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Gazerani A, Pourghaznein T, Gholoobi A, Miri K, Namazinia M, Mazloum SR. Enhancing hemodynamic stability: the role of liaison nurses in patient transfers to angiography. BMC Nurs 2024; 23:668. [PMID: 39300445 DOI: 10.1186/s12912-024-02337-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2024] [Accepted: 09/10/2024] [Indexed: 09/22/2024] Open
Abstract
INTRODUCTION Angiography is associated with anxiety, stress, and changes in patients' vital signs. The role of the liaison nurse is to bridge gaps and solve problems between departments, thereby preventing the occurrence of undesired complications during patient transfers. Proper preparation of patients by the liaison nurse may lead to an improvement in the hemodynamic status of patients. The present study was conducted to investigate the effect of liaison nurse on hemodynamic status during transfer process to angiography. METHOD This randomized controlled trial was conducted from December 2019 to March 2020 on 62 patients who were candidates for elective angiography at Imam Reza Hospital in Mashhad. Participants were selected using a convenience sampling method and then randomly assigned to either the control or intervention group using a lottery system. In the intervention group, patients benefited from the presence of a liaison nurse from the moment the transfer order was issued by the doctor. Tools used included a demographic information questionnaire and a hemodynamic signs checklist. Data were analyzed using SPSS 25 with independent T-tests, paired T-tests, Wilcoxon, Mann-Whitney test, chi-squared, and Fisher's exact test. RESULT Following the intervention, the mean systolic blood pressure, heart rate, and respiratory rate in the intervention group were found to be significantly lower than those in the control group (p < 0.05). In contrast, the mean body temperature, diastolic blood pressure and the percentage of arterial blood oxygen saturation did not exhibit a statistically significant difference between the two groups (p > 0.05). CONCLUSION The liaison nurse role emerges as a valuable strategy for enhancing patients' hemodynamic stability, and its implementation can have a positive impact on patient outcomes in hospital settings.
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Affiliation(s)
- Azam Gazerani
- Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran
- Neyshabur University of Medical Sciences, Neyshabur, Iran
| | - Tayebe Pourghaznein
- Department of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University Medical of Sciences, Mashhad, Iran
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Arash Gholoobi
- Vascular and Endovascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
- Department of Cardiovascular Diseases, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Kheizaran Miri
- Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
| | - Mohammad Namazinia
- Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
| | - Seyed Reza Mazloum
- Department of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University Medical of Sciences, Mashhad, Iran.
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
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Wang YR, Hung YY, Lu SF. Effect of music-based interventions on anxiety and stress-related vital signs in patients undergoing cardiac catheterization: A systematic review and meta-analysis. Complement Ther Med 2024; 85:103078. [PMID: 39209008 DOI: 10.1016/j.ctim.2024.103078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2024] [Revised: 08/01/2024] [Accepted: 08/21/2024] [Indexed: 09/04/2024] Open
Abstract
OBJECTIVES 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. DESIGN A systematic review and meta-analysis. METHODS 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. RESULTS 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. CONCLUSION 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.
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Affiliation(s)
- Yu-Ru Wang
- Department of Intensive Care Unit, Hualien, Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan
| | - Yan-Ye Hung
- Department of Vascular Surgery, Peking University People's Hospital, Beijing, China; The Institute of Cardiovascular Sciences and Institute of Systems Biomedicine, School of Basic Medical Sciences, Key Laboratory of Molecular Cardiovascular Science of Ministry of Education, NHC Key Laboratory of Cardiovascular Molecular Biology and Regulatory Peptides, Beijing Key Laboratory of Cardiovascular Receptors Research, Health Science Center, Peking University, Beijing, China
| | - Shiou-Fang Lu
- Department of Nursing, College of Nursing, Tzu Chi University, Hualien, Taiwan.
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Santos KVGD, Dantas JKDS, Fernandes TEDL, Medeiros KSD, Sarmento ACA, Ribeiro KRB, Dantas DV, Dantas RAN. Music to relieve pain and anxiety in cardiac catheterization: A systematic review and meta-analysis. Heliyon 2024; 10:e33815. [PMID: 39044980 PMCID: PMC11263635 DOI: 10.1016/j.heliyon.2024.e33815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Revised: 06/07/2024] [Accepted: 06/27/2024] [Indexed: 07/25/2024] Open
Abstract
Objectiveto evaluate the effectiveness of using music to relieve pain, anxiety, and change in vital signs in adult and older adult patients undergoing cardiac catheterization.Methodsthis is a systematic review with meta-analysis carried out in October 2022, using 12 data sources, without time or language restrictions. The study followed the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The "Risk-of-bias tool" was used to assess the risk of bias, the "R CORE Team program: A language and environment for statistical computing" was used to perform the meta-analysis, and the "Grading of Recommendations Assessment, Development and Evaluation" was used to assess the quality of evidence in the studies. Results a total of nine studies were included, totaling 1456 participants. The most used tools for measuring anxiety were the State-Trait Anxiety Inventory and Numerical Rating Scale. This was also used to measure pain, in addition to the Visual Analogue Scale. The use of instrumental, classical and relaxing music prevailed, applied using headphones during the painful procedure, at a frequency of 60 to 100bpm and sound intensity of 60-70 dB. There was statistical significance in the use of music in reducing pain, anxiety and systolic blood pressure. Conclusion music interventions are effective in relieving pain, reducing systolic pressure and anxiety, but indifferent in terms of heart rate, respiratory rate and diastolic pressure. They provide humanization of care, can reduce hospital costs and length of hospital stay.
