Skip to main content
Top
Published in: Perioperative Medicine 1/2017

Open Access 01-12-2017 | Research

The effect of natural sounds on the anxiety of patients undergoing coronary artery bypass graft surgery

Authors: Mohammad Javad Amiri, Tabandeh Sadeghi, Tayebeh Negahban Bonabi

Published in: Perioperative Medicine | Issue 1/2017

Login to get access

Abstract

Background

This study aims to investigate the effect of natural sounds on the anxiety of patients undergoing coronary artery bypass graft surgery (CABG).

Methods

In this clinical trial, 90 patients, who were candidates for CABG in an urban area of Iran, were selected and randomly assigned to intervention and control groups by the minimization method. In the intervention group, natural sounds were broadcast through headphones for 30 min. In the control group, headphones connected to a silent device were used. The research instruments were a demographic questionnaire and the Spielberger State-Trait Anxiety Inventory (STAI). These were used before the intervention, 30 min after the music, and before the surgery in the waiting room for both groups. Data was analyzed using SPSS software.

Results

The mean anxiety level of the intervention group has been found to be significantly lower than that of the control group half an hour after the intervention as well as in the waiting room in the preoperative period (p = 0.001). Moreover, the mean anxiety of the intervention group decreases, while it increases for the control group over time (p < 0.001).

Conclusion

Natural sounds can be used as a non-pharmacological way to reduce the anxiety of patients undergoing CABG.

