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

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. (c) 2025 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

Journal

PAIN MANAGEMENT NURSING

Year

2025

Volume

26

Issue

4

Pages

433-440

ISSN

1524-9042

eISSN

1532-8635

DOI

10.1016/j.pmn.2025.01.017

WoS UID

WOS:001538671500020