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Affiliation(s)
- Kauanny Vitoria Gurgel dos Santos
- Graduate Program in Nursing, Department of Nursing, Federal University of Rio Grande do Norte. Campos Univertsitário, Br-101, s/n - Lagoa Nova, Natal, Rio Grande do Norte, Brazil. Coordination of Superior Level Staff Improvement
| | | | - Thatiane Evelyn de Lima Fernandes
- Department of Nursing, Federal University of Rio Grande do Norte, Campos Univertsitário, Br-101, s/n - Lagoa Nova, Natal, Rio Grande do Norte, Brazil
| | - Kleyton Santos de Medeiros
- Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, R. Gen. Gustavo Cordeiro de Faria, 601 – Ribeira, Natal, Rio Grande do Norte, Brazil
- Institute of Education, Research and Innovation, Liga Contra o Câncer. Av. Miguel Castro, 1355 - Nossa Sra. de Nazaré, Natal, Rio Grande do Norte, Brazil
| | - Ayane Cristine Alves Sarmento
- Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, R. Gen. Gustavo Cordeiro de Faria, 601 – Ribeira, Natal, Rio Grande do Norte, Brazil
- Institute of Education, Research and Innovation, Liga Contra o Câncer. Av. Miguel Castro, 1355 - Nossa Sra. de Nazaré, Natal, Rio Grande do Norte, Brazil
| | - Kátia Regina Barros Ribeiro
- Department of Nursing, Federal University of Rio Grande do Norte, Campos Univertsitário, Br-101, s/n - Lagoa Nova, Natal, Rio Grande do Norte, Brazil
| | - Daniele Vieira Dantas
- Graduate Program in Nursing, Department of Nursing, Federal University of Rio Grande do Norte. Campos Univertsitário, Br-101, s/n - Lagoa Nova, Natal, Rio Grande do Norte, Brazil. Coordination of Superior Level Staff Improvement
| | - Rodrigo Assis Neves Dantas
- Graduate Program in Nursing, Department of Nursing, Federal University of Rio Grande do Norte. Campos Univertsitário, Br-101, s/n - Lagoa Nova, Natal, Rio Grande do Norte, Brazil. Coordination of Superior Level Staff Improvement
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Pampel J, McCarthy C, Krankenberg H, Dannberg G, Schulze PC, Thieme M. The MULAN Trial - RCT on the use of MUsic in Cath-Lab to reduce ANxiety during peripheral vascular interventions. VASA 2024; 53:237-245. [PMID: 38738469 DOI: 10.1024/0301-1526/a001126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/14/2024]
Abstract
Background: The purpose was to analyze the use of classical music to reduce procedure-related anxiety while conducting percutaneous transluminal angioplasty in patients with peripheral artery disease. Patients and methods: A total of 155 patients were analyzed in this single center randomized controlled trial. Procedure-related anxiety was assessed by a numerical rating scale (NRS, 0-10) and by recording of physiological parameters at three different points in time. A survey was conducted after the intervention. Results: This study showed that the patients listened to music overcame their procedure-related anxiety more quickly than the patients in the control group. The NRS at second timepoint was significantly reduced in intervention group compared to control group (p<0.01; r=0.2). Most participants stated that they would like to listen to music during possible future interventions. Conclusions: Classical music during endovascular interventions reduced procedure-related anxiety measured as greater reduction in NRS values in intervention group as well as in results of questionnaire performed post procedurally in PAD patients.
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Affiliation(s)
- Johannes Pampel
- REGIOMED Vascular-Center, Sonneberg, Germany
- Department of Internal Medicine I, University Hospital Jena, Jena, Germany
| | | | | | - Gudrun Dannberg
- Department of Internal Medicine I, University Hospital Jena, Jena, Germany
| | | | - Marcus Thieme
- REGIOMED Vascular-Center, Sonneberg, Germany
- Department of Internal Medicine I, University Hospital Jena, Jena, Germany
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Pedra Cruz Bettin B, Urquiza Nogueira L, Bertasso de Araujo PA, Antunes LC. Visual art- and music-based interventions as adjuvants in the treatment of eating disorders: a systematic review and a theoretical model. Arts Health 2024; 16:167-188. [PMID: 37259246 DOI: 10.1080/17533015.2023.2218408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Accepted: 05/13/2023] [Indexed: 06/02/2023]
Abstract
AIM To assess the effect of visual art- and music-based interventions in the treatment of eating disorders. METHODS This study was registered in PROSPERO (CRD42020161503). Six databases (CINAHL, EMBASE, Lilacs, PsycINFO, PubMed and The Cochrane Library) were consulted. The searches were performed on 19 June 2019, and updated on 18 March 2022. No restriction on language, date, or publication status was applied. Methodological quality was assessed using Joanna Briggs Institute's instruments. All steps were performed by two independent reviewers and a third participated in the event of disagreement. RESULTS Eight studies were included. Few statistically significant results were found. Overall, both interventions might help to reduce negative emotional states. CONCLUSION Visual art- and music-based interventions present limited and inconclusive scientific evidence in patients with eating disorders and therefore their effectiveness is currently unknown. A theoretical model is proposed to guide future research. Further studies are needed to clarify their clinical relevance.
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Affiliation(s)
- Bibiana Pedra Cruz Bettin
- Multiprofessional Residency in Family Health, University of Santa Catarina State, Florianópolis, SC, Brazil
| | - Lauriana Urquiza Nogueira
- Multiprofessional Residency in Family Health, University of Santa Catarina State, Florianópolis, SC, Brazil
| | | | - Luciana C Antunes
- Health Sciences Center, Department of Nutrition, Clinical Nutrition Division, Federal University of Santa Catarina, SC, Brazil
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Mendes FDCDO, dos Santos KVG, Dantas JKDS, de Araújo SCM, Teixeira FDC, Leal KCDS, Dantas DV, Dantas RAN. Non-pharmacological strategies to reduce stress and anxiety in endovascular procedures: A scoping review. Nurs Open 2024; 11:e2105. [PMID: 38520118 PMCID: PMC10960161 DOI: 10.1002/nop2.2105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Revised: 12/12/2023] [Accepted: 01/11/2024] [Indexed: 03/25/2024] Open
Abstract
AIM This study aimed to identify and map the production of knowledge on non-pharmacological strategies to reduce stress and anxiety in patients undergoing endovascular procedures. DESIGN Scoping review. METHODS The review was performed using the PRISMA-ScR guidelines. The searches were conducted in Scopus, PubMed, Web of Science, Wiley Online Library, BVS/BIREME, Lilacs, Gale Academic OneFile, SciELO, Cochrane Library, CAPES Catalog of Dissertations and Theses, Oswaldo Cruz Foundation Portal of Theses and Dissertations, and Theses and Dissertations from Latin America. RESULTS Twenty-two articles were selected. The articles were published from 2001 to 2022, mostly in Iran, and there was a predominance of randomized clinical trials. The Spielberger State-Trait Anxiety Inventory was the most used instrument. The findings indicated that music therapy, educational guidelines or videos on the procedure, massage, psychological preparation and aromatherapy were the main non-pharmacological therapies used to reduce anxiety and stress in patients undergoing vascular procedures.
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Malakoutikhah A, Dehghan M, Ghonchehpour A, Afshar PP, Zakeri MA. A randomized controlled trial on the effects of different music genres on physiologic parameters and emotion. Ir J Med Sci 2023; 192:2313-2322. [PMID: 36529821 DOI: 10.1007/s11845-022-03245-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2022] [Accepted: 12/02/2022] [Indexed: 12/23/2022]
Abstract
BACKGROUND Listening to music has psychophysiological effects on individuals' body and emotions, and it is known as one of the most influential stimuli to create emotions. The aim of this study was to explore the effect of different music genres on some physiological parameters and emotion. METHODS This was a randomized controlled trial. For 5 days, forty-six healthy undergraduate students were randomly assigned to several types of music (pop, rock, western classical, and Persian traditional), as well as silence. Physiologic parameters were checked five times (before, during, immediately, 15, and 30 min after the interventions). Before and after the interventions, the Self-Assessment Manikin questionnaire was completed. RESULTS There was no statistically significant difference in heart rate, diastolic blood pressure, temperature, silence, or other approaches between the groups. Silence and other ways did not reduce systolic blood pressure as much as listening to the pop. Peripheral oxygen saturation increased significantly only when listening to Persian traditional music, and when there was silence however, the differences were not statistically significant. In terms of valence, arousal, and dominance, none of the five treatments were shown to be more effective. CONCLUSION The results of the present study showed that statistically and clinically, there was no difference between silent music and other types of music, including pop, rock, western classical, and Persian traditional, in reducing physiological parameters. Different genres of music had no additional impact on emotion when compared to silence.
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Affiliation(s)
- Alireza Malakoutikhah
- Student Research Committee, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - Mahlagha Dehghan
- Razi Faculty of Nursing and Midwifery, Nursing Research Center, Kerman University of Medical Sciences, Haft-Bagh Highway, Kerman, Iran.
| | - Asma Ghonchehpour
- Student Research Committee, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - Peiman Parandeh Afshar
- Student Research Committee, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - Mohammad Ali Zakeri
- Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
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Mall A, Girton TA, Yardley K, Ronn M, Cross E, Smith PJ, Rossman P, McEwen T, Ohman EM, Jones WS, Granger BB. Timing of sedation and patient-reported pain outcomes during cardiac catheterization: Results from the UNTAP-intervention study. Catheter Cardiovasc Interv 2023; 101:335-342. [PMID: 36640418 DOI: 10.1002/ccd.30535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/24/2022] [Revised: 12/02/2022] [Accepted: 12/16/2022] [Indexed: 01/15/2023]
Abstract
BACKGROUND Invasive cardiac catheterization (CC) temporarily increases pain, discomfort, and anxiety. Procedural sedation is deployed to mitigate these symptoms, though practice varies. Research evaluating peri-procedural patient-reported outcomes is lacking. METHODS AND RESULTS We randomized 175 patients undergoing CC to short interval ([SI] group, <6 min) or long interval ([LI] group, ≥6 min) time intervals between initial intravenous sedation and local anesthetic administration. Outcomes included: (1) total pain medication use, (2) patient-reported and behaviorally assessed pain and (3) patient satisfaction during outpatient CC. Generalized linear mixed effect models were used to evaluate the impact of treatment time interval on total medication utilization, pain, and satisfaction. Among enrollees the mean age was 62 (standard deviation [SD] = 13.4), a majority were male (66%), white (74%), and overweight (mean body mass index = 28.5 [SD = 5.6]). Total pain medication use did not vary between treatment groups (p = 0.257), with no difference in total fentanyl (p = 0.288) or midazolam (p = 0.292). Post-treatment pain levels and nurse-observed pain were not statistically significant between groups (p = 0.324 & p = 0.656, respectively. No significant differences with satisfaction with sedation were found between the groups (p = 0.95) Patient-reported pain, satisfaction and nurse-observed measures of pain did not differ, after adjustment for demographic and procedural factors. Analyses of treatment effect modification revealed that postprocedure self-reported pain levels varied systematically between individuals undergoing percutaneous coronary intervention (PCI) (SI = 2.2 [0.8, 3.6] vs. LI = 0.7 [-0.6, 2.0]) compared with participants not undergoing PCI (SI = 0.4 [-0.8, 1.7] vs. LI = 0.7 [-0.3, 1.6]) (p = 0.043 for interaction). CONCLUSION No consistent treatment differences were found for total medication dose, pain, or satisfaction regardless of timing between sedation and local anesthetic. Treatment moderations were seen for patients undergoing PCI. Further investigation of how procedural and individual factors impact the patient experience during CC is needed.
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Affiliation(s)
- Anna Mall
- Duke Heart Center, Duke University Health System, Durham, North Carolina, USA
| | - T Andrew Girton
- Duke Heart Center, Duke University Health System, Durham, North Carolina, USA
| | - Kevin Yardley
- Duke Heart Center, Duke University Health System, Durham, North Carolina, USA
| | - Meghan Ronn
- Duke Heart Center, Duke University Health System, Durham, North Carolina, USA
| | - Elinore Cross
- Duke Heart Center, Duke University Health System, Durham, North Carolina, USA
| | - Patrick J Smith
- Department of Psychiatry & Behavioral Sciences Duke University School of Medicine, Durham, North Carolina, USA
| | - Paige Rossman
- Department of Medicine, Division of Cardiology, Duke University School of Medicine, Durham, North Carolina, USA
| | - Tiffany McEwen
- Department of Medicine, Division of Cardiology, Duke University School of Medicine, Durham, North Carolina, USA
| | - E Magnus Ohman
- Department of Medicine, FACC Duke Program for Advanced Coronary Disease, Division of Cardiology, Duke University School of Medicine, Durham, North Carolina, USA
| | - W Schuyler Jones
- Department of Medicine, Division of Cardiology, Duke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina, USA
| | - Bradi B Granger
- Duke School of Nursing, Duke University, Durham, North Carolina, USA
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Changes in the Anxiety Levels of Patients Undergoing Percutaneous Coronary Intervention. Dimens Crit Care Nurs 2023; 42:15-21. [DOI: 10.1097/dcc.0000000000000560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Effectiveness of Hypnosis for the Prevention of Anxiety During Coronary Angiography (HYPCOR study): a prospective randomized study. BMC Complement Med Ther 2022; 22:315. [PMID: 36447198 PMCID: PMC9707301 DOI: 10.1186/s12906-022-03792-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Accepted: 11/14/2022] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND Coronary angiography is the gold standard for the diagnosis of coronary artery disease. This intervention is nevertheless a source of anxiety for the patient both by its discomfort and by the consequences linked to the discovery of potential diseases. OBJECTIVES The aim of this study was to determine the effectiveness of hypnosis in reducing anxiety in patients undergoing coronary angiography. METHODS One hundred sixty-nine patients with planned coronary angiography and no history of coronary angiography were randomized to a hypnosis or control group. Patients in the hypnosis group underwent a hypnosis session with self-hypnosis posthypnotic suggestions, while those in the control group had a conversational interview with the hypnotherapist. The primary endpoint was pre-exam anxiety level assessed by the Spielberger State-Trait Anxiety Inventory (STAI-Y A). RESULTS Performing a hypnosis session did not result in a significant decrease in anxiety before the intervention. Age, high trait anxiety, high state anxiety the day before, and belief that hypnosis works in general were associated with increased anxiety before the procedure. No adverse events were reported after hypnosis. There was no statistically significant difference between the 2 groups for the occurrence of complications of the intervention. CONCLUSION In this study, performing a hypnosis session before coronary angiography did not reduce the state of anxiety measured just before the intervention. In all cases, the hypnotic experience appears to be positive for the patient, encouraging further research efforts. TRIAL REGISTRATION The research protocol has been registered on the ClinicalTrials.gov registry (NCT02818101; 29/06/2016) and with the ANSM (IDRCB 2016-A00205-46; 02/02/2016).
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Batista LDC, Melo MN, Cruz DDALMD, Gengo e Silva Butcher RDC. Characteristics of music intervention to reduce anxiety in patients undergoing cardiac catheterization: scoping review. Heliyon 2022; 8:e11894. [PMID: 36468133 PMCID: PMC9712553 DOI: 10.1016/j.heliyon.2022.e11894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 05/30/2022] [Accepted: 11/17/2022] [Indexed: 11/27/2022] Open
Abstract
The characteristics of music interventions for reducing anxiety in patients undergoing cardiac catheterization were mapped. A scoping review was conducted according to the Joanna Briggs Institute methodology. Searches were performed in electronic portals and databases PubMed, CINAHL, PsycINFO, Cochrane, EMBASE, Scopus, LILACS, CAPES Thesis Portal (Brazil), DART-Europe E-theses Portal, Theses Canada Portal, Pro-Quest, and Google Scholar databases, gray literature, with no limitation on the year of publication. Eighteen articles were included in the search. The characteristics of the interventions were heterogeneous and not comprehensively described in the primary studies. The songs were predominantly of a single genre, instrumental, and selected by the interventionist, with a rhythm between 60 and 80 beats per minute. The interventions were delivered in a single session, mostly in the catheterization laboratory, before or during the procedure, by means of digital audio and earphones for over 20 min. The heterogeneity of interventions and incompleteness of information in the studies compromises the advancement of knowledge on the effects of music on health outcomes.
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Affiliation(s)
- Letícia de Carvalho Batista
- Graduate Program in Adult Health Nursing (PROESA), School of Nursing, University of São Paulo, Av. Dr. Eneas de Carvalho Aguiar, 419, São Paulo/SP 05403-000, Brazil
| | - Michele Nakahara Melo
- Graduate Program in Adult Health Nursing (PROESA), School of Nursing, University of São Paulo, Av. Dr. Eneas de Carvalho Aguiar, 419, São Paulo/SP 05403-000, Brazil
| | - Diná de Almeida Lopes Monteiro da Cruz
- Graduate Program in Adult Health Nursing (PROESA), School of Nursing, University of São Paulo, Av. Dr. Eneas de Carvalho Aguiar, 419, São Paulo/SP 05403-000, Brazil
| | - Rita de Cassia Gengo e Silva Butcher
- Graduate Program in Adult Health Nursing (PROESA), School of Nursing, University of São Paulo, Av. Dr. Eneas de Carvalho Aguiar, 419, São Paulo/SP 05403-000, Brazil
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Jafari H, Esfandiari S, Shorofi S, Shabankhani B, Golshani S, Arbon P. The effect of eye mask and selected music on the level of anxiety and hemodynamic parameters in patients undergoing cardiac angiography. JOURNAL OF NURSING AND MIDWIFERY SCIENCES 2022. [DOI: 10.4103/jnms.jnms_84_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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13
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Sugimoto D, Slick NR, Mendel DL, Stein CJ, Pluhar E, Fraser JL, Meehan WP, Corrado GD. Meditation Monologue can Reduce Clinical Injection-Related Anxiety: Randomized Controlled Trial. J Evid Based Integr Med 2021; 26:2515690X211006031. [PMID: 33904781 PMCID: PMC8082977 DOI: 10.1177/2515690x211006031] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
Background. Strategies to reduce anxiety prior to injection procedures are not well understood. The purpose is to determine the effect of a meditation monologue intervention delivered via phone/mobile application on pre-injection anxiety levels among patients undergoing a clinical injection. The following hypothesis was tested: patients who listened to a meditation monologue via phone/mobile application prior to clinical injection would experience less anxiety compared to those who did not. Methods. A prospective, randomized controlled trial was performed at an orthopedics and sports medicine clinic of a tertiary level medical center in the New England region, USA. Thirty patients scheduled for intra- or peri-articular injections were randomly allocated to intervention (meditation monologue) or placebo (nature sounds) group. Main outcome variables were state and trait anxiety inventory (STAI) scores and blood pressure (BP), heart rate, and respiratory rate. Results. There were 16 participants who were allocated to intervention (meditation monologue) while 14 participants were assigned to placebo (nature sounds). There was no interaction effect. However, a main time effect was found. Both state anxiety (STAI-S) and trait anxiety (STAI-T) scores were significantly reduced post-intervention compared to pre-intervention (STAI-S: p = 0.04, STAI-T: p = 0.04). Also, a statistically significant main group effect was detected. The pre- and post- STAI-S score reduction was greater in the intervention group (p = 0.028). Also, a significant diastolic BP increase between pre- and post-intervention was recorded in the intervention group (p = 0.028), but not in the placebo group (p = 0.999). Conclusion. Listening to a meditation monologue via phone/mobile application prior to clinical injection can reduce anxiety in adult patients receiving intra- and peri-articular injections. Registration:ClinicalTrials.gov NCT02690194
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Affiliation(s)
- Dai Sugimoto
- The Micheli Center for Sports Injury Prevention, Waltham, MA, USA.,Faculty of Sport Sciences, Waseda University, Tokyo, Japan
| | - Nathalie R Slick
- Division of Sports Medicine, Department of Orthopaedics, 1862Boston Children's Hospital, Boston, MA, USA
| | - David L Mendel
- Division of Sports Medicine, Department of Orthopaedics, 1862Boston Children's Hospital, Boston, MA, USA
| | - Cynthia J Stein
- Division of Sports Medicine, Department of Orthopaedics, 1862Boston Children's Hospital, Boston, MA, USA.,Department of Orthopaedic Surgery, Harvard Medical School, Boston, MA, USA
| | - Emily Pluhar
- Division of Sports Medicine, Department of Orthopaedics, 1862Boston Children's Hospital, Boston, MA, USA.,Department of Orthopaedic Surgery, Harvard Medical School, Boston, MA, USA
| | - Joana L Fraser
- Division of Sports Medicine, Department of Orthopaedics, 1862Boston Children's Hospital, Boston, MA, USA.,Department of Orthopaedic Surgery, Harvard Medical School, Boston, MA, USA
| | - William P Meehan
- The Micheli Center for Sports Injury Prevention, Waltham, MA, USA.,Division of Sports Medicine, Department of Orthopaedics, 1862Boston Children's Hospital, Boston, MA, USA.,Department of Orthopaedic Surgery, Harvard Medical School, Boston, MA, USA
| | - Gianmichel D Corrado
- Division of Sports Medicine, Department of Orthopaedics, 1862Boston Children's Hospital, Boston, MA, USA.,Department of Orthopaedic Surgery, Harvard Medical School, Boston, MA, USA
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14
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The role of physical activities for patients infected with SARS-CoV-2 after convalescence period. BIOMEDICAL ENGINEERING TOOLS FOR MANAGEMENT FOR PATIENTS WITH COVID-19 2021. [PMCID: PMC8192307 DOI: 10.1016/b978-0-12-824473-9.00005-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
For persons infected with SARS-CoV-2, the virus affects the vital organ function, but especially the respiratory function. The experts have proposed several treatments for COVID patients with a good rate of success. For every age, there are indications of the maximum heart rate and the optimal heart rate range (between 60% and 90% of the maximum heart rate), which leads to an improvement for one’s physical condition. Because the Coronavirus particularly affects the respiratory function, after the convalescence period it is recommended to practice some respiratory exercises and low to moderate intensity physical activity.
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15
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Ho CY, Wexberg P, Schneider B, Stöllberger C. Effect of music on patients with cardiovascular diseases and during cardiovascular interventions : A systematic review. Wien Klin Wochenschr 2020; 133:790-801. [PMID: 33296028 DOI: 10.1007/s00508-020-01782-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2020] [Accepted: 11/17/2020] [Indexed: 10/22/2022]
Abstract
BACKGROUND The therapeutic effects of music have been known for thousands of years. Recently, studies with music interventions in patients with cardiovascular diseases yielded controversial results. The aim of this review is to provide an overview of the effects of receptive music intervention on the cardiovascular system. METHODS We searched in PubMed, SCOPUS and CENTRAL for publications between January 1980 and May 2018. Primary endpoints were heart rate, heart rate variability and blood pressure. Secondary endpoints comprised respiratory rate, anxiety and pain. The quality of the studies was assessed by using the CONSORT statement and the Cochrane risk of bias assessment tool. A meta-analysis and subgroup analyses concerning music style, gender and region were planned. RESULTS A total of 29 studies comprising 2579 patients were included and 18 studies with 1758 patients investigated the effect of music on patients undergoing coronary angiography or open heart surgery. Other studies applied music to children with congenital heart diseases, pregnant women with hypertension or patients with unstable angina. Due to high methodological study heterogeneity, a meta-analysis was not performed. The study quality was assessed as medium to low. In ten studies with higher quality comprising 1054 patients, music intervention was not associated with significant changes in the cardiovascular endpoints compared to the control group. The subgroup analyses did not demonstrate any relevant results. CONCLUSION Currently no definite effect of receptive music intervention on the cardiovascular system can be verified. Further research is needed to assess music as an inexpensive and easy applicable form of therapy.
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Affiliation(s)
- Chen-Yu Ho
- Klinik Landstraße, Juchgasse 25, 1030, Vienna, Austria. .,, Liechtensteinstr. 8/12, 1090, Vienna, Austria.
| | - Paul Wexberg
- Klinik Landstraße, Juchgasse 25, 1030, Vienna, Austria
| | - Birke Schneider
- Sana Kliniken Lübeck, Kahlhorststr. 17, 23562, Lübeck, Germany
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16
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Garry F, Murphy Tighe S, MacFarlane A, Phelan H. The use of music as an arts-based method in migrant health research: a scoping review protocol. HRB Open Res 2020; 3:75. [PMID: 33954279 PMCID: PMC8063534 DOI: 10.12688/hrbopenres.13121.1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/21/2020] [Indexed: 11/20/2022] Open
Abstract
There is increasing recognition that people’s lived experience needs to be incorporated into health decision-making. This has led to rising imperatives for involving the public in health processes, including research. While there have been significant advances in the field, patterns of exclusion still exist in some areas, including migrant participation in health research. Migration and mobility create challenges around social inclusion and this extends to social and cultural practices used in research. There is an emerging body of literature about improving meaningful, participatory spaces for migrants’ involvement in health research using creative tools and techniques that are attuned to cultural diversity. These include the use of arts-based research methods. There is strong evidence for the use of music, particularly singing, as an effective arts-based participatory
tool
. The goal of this scoping review is to investigate the evidence for the use of music as an arts-based method in migrant health research. Developed by an interdisciplinary team specialising in public and patient involvement; nursing and midwifery; primary health care; and the performing arts, it aims to analyse existing evidence across disciplines that are not usually studied together, identify gaps in current knowledge and use these as a foundation to build effective strategies towards increasing access to and knowledge of participatory, arts-based methods using music in migrant health research. Methods: The protocol for this scoping review follows the guidelines and stages set out in the JBI Reviewer’s Manual (
Peters et al., 2017), and by Levac
et al, (2010), which build on the methodological framework of Arksey and O’Malley (2005). This incorporates six stages: 1) Identifying the research question; 2) Identifying relevant studies; 3) Study selection; 4) Charting the data; 5) Collating, summarising, and reporting results; and 6) Consultation.
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Affiliation(s)
- Fran Garry
- Irish World Academy of Music and Dance, University of Limerick, Limerick, V94 T9PX, Ireland
| | - Sylvia Murphy Tighe
- Department of Nursing & Midwifery and Health Research Institute (HRI), University of Limerick, Limerick, V94 T9PX, Ireland
| | - Anne MacFarlane
- Public & Patient Involvement Research Unit, Graduate Entry Medical School and Health Research Institute (HRI), University of Limerick, Limerick, V94 T9PX, Ireland
| | - Helen Phelan
- Irish World Academy of Music and Dance and Health Research Institute (HRI), University of Limerick, Limerick, V94 T9PX, Ireland
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17
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Bellier A, Secheresse T, Stoeckle A, Dols AM, Chaffanjon PC. Impact of Background Music on Medical Student Anxiety and Performance During Anatomical Dissections: A Cluster Randomized Interventional Trial. ANATOMICAL SCIENCES EDUCATION 2020; 13:427-435. [PMID: 31509645 DOI: 10.1002/ase.1918] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/01/2018] [Revised: 08/06/2019] [Accepted: 09/04/2019] [Indexed: 06/10/2023]
Abstract
Anatomical dissection on cadavers can be a source of anxiety for medical students. Studies in other stressful settings have shown a reduction in anxiety when there is background music. The objective of this study was to determine if music can have an impact on student anxiety, student satisfaction, and student performance in dissection room. This cluster randomized interventional trial included 187 second-year medical students. The intervention was standardized background music, selected based on the literature, with a tempo of between 60 and 80 bpm. Six balanced clusters were randomized (1:1) to music or no music during dissection sessions. The main assessment criterion was a validated self-evaluation scale score for anxiety, the State Trait Anxiety Inventory. Student satisfaction was measured using a visual analog scale and dissection performance was evaluated by an examination. The outcomes were analyzed with mixed models adjusted on group effect, chronic anxiety, and confounding factors. A significant (58%) relative decrease in acute anxiety, odds ratio 0.423 [0.160; 0.710] was found for the music intervention group. Music also had a positive impact on performance with students in the intervention group attaining higher grades than those in the control group (0.42/10 higher, P = 0.0016). The study also showed a nonsignificant increase in satisfaction with 0.37 extra points (P = 0.137) in the intervention group. Background music had a significant impact on anxiety in the dissection room and on technical and theoretical performance in the subsequent anatomy examination. This music intervention could be extended to other stressful work environments.
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Affiliation(s)
- Alexandre Bellier
- French Alpes Laboratory of Anatomy, Department of Anatomy, Grenoble Alpes University, Grenoble, France
- Department of Medical Evaluation, Grenoble Alpes University Hospital, Grenoble, France
| | | | - Anne Stoeckle
- Faculty of Medicine, Grenoble Alpes University, Grenoble, France
| | - Anne-Marie Dols
- Department of Medical Evaluation, Grenoble Alpes University Hospital, Grenoble, France
| | - Philippe C Chaffanjon
- French Alpes Laboratory of Anatomy, Department of Anatomy, Grenoble Alpes University, Grenoble, France
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18
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Malakoutikhah A, Dehghan M, Ghonchehpoorc A, Parandeh Afshar P, Honarmand A. The effect of different genres of music and silence on relaxation and anxiety: A randomized controlled trial. Explore (NY) 2020; 16:376-381. [PMID: 32217042 DOI: 10.1016/j.explore.2020.02.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2019] [Revised: 02/08/2020] [Accepted: 02/23/2020] [Indexed: 11/17/2022]
Abstract
High stress and anxiety in healthy individuals may lead to use different pharmacological and non-pharmacological therapies. The study aimed to investigate the effect of different genres of music on anxiety and relaxation in healthy participants. This study was a randomized controlled trial with a cross-over design. Forty-six healthy undergraduates participated in the study and randomly received different genres of music (Pop, Rock, Western Classical, and Persian Traditional) and silence for five consecutive days between February and June 2018. Each participant was her/his own control. Relaxation and the State Anxiety were checked with Smith Relaxation States Inventory 3 and The State Anxiety Inventory before and after listening to 15 min of music or laying down in silence. None of the five procedures were preferred for a more relaxing effect (P > 0.05). Also, none of the interventions were preferred for reduction of the state anxiety (P > 0.05). Although different genres of music, i.e., Pop, Rock, Western Classical, Persian Traditional, could reduce state anxiety and improve relaxation, they had no extra effect compared to Silence.
