The Effect of Music on Anxiety and Vasospasm in Patients Undergoing Transradial Angiography

Status: Recruiting
Location: See location...
Intervention Type: Device
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Cardiovascular diseases are among the most significant health issues threatening human well-being, representing the leading cause of mortality and morbidity worldwide and in our country among non-communicable diseases. In Turkey, 33.4% of deaths are attributed to circulatory system diseases and ischemic heart diseases, with coronary artery disease (CAD) being the most common cause. The most frequently applied and accurate invasive diagnostic method for diagnosing CAD is coronary angiography. Coronary angiography, still regarded as the gold standard today, is a diagnostic procedure that visualizes the heart's blood vessels using contrast media. This procedure can be performed via the femoral, brachial, radial, or axillary arteries. In the past, coronary interventional procedures were commonly performed through the femoral artery. However, following the 2017 European Society of Cardiology (ESC) guidelines on ST-segment elevation myocardial infarction (STEMI) management, the radial artery has become the preferred route due to its lower risk of bleeding and shorter hospital stays. Coronary angiography is performed in a sterile environment while the patient is awake. Due to its invasive nature and the involvement of a vital organ, coronary angiography can evoke anxiety and fear of death in patients. Factors contributing to this include uncertainty about the procedure, unfamiliarity with the environment, communication with unknown personnel, exposure to medical terminology, and unusual sounds in the procedure room. The radial artery is more prone to vasospasm than other vessels used in coronary angiography, due to its smaller diameter and rich smooth muscle content. Local anesthesia is administered at the access site to reduce pain during radial artery interventions. Additionally, anticoagulant and vasodilatory drugs are used to prevent procedure-related vasospasms and thrombotic events. Despite these preventive measures, vasospasm is observed in 4-20% of patients undergoing transradial coronary angiography. Anxiety experienced by patients during the procedure can also contribute to vasospasm in the radial artery. Various invasive and non-invasive interventions, such as listening to music, acupressure, and massage, are frequently employed to reduce patient anxiety. Among these non-invasive methods, providing music during the procedure has gained prominence. Music helps divert patients' attention, enabling them to distance themselves from pain, fear, stress, and anxiety.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: t
View:

• Indication for radial coronary angiography (CA) due to non-acute coronary syndrome (ACS) reasons

• Undergoing coronary angiography for the first time

• Aged 18 years or older

• Conscious, oriented, and cooperative

• Able to read and understand Turkish

• Willing to participate in the study

• Without any physical limitations preventing music listening

• Without a diagnosis of hearing loss

• Not using a hearing aid

• Without a diagnosis of anxiety disorder

• Without any mental health disorders

• Having signed the Voluntary Informed Consent Form.

Locations
Other Locations
Turkey
Mersin Universiy Faculty of Nursing
RECRUITING
Mersin
Contact Information
Primary
Nida YESIL, Graduate Nursing Student
nidaaykusyesil@gmail.com
+90 544 451 1423
Backup
Emrah YESİL, specialist doctor
emrhyesil@gmail.com
+90 505 654 12 73
Time Frame
Start Date: 2024-10-10
Estimated Completion Date: 2025-04-20
Participants
Target number of participants: 90
Treatments
Active_comparator: intervention group
In addition to standard care, patients in the intervention group will listen to music through headphones at a volume adjusted to their preference. The selected music will feature Classical Turkish Music performed on the ney in the Hüseyni maqam, which has been shown in previous studies to promote relaxation.
No_intervention: control group
Patients in the control group will receive standard care, including obtaining informed consent, recording medical history, establishing venous access, measuring vital signs, and performing an ECG. After the procedure, the wrist sheath will be removed, bleeding control will be performed, and the wrist will be dressed with a pressure bandage. Patients without percutaneous coronary intervention will be discharged 6 hours post-procedure, while those with percutaneous coronary intervention will remain under observation for one day.
Sponsors
Leads: Mersin University

This content was sourced from clinicaltrials.gov