20Jan 2020

EFFECT OF MUSIC MEDICINE ON ANXIETY AND DEPRESSION IN CORONARY ARTERY BY PASS GRAFT SURGERY PATIENTS: A RANDOMISED CONTROLLED TRIAL

  • Assistant Professor, B.K.L Walawalkar Medical College, Sawarde Chiplun Maharashtra. India
  • Professor/ HOD, Department of Physiotherapy, MCOHAS Manipal. India
  • Chief Consultant Cardiothoracic Surgeon, Nawaloka Hospital, Colombo, Sri Lanka
  • Associate Professor, Shri Guru Ram Rai Institute of Medical & Health Sciences, Patel Nagar Dehradun, Uttrakhand. India
  • Professor/ HOD, Department of Physiotherapy Manipal Hospitals Bangalore. India
  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

Background: The study was done to see the effect of music medicine on anxiety and depression in coronary artery by pass graft surgery patients. Two groups Experimental and Control were taken. The study concludes that music medicine is an effective non pharmacological measure in reducing anxiety and depression along with physiological measures in patients undergoing coronary artery bypass graft surgery. Objectives: To compare the effects of music medicine between experimental & control group on anxiety & depression. To find the effect of music medicine on Heart rate (HR), Blood pressure (BP), Respiratory rate (RR). Material and Methods: Subjects enrolled in the study were assigned to 2 groups, 35 in each group (Experimental group receiving music medicine with standard care in form of chest physiotherapy & Control group with standard care alone, using block randomization. The total duration of intervention for the study per patient was 1 month. Results: A total of 69 subjects were recruited for this study. Subjects in both the groups had a mean age of 57.72 ? 9.26 years. Chi square (x2) test was used to evaluate demographic data like, sex, marital status, occupation, education, comorbidities like diabetes, hypertension, smoking,alcohol, NYHA Grade of exertion, life style, & Student unpaired ?t? test for age, number of diseased vessel & ejection fraction. Both the groups were matched and there was no significant difference between the groups. Conclusion: The study concludes that music medicine is an effective non pharmacological measure in reducing anxiety and depression along with physiological measures in patients undergoing coronary artery bypass graft surgery.


  1. Gaziano JM, Manson JE, Ridker PM. Braunwald?s (2008) Heart diseases: a text book of cardiovascular medicine. 8th Philadelphia: Saunders; p. 1119-45.
  2. Bradt J, Dileo C (2009). Music for stress and anxiety reduction in coronary heart disease patients. Cochrane Database Syst Rev;2:CD006577.
  3. Mandal S, Saha JB and Mandal SC, et al (2009). Prevalence of ischemic heart disease among urban population of siliguri, West Bengal. Indian J Community Med;34:19-23.
  4. Gallagher R, McKinley S (2007) Stressors and anxiety in Patients undergoing coronary artery bypass surgery. Am J Crit Care;16:248-57.
  5. Connerney I, Shapiro PA and Mc Laughlin JS (2001). Relation between depression after coronary artery bypass surgery and 12-month outcome: a prospective study. Lancet;358:1766-71.
  6. Rymaszewska J, Kiejna A and Hadry T (2003) Depression and anxiety in coronary artery bypass grafting patients. Eur Psychiat;18:155-60.
  7. Roykulcharoen V, Good M(2004) Systematic relaxation to relieve postoperative Pain. J Adv Nurs;48:140-48.
  8. Twiss E, Seave J and McCaffrey R (2006) The effect of music listening on older adults undergoing cardiovascular surgery. Nurs Crit Care;11:224-31.
  9. Voss JA, Good M, Yates B and Baun MM, et al (2004) Sedative music reduces anxiety and pain during chair rest after open-heart surgery. Pain;112:197-203.
  10. Wang SM, Kulkarni L and Dolev J et al (2002). Music and preoperative anxiety: a randomized controlled study. Anesth Analg;94:1489-94.
  11. Singh VP, Rao V and Prem V, et al (2009). Comparison of the effect of music and progressive muscle relaxation for anxiety in COPD- A randomized controlled pilot study. Chron Respir Dis;6:209-16.
  12. Henry LL.( 1995) Music therapy: a nursing intervention for the control of pain and anxiety in the ICU. A review of the research literature. Dimens Crit Care Nurs;14:295-304.
  13. Schwartz FJ (2009). A Pilot Study of Patients in Postoperative Cardiac Surgery. Music and Medicine;1:70-4.
  14. Szekely A, Balog DP and Benko E et al (2007). Anxiety predicts mortality and morbidity after coronary artery and valve surgery. a 4 year follow up study. Psychosom Med 2007;69:625-31.
  15. Lewin B, Robertson IH and Cay EL, et al (1992). Effects of self help? post myocardial infarction rehabilitation on psychological adjustment and use of health services. Lancet;339:1036-40.
  16. Benson H, Klipper MZ (1975).? How to bring forth the relaxation response. In: The relaxation Response. 1St NewYork: Churchill Livingstone; 1975.p. 162-3
  17. Barnason S, Zimmerman L and Nieveen J (1995. The effects of music interventions on anxiety in the patient after coronary artery by pass grafting. Heart Lung; 24:124-32.
  18. Uplike P.(1990). Music Therapy Results for ICU patients. Dimens Crit Care Nurs; 9:39-45.

[Asma Sharma, Vaishali Kishan, A. G. Jayakrishnan, Niraj Kumar and V. Prem (2020); EFFECT OF MUSIC MEDICINE ON ANXIETY AND DEPRESSION IN CORONARY ARTERY BY PASS GRAFT SURGERY PATIENTS: A RANDOMISED CONTROLLED TRIAL Int. J. of Adv. Res. 8 (Jan). 553-564] (ISSN 2320-5407). www.journalijar.com


Asma Sharma
Assistant Professor, B.K.L. Walawalkar Medical College, Sawarde Chiplun Maharastra.

DOI:


Article DOI: 10.21474/IJAR01/10329      
DOI URL: https://dx.doi.org/10.21474/IJAR01/10329