The Effect of Music Therapy on Chest Tube Removal Pain in Patients Undergoing Heart Bypasses Surgery

Yarahmadi, Sajad; Gholami, Mohammad; Saki, Mandana; Cheraghi, Tayebeh; Shirzadegan, Razieh

doi:10.22087/ijac.2020.125391

The Effect of Music Therapy on Chest Tube Removal Pain in Patients Undergoing Heart Bypasses Surgery

Document Type : Research

Authors

Sajad Yarahmadi ¹

Mohammad Gholami ¹

Mandana Saki ¹

Tayebeh Cheraghi ²

Razieh Shirzadegan ¹

¹ Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran

² Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran

10.22087/ijac.2020.125391

Abstract

Chest Tube Removal (CTR) is a painful procedure that may not respond well to palliative therapies, and there are no selected and recommended procedures or guidelines to manage CTR pain. This study aimed to examine the effect of music therapy on pain reduction during and after CTR. This study was a randomized clinical trial with a control group that was conducted on 90 hospitalized patients undergoing heart bypass surgery in intensive care units where they had at least one pleural chest tube. Patients were randomly divided into two groups with 45 participants in each group. Music was played for the patient by headphone in Group A from 15 minutes before until 15 minutes after CTR, and only usual interventions were executed for chest tube removal in Group B. The pain severity was measured in two groups before, during and 15 minutes after chest tube removal by visual analogue scale. ANOVA with repeated measures tests was employed for data analysis. There was no statistically significant difference in the baseline pain scores among the study groups (P=0.53). There was no statistically significant difference between pain severity scores during chest tube removal among the music group (4.93±1.06) and the control group (4.73±1.08) (P=0.36). There was no statistically significant difference between the pain severity scores 15 min after chest tube removal between the two groups (P=0.31). Music therapy as a non-pharmacological intervention does not affect the pain relief caused by CTR.

Keywords

Chest tube

Pain

Music therapy

Visual Analog Scale

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