5-phase music could alleviate anxiety and depression and improve sleep quality.
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Xu et al. (2023) conducted an RCT in Acute myocardial infarction (AMI) (n=150). Phase I cardiac rehabilitation combined with 5-phase music vs. Control and cardiac rehabilitation alone was evaluated on Hospital anxiety and depression scale (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).
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