Anxiety becomes a psychological response when there is an attack and becomes a cause to bad treatment of Acute Coronary Syndrome (ACS) patients. Music therapy interventions to reduce anxiety need to be considered because it has no harmful effects. The study aimed to analyze the influence of gong waning music therapy toward anxiety in patients with ACS in Regional Public Hospital of dr. T.C. Hillers Maumere. The research design was quasi experimental with non-equivalent control group design. The sample was 32 patients divided into 2 groups with 16 patients per group taken by using purposive sampling technique. The intervention was implemented in three days. State Trait Anxiety Inventory (STAI) was used as the instrument of the study. The study used paired t-test, independent sample t-test and repeated anova for data analysis. The study showed that experimental group’s trait anxiety and state anxiety were reduced (p 0.000 and 0.001). There was a difference on anxiety in experimental and control group (p 0.043 and 0.049). There was a bigger decrease of anxiety level in experimental group and it was statistically significant (p 0.000). The findings proved to support intervention of traditional music therapy to reduce anxiety. Nurses should not only focus on physical problems and ignore anxiety. It is hoped that nurses can use music therapy as a non-pharmacological adjunct therapy to help reduce anxiety of ACS patients.
Article Matrics
Abstract views : 572 times
PDF Downloads: 319
Downloads
Download data is not yet available.
References
Abu Ruz, M.E., Lennie, T.A., & Moser, D.K. (2010). Effects of-blockers and anxiety on complication rates after acute myocardial infarction. American Journal of Critical Care, 20(1), 67-74. https://doi.org/10.4037/ajcc2010216
Abu Ruz, M.E., Lennie, T.A., Riegel, B., McKinley, S., Doering, L.V., & Moser, D.K. (2010). Evidence that the brief symptom inventory can be used to measure anxiety quickly and reliably in patients hospitalized for acute myocardial infarction. The Journal of Cardiovascular Nursing, 25(2), 117-123. https://doi.org/10.1097/jcn.0b013e3181b56626
Aggelopoulou, Z., Fotos, N.V., Chatziefstratiou, A.A., Giakoumidakis, K., Elefsiniotis, I., & Brokalaki, H. (2017). The level of anxiety, depression and quality of life among patients with heart failure in Greece. Applied Nursing Research, 34, 52-56. https://doi.org/doi:10.1016/j.apnr.2017.01.003
Alamsah, M.S., Rahayuwati, L., & Purba, C.I.H (2018) The effects of sundanese kacapi suling “ayun ambing†music therapy to the level of anxiety on chronic renal failure patient undergoing hemodialysis. Jurnal Keperawatan Padjadjaran, 6(1). https://doi.org/10.24198/jkp.v6i1.390
Benjamin, E.J., Virani, S.S., Callaway, C.W., Chamberlain, A.M., Chang, A.R., Cheng, S., …, Deo, R. (2018). Heart disease and stroke statistics—2018, Update: A report from the American Heart Association. Circulation, 137(12), e67-e492. https://doi.org/10.1161/cir.0000000000000558
Berbel, P., Moix, J., & Quintana, S (2007). Music versus diazepam to reduce preoperative anxiety: A randomized controlled clinical trial. Revista Espanola de Anestesiologia y Reanimacion, 54(6), 355-358.
Boccara, G., Mazeraud, A., Cassagnol, D., Salluh, J.I.F., Guetin, S., & Marret, E. (2018). A music therapy intervention (MUSIC-CARE) reduced the sedative dose during coronary angioplasty: A control-case comparison clinical study. Revista Brasileira de Terapia Intensiva, 30, S86-S86. https://doi.org/10.47513/mmd.v13i4.811
Bradt, J., Dileo, C., Magill, L., & Teague, A. (2016). Music interventions for improving psychological and physical outcomes in cancer patients. Cochrane Database Syst Rev., 15(8). https://doi.org/10.1002/14651858.cd006911.pub3
Bradley, Palmer, J., Lane, D., Mayo, D., Schluchter, M., & Leeming, R. (2015). Effects of music therapy on anesthesia requirements and anxiety in women undergoing ambulatory breast surgery for cancer diagnosis and treatment: A randomized controlled trial. Journal of Clinical Oncology, 33(28), 3162-3168. https://doi.org/10.1200/jco.2014.59.6049
Bruscia, K. E. (2014). Defining Music Therapy, ePub version. Barcelona Publishers.
Busher, B., & Daniel, . (2016). Madeleine Leininger and the transcultural theory of nursing. The Downtown Review, 2(1).
Celano, C.M., Millstein, R.A., Bedoya, C.A., Healy, B.C., Roest, A.M., & Huffman, J.C. (2015). Association between anxiety and mortality in patients with coronary artery disease: A meta-analysis. American Heart Journal, 170(6), 1105-1115. https://doi.org/10.1016/j.ahj.2015.09.013
Chan, M.Y., Du, X., Eccleston, D., Ma, C., Mohanan, P.P., Ogita, M., …, Jeong, Y.-H. (2016). Acute coronary syndrome in the Asia-Pacific region. International Journal of Cardiology, 202, 861-869. https://doi.org/10.1016/j.ijcard.2015.04.073
Chlan, L.L., Weinert, C.R., Heiderscheit, A., Tracy, M.F., Skaar, D.J., Guttormson, J.L., & Savik, K. (2013). Effects of patient-directed music intervention on anxiety and sedative exposure in critically ill patients receiving mechanical ventilatory support. JAMA, 309(22), 2335-2344. https://doi.org/10.1001/jama.2013.5670
Dahlan, S.M. (2013). Besar sampel dan cara pengambilan sampel. Salemba Medika.
Di Nasso, L., Nizzardo, A., Pace, R., Pierleoni, F., Pagavino, G., & Giuliani, V. (2016). Influences of 432 hz music on the perception of anxiety during endodontic treatment: a randomized controlled clinical trial. Journal of Endodontics, 42(9), 1338-1343. https://doi.org/10.1016/j.joen.2016.05.015
Facai, L., Dehong, H., Nana, H., Yihuang, G., & Yunchuan, W. (2017). Effect of music therapy derived from the five elements in Traditional Chinese Medicine on post-stroke depression. Journal of Traditional Chinese Medicine, 37(5), 675-680. https://doi.org/10.1016/s0254-6272(17)30322-9
Giger, J.N. (2016). Transcultural nursing-e-book: Assessment and intervention: Elsevier Health Sciences.
Good, M., & Ahn, S. (2008). Korean and American music reduces pain in Korean women after gynecologic surgery. Pain Management Nursing, 9(3), 96-103. https://doi.org/10.1016/j.pmn.2008.02.002
Hanser, S.B. (2014). Music therapy in cardiac health care. Cardiology in Review, 22(1), 37-42. https://doi.org/10.1097/crd.0b013e318291c5fc
Hole, J., Hirsch, M., Ball, E., & Meads, C. (2015). Music as an aid for postoperative recovery in adults: A systematic review and meta-analysis. The Lancet, 386(10004), 1659-1671. https://doi.org/10.1016/s0140-6736(15)60169-6
Julian L.J. (2011). Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthritis Care & Research, 63(11), S467-S472. https://doi.org/10.1002/acr.20561
Leal, P.C., Goes, T.C., da Silva, L.C.F., & Teixeira-Silva, F. (2017). Trait vs. state anxiety in different threatening situations. Trends in Psychiatry and Psychotherapy, 39(3), 147-157. https://doi.org/10.1590/2237-6089-2016-0044
Lenze, E.J., Mantella, R.C., Shi, P., Goate, A.M., Nowotny, