Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

Effects of Relaxing Music on Stress Response of Patients with Acute Myocardial Infarction

이완음악이 급성 심근경색증 환자의 스트레스 반응에 미치는 효과

  • Published : 2003.10.01
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to determine whether a relaxing music was effective in reducing stress response of patients admitted to a coronary care unit with the diagnosis of acute myocardial infarction. Method: The research design was the chosen convenience sample of a randomized control group pre-posttest quasi-experimental design. Forty patients, 20 for an experimental group and another 20 for control group. The study was to provide the patients three different kinds of relaxing music. The experimental group listened to relaxing music for a 20-minute one time a day for 3days. The control group was just provided with a 20-minute period of rest. Test for hypothesis was done by repeated measured ANOV A. Result: The experimental group which received relaxing music showed a significantly lower level of electrodermal response, myocardial oxygen consumption and respiration rate, and a higher level of peripheral skin temperature than the control group. The experimental group which received relaxing music showed a significant reduction in state anxiety than the control group. Conclusion: The results showed that relaxing music is an effective nursing intervention for reducing physiologic and psychologic stress response of the patients with acute myocardial infarction in a critical intensive care unit.

Keywords

References

  1. Allen, K., & Blascovich, J. (1994). Effects of music on cardiovascular reactivity among surgeons. JAMA, 272(11), 882-884
  2. Amsterdam, E. A., Hughes, J. L., DeMaria, A. N., Zelis, R., & Mason, D. T. (1974). Indirect assessment of myocardial oxygen consumption in the evaluation of mechanism and therapy of angina pectoris. Am J Cardiol, 33, 737-743 https://doi.org/10.1016/0002-9149(74)90214-8
  3. Barnason, S., Zimmerman, L., & Nieveen, J. (1995). The effect of music interventions on anxiety in the patients after coronary artery bypass grafting. Heart Lung, 24(2), 124-132
  4. Bolwerk, C. L. (1990). Effects of relaxing music on state anxiety in myocardial infarction patients. Crit Care Nurs Q, 13, 63-72
  5. Brody, R. (1984). Music medicine. Omni, 6(24), 110
  6. Elliott, D. (1994). The effects of music and muscle relaxation on patient anxiety in a coronary care unit. Heart Lung, 23(1), 27-35
  7. Gaston, E. T. (1968). Music therapy. New York: MacMillan
  8. Guzzetta, C. E. (1989). Effects of relaxation and music therapy on patients in a coronary care unit with presumptive acute myocardial infarction. Heart Lung, 18, 609-616
  9. Kang, M. S. (1999). Deducing coronary artery disease anxiety through musical therapy and providing information. Master's thesis, Keimyung University, Daegu
  10. Kim, K. S. (1990). The effect of preparatory information on stress reduction in patients undergoing cardiac catheterization. Doctoral dissertation, Seoul National University, Seoul
  11. Kim, J. T., & Shin, D. K. (1978). A study based on standardization of the STAI for Korea. The Newest Medical Science, 21, 69-75
  12. Kim, S. A. (1987). Effects of relaxation informativeness up on the anxiety level of adult patients with cardiac catheterization. J Korean Acad Nurs, 17(2), 110-115
  13. Kong, E. H. (1999). The effect of relaxing music on the agitation of nursing home residents with dementia. Master's thesis, Seoul National University, Seoul
  14. Korea National Statistical Office (2001). Annual report on the cause of death statistics
  15. Lee, H. R. (1998). The effect of phase 1 cardiac rehabilitation nursing care on knowledge, anxiety and self-care behavior in patients with acute myocardial infarction. Master's thesis, Keimyung University, Daegu
  16. Lee, E. O., Lee, E. J., Lee, E. H., Chun, K. Z., Kim, J. H., Park, C. S., Lee, B. S., & Jung, M. S. (1992). Analysis of studies of anxiety and stress conducted in Korea from 1970 to 1990. J Korean Acad Nurs, 22(3), 271-295
  17. Park, K G. (1995). Music therapy for happiness. Seoul : Vissem
  18. Park, Y. O. (1993). Admission experiences of patients with cardiovascular disease in CCU. Master's thesis, Yonsei University, Seoul
  19. Pollock, S. E. (1986). Human response to chronic illness: physiologic and psychosocial adaptation. Nur Res., 35, 90-95
  20. Schwartz, P. J., LaRovere, M. T., & Vanoli, E. (1992). Autonomic nerve system and sudden cardiac death: experimental basis and clinical observations for post-myocardial infarction risk stratification. Circulation, 85, I -77- I-91
  21. Spielberger, C. D. (1975). Anxiety : State-trait process. New York : John Willy and Sons Inc
  22. Stern, T. A. (1987). Psychiatric management of acute myocardial infarction in the coronary care unit, Am J Cardiol, 60, 59J-67J
  23. Suh, Y. O. (1995). Structural model of health-promoting lifestyle in midlife women. Doctorial dissertation, Kyung Hee University, Seoul
  24. Updike, P. (1990). Music therapy results for ICU patients. Dimens Crit Care Nurs, 9(1), 39-45
  25. Vetter, N., & Cay, E., Philip, A., & Strange, R. (1977). Anxiety on admission to rhythms and attentiveness. Journal of Research in Music Education, 23, 3-13
  26. Weber, S. (1999). Music: a means of comfort. In D. Aldridge(Ed): Music therapy in palliative care: new voices. London : Jessica Kingsley Publishers
  27. White, J. M. (1991). Music therapy: A means of reducing anxiety in the myocardial infarction patient. Wisconsin Medical Journal, 90, 434-437
  28. White, J. M. (1992). Music therapy : An intervention to reduce anxiety in the myocardial infarction patients. Clinical Nurse Specialist, 5, 58-63
  29. White, J. M. (1996). Effects of relaxing music on cardiac autonomic balance and anxiety after acute myocardial infarction. Doctoral dissertation, University of Wisconsin- Milwaukee, Wisconsin
  30. White, J. M. (1999). Effects of relaxing music on cardiac autonomic balance and anxiety after acute myocardial infarction. Am J Crit Care, 8(4), 220-230
  31. Zimmerman, L. M., Pierson, M. A., & Marker, J. (1988). Effects of music on patient anxiety in the coronary care units. Heart Lung, 17(5), 560-566