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Affiliation(s)
- Alireza Malakoutikhah
- Student Research Committee, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - Mahlagha Dehghan
- Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran; Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Haft-Bagh Highway, Kerman, Iran.
| | - Asma Ghonchehpoorc
- Student Research Committee, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - Peiman Parandeh Afshar
- Student Research Committee, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
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19
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The Effect of Classical Turkish Music on Pain Severity and Anxiety Levels in Patients Undergoing Bone Marrow Aspiration and Biopsy. Pain Manag Nurs 2019; 20:82-87. [DOI: 10.1016/j.pmn.2018.04.009] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2017] [Revised: 02/14/2018] [Accepted: 04/04/2018] [Indexed: 11/19/2022]
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20
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Lieber AC, Bose J, Zhang X, Seltzberg H, Loewy J, Rossetti A, Mocco J, Kellner CP. Effects of music therapy on anxiety and physiologic parameters in angiography: a systematic review and meta-analysis. J Neurointerv Surg 2018; 11:416-423. [DOI: 10.1136/neurintsurg-2018-014313] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2018] [Revised: 10/02/2018] [Accepted: 10/08/2018] [Indexed: 11/03/2022]
Abstract
BackgroundGiven the anxiety patients experience during angiography, evidence supporting the efficacy of music therapy during these angiographic procedures is potentially of clinical value.ObjectiveTo analyze the existing literature forthe use of music therapy during cerebral, coronary, and peripheral angiography to determine whether it improves patient anxiety levels, heart rate, and blood pressure during the procedure.MethodsPubMed, Embase, and Scopus were searched to identify studies of interest. Inclusion criteria included studies reporting using music therapy in either cerebral, coronary, or peripheral angiography. Studies focused on a pediatric population; animal studies and case reports were excluded. Participant demographics, interventions, and outcomes were collected by two study authors. Bias and study quality of randomized controlled trials (RCTs) were assessed using the Cochrane Risk of Bias Tool. Separate meta-analyses of the RCTs were performed to compare State Trait Anxiety Inventory (STAI), heart rate (HR), and systolic and diastolic blood pressure (SBP and DBP) in the music intervention group versus control group. Heterogeneity was determined by calculating I2 values, and a random-effects model was used when heterogeneity exceeded 50%.ResultsThe preprocedure to postprocedure improvement in STAI was significantly greater in the experimental group than the control group (p=0.004), while the decrease in HR, SBP, and DBP was not significant.ConclusionsRecorded music and/or music therapy in angiography significantly decreases patients’ anxiety levels, while it has little to no effect on HR and BP. This meta-analysis is limited by the relatively few RCTs published on this subject.PROSPERO registration numberCRD42018099103
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21
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Wang Z, An G, Zhang W, Yang G. The effect of jazz dance on physical and mental health of students with different physical fitness. J Sports Med Phys Fitness 2018; 59:880-885. [PMID: 29952176 DOI: 10.23736/s0022-4707.18.08025-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND The physical and mental health of college students tends to continuously decline worldwide. Thus, improving their health is necessary. Jazz dance may be one of the effective exercises to improve one's health. However, the effect of jazz dance exercise on different physical fitness level and whether the intensity of jazz dance exercises can improve physical and mental health simultaneously and efficiently need to be investigated. In this study, we systematically assessed the effect of jazz dance on physical and mental health of college students by a rigorous randomized, parallel-controlled design. METHODS An experimental study including 90 Chinese female college students (junior and senior) was performed. They completed an 8-week jazz dance class (two times/week for 70 min per session). Data on psychological status were obtained using the Subjective Exercise Experiences Scale after every class. Based on the Japanese national physical fitness test method, we identified the body weight and Body Mass Index and the students performed 30-s sit ups, standing long jump, 20s repeated across the body, and seated forward flexion to determine their physical fitness at baseline and after 8 weeks. Repeated measures analyses of variance and paired samples t-tests were used to compare the means of the participants' data. RESULTS Differences in the mean of mental health scores over time were significant and showed an increasing trend (P<0.005) in all groups. Physical fitness showed an increasing trend in the low fitness level group. Most of the variables decreased slightly in the high fitness level group; however, flexibility significantly decreased. CONCLUSIONS Among the participants with different physical fitness, a similar training has different training effects. This study demonstrates that appropriate training intensity and content are vital to improve physical and mental health.
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Affiliation(s)
- Ziheng Wang
- Chinese Center of Exercise Epidemiology, Northeast Normal University, Changchun, China
| | - Guanghui An
- Chinese Center of Exercise Epidemiology, Northeast Normal University, Changchun, China
| | - Wanting Zhang
- School of Humanities and Law, Dalian University of Technology, Dalian, China
| | - Guang Yang
- Chinese Center of Exercise Epidemiology, Northeast Normal University, Changchun, China -
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