Trial registration

IRCT2017011723190​N3, Registered 1 March 2017.
Literature
go back to reference Aghai B, Rejeh N, Heravi-Karimooi M, Ebadi A, Moradian T, Vaismoradi M, Jasper M. Effect of nature-based sound therapy on agitation and anxiety in coronary artery bypass graft patients during the weaning of mechanical ventilation: a randomized clinical trial. Int J Nurs Stud. 2014;51(4):526–38.CrossRef Aghai B, Rejeh N, Heravi-Karimooi M, Ebadi A, Moradian T, Vaismoradi M, Jasper M. Effect of nature-based sound therapy on agitation and anxiety in coronary artery bypass graft patients during the weaning of mechanical ventilation: a randomized clinical trial. Int J Nurs Stud. 2014;51(4):526–38.CrossRef
go back to reference Bradt J, Dileo C, Potvin N. Music for stress and anxiety reduction in coronary heart disease patients. Cochrane Database Syst Rev. 2013;28(12):1–77. Bradt J, Dileo C, Potvin N. Music for stress and anxiety reduction in coronary heart disease patients. Cochrane Database Syst Rev. 2013;28(12):1–77.
go back to reference Chang MY, Chen CH, Hauang KF. Effect of music therapy on psychological health of women during pregnancy. J Clin Nurs. 2008;17(19):2580–7.CrossRefPubMed Chang MY, Chen CH, Hauang KF. Effect of music therapy on psychological health of women during pregnancy. J Clin Nurs. 2008;17(19):2580–7.CrossRefPubMed
go back to reference Dehghani H, Dehghani K, Nasiriani K, Banaderakhshan H. The effect of familiarization with cardiac surgery process on the anxiety of patients undergoing coronary artery bypass graft surgery. Mod Care J. 2013;10(4):257–63. Dehghani H, Dehghani K, Nasiriani K, Banaderakhshan H. The effect of familiarization with cardiac surgery process on the anxiety of patients undergoing coronary artery bypass graft surgery. Mod Care J. 2013;10(4):257–63.
go back to reference Dileo C. Effect of music and music therapy on medical patients: a meta-analysis of the research and implications for the future. J Soc Integr Oncol. 2006;4(2):67–70.CrossRefPubMed Dileo C. Effect of music and music therapy on medical patients: a meta-analysis of the research and implications for the future. J Soc Integr Oncol. 2006;4(2):67–70.CrossRefPubMed
go back to reference Ebneshahidi A, Mohseni M. The effect of patient-selected music on early postoperative pain, anxiety, and hemodynamic profile in cesarean section surgery. J Altern Complement Med. 2008;14(7):827–31.CrossRefPubMed Ebneshahidi A, Mohseni M. The effect of patient-selected music on early postoperative pain, anxiety, and hemodynamic profile in cesarean section surgery. J Altern Complement Med. 2008;14(7):827–31.CrossRefPubMed
go back to reference Fredriksson A, Hellstrom L, Nilsson U. Patients’ perception of music versus ordinary sound in a post anaesthesia care unit: a randomized crossover trial. Intensive Crit Care Nurs. 2009;25(4):208–13.CrossRefPubMed Fredriksson A, Hellstrom L, Nilsson U. Patients’ perception of music versus ordinary sound in a post anaesthesia care unit: a randomized crossover trial. Intensive Crit Care Nurs. 2009;25(4):208–13.CrossRefPubMed
go back to reference Han L, Li JP, Sit JW, Chung L, Jiao ZY, Ma WG. Effects of music intervention on physiological stress response and anxiety level of mechanically ventilated patients in China: a randomized controlled trial. J Clin Nurs. 2010;19(7-8):978–87.CrossRefPubMed Han L, Li JP, Sit JW, Chung L, Jiao ZY, Ma WG. Effects of music intervention on physiological stress response and anxiety level of mechanically ventilated patients in China: a randomized controlled trial. J Clin Nurs. 2010;19(7-8):978–87.CrossRefPubMed
go back to reference Kipnis G, Tabak N, Koton S. Background music playback in the preoperative setting: does it reduce the level of preoperative anxiety among candidates for elective surgery? J Perianesth Nurs. 2016;31(3):209–16.CrossRefPubMed Kipnis G, Tabak N, Koton S. Background music playback in the preoperative setting: does it reduce the level of preoperative anxiety among candidates for elective surgery? J Perianesth Nurs. 2016;31(3):209–16.CrossRefPubMed
go back to reference Krannich JH, Weyers P, Lueger S, Herzog M, Bohrer T, Elert O. Presence of depression and anxiety before and after coronary artery bypass graft surgery and their relationship to age. BMC Psychiatry. 2007;12(7):47.CrossRef Krannich JH, Weyers P, Lueger S, Herzog M, Bohrer T, Elert O. Presence of depression and anxiety before and after coronary artery bypass graft surgery and their relationship to age. BMC Psychiatry. 2007;12(7):47.CrossRef
go back to reference Lee KC, Chao YH, Yiin JJ, Chao YF. Effectiveness of different music-playing devices for reducing preoperative anxiety: a clinical control study. Int J Nurs Stud. 2011;48(110):1180–7.CrossRefPubMed Lee KC, Chao YH, Yiin JJ, Chao YF. Effectiveness of different music-playing devices for reducing preoperative anxiety: a clinical control study. Int J Nurs Stud. 2011;48(110):1180–7.CrossRefPubMed
go back to reference Maeyama A, Kodaka M, Miyao H. Effect of the music-therapy under spinal anesthesia. Masui. 2009;58(6):684–91.PubMed Maeyama A, Kodaka M, Miyao H. Effect of the music-therapy under spinal anesthesia. Masui. 2009;58(6):684–91.PubMed
go back to reference Mahram B. [Spielberger Test Standardization in Mashhad (Persian)]. MA Thesis. Tehran: Allameh Tabatabaei University; 1995. Mahram B. [Spielberger Test Standardization in Mashhad (Persian)]. MA Thesis. Tehran: Allameh Tabatabaei University; 1995.
go back to reference McClurkin S, Smith C. Duration of self-selected music needed to reduce preoperative anxiety. J Perianesth Nurs. 2016;31(3):196–208.CrossRefPubMed McClurkin S, Smith C. Duration of self-selected music needed to reduce preoperative anxiety. J Perianesth Nurs. 2016;31(3):196–208.CrossRefPubMed
go back to reference Mirbagher N, Aghajani M, Shahshahani M. The effect of music and holly Quran on patients’ anxiety and vital signs before abdominal surgeries. Evid Based Care J. 2011;1(1):63–76. Mirbagher N, Aghajani M, Shahshahani M. The effect of music and holly Quran on patients’ anxiety and vital signs before abdominal surgeries. Evid Based Care J. 2011;1(1):63–76.
go back to reference Motahedian E, Movahhedi Rad S, Lak M, Hajizadeh E. The effect of music therapy on anxiety and physiological variables in patients under spinal anesthesia. J Appl Environ Biol Sci. 2014;4(4):240–6. Motahedian E, Movahhedi Rad S, Lak M, Hajizadeh E. The effect of music therapy on anxiety and physiological variables in patients under spinal anesthesia. J Appl Environ Biol Sci. 2014;4(4):240–6.
go back to reference Navarro MA, Fernandez BM, Alegre VC, Oroz AM. Preoperative mood disorders in patients undergoing cardiac surgery: risk factors and postoperative morbidity in the intensive care unit. Rev Esp Cardiol. 2011;64(11):1005–10.CrossRef Navarro MA, Fernandez BM, Alegre VC, Oroz AM. Preoperative mood disorders in patients undergoing cardiac surgery: risk factors and postoperative morbidity in the intensive care unit. Rev Esp Cardiol. 2011;64(11):1005–10.CrossRef
go back to reference Nilsson U, Lindell L, Eriksson A, Kellerth T. The effect of music intervention in relation to gender during coronary angiographic procedures: a randomized clinical trial. Eur J Cardiovasc Nurs. 2009;8(3):200–6.CrossRefPubMed Nilsson U, Lindell L, Eriksson A, Kellerth T. The effect of music intervention in relation to gender during coronary angiographic procedures: a randomized clinical trial. Eur J Cardiovasc Nurs. 2009;8(3):200–6.CrossRefPubMed
go back to reference Padamanabhan R, Hildreth AJ, Lawa D. A prospective, randomized, controlled study examining binaural beat audio and pre-operative anxiety in patients undergoing general anaesthesia for day case surgery. Anaesthesia. 2005;60(9):874–7.CrossRef Padamanabhan R, Hildreth AJ, Lawa D. A prospective, randomized, controlled study examining binaural beat audio and pre-operative anxiety in patients undergoing general anaesthesia for day case surgery. Anaesthesia. 2005;60(9):874–7.CrossRef
go back to reference Pandis N, Switzerland B, Greece C. Randomization. Part 2: minimization. Am J Orthod Dentofacial Orthop. 2011;140:902–4.CrossRefPubMed Pandis N, Switzerland B, Greece C. Randomization. Part 2: minimization. Am J Orthod Dentofacial Orthop. 2011;140:902–4.CrossRefPubMed
go back to reference Rezaie H, Sadeghi T, Abdoli F. The effects of scheduled visitation on the physiological indices of conscious patients admitted at intensive care units. Evid Based Care J. 2016;5(4):33–40. Rezaie H, Sadeghi T, Abdoli F. The effects of scheduled visitation on the physiological indices of conscious patients admitted at intensive care units. Evid Based Care J. 2016;5(4):33–40.
go back to reference Sahmoddini MA, Zamani Lari M, Rahimian MN, Danayi L, Beigi N, Habibi H. The effect of listening to the Quran on serum cortisol and anxiety in primiparous women during the first stage of labor. Iran J Obstet Gynecol Infertility. 2014;17(99):1–7. Sahmoddini MA, Zamani Lari M, Rahimian MN, Danayi L, Beigi N, Habibi H. The effect of listening to the Quran on serum cortisol and anxiety in primiparous women during the first stage of labor. Iran J Obstet Gynecol Infertility. 2014;17(99):1–7.
go back to reference Sendelbach SE, Halm MA, Doran KA, Miller EH, Gaillard P. Effects of music therapy on physiological and psychological outcomes for patients undergoing cardiac surgery. J Cardiovasc Nurs. 2006;21(3):194–200.CrossRefPubMed Sendelbach SE, Halm MA, Doran KA, Miller EH, Gaillard P. Effects of music therapy on physiological and psychological outcomes for patients undergoing cardiac surgery. J Cardiovasc Nurs. 2006;21(3):194–200.CrossRefPubMed
go back to reference Shojaee A, Nehrir B, Naderi N, Zareyan A. Comparison of patient education and follow up by nurse on anxiety in heart failure patients. Med Surg Nurs J. 2014;3(1):52–60. Shojaee A, Nehrir B, Naderi N, Zareyan A. Comparison of patient education and follow up by nurse on anxiety in heart failure patients. Med Surg Nurs J. 2014;3(1):52–60.
go back to reference Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Brunner & Suddarth's textbook of medical-surgical nursing. 12th ed. London: Lippincott Williams & Wilkins; 2012. P: 284. Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Brunner & Suddarth's textbook of medical-surgical nursing. 12th ed. London: Lippincott Williams & Wilkins; 2012. P: 284.
go back to reference Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA. Manual for the state-trait anxiety inventory. Palo Alto: Consulting Psychologists Press; 1983. Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA. Manual for the state-trait anxiety inventory. Palo Alto: Consulting Psychologists Press; 1983.
go back to reference Stein A. Available at: URL: http://dl.vmusic.ir/New%20Age/Dr.%20Arnd%20Stein%20-%20Sounds%20Of%20Nature%20. (2011). Accessed 12 Nov 2016. Stein A. Available at: URL: http://​dl.​vmusic.​ir/​New%20Age/Dr.%20Arnd%20Stein%20-%20Sounds%20Of%20Nature%20. (2011). Accessed 12 Nov 2016.
go back to reference Thompson M, Moe K, Lewis P. The effects of music on diminishing anxiety among preoperative patients. J Radiol Nurs. 2014;33(4):199–202.CrossRef Thompson M, Moe K, Lewis P. The effects of music on diminishing anxiety among preoperative patients. J Radiol Nurs. 2014;33(4):199–202.CrossRef
Metadata
Title
The effect of natural sounds on the anxiety of patients undergoing coronary artery bypass graft surgery
Authors
Mohammad Javad Amiri
Tabandeh Sadeghi
Tayebeh Negahban Bonabi
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Perioperative Medicine / Issue 1/2017
Electronic ISSN: 2047-0525
DOI
https://doi.org/10.1186/s13741-017-0074-3

Other articles of this Issue 1/2017

Perioperative Medicine 1/2017 Go to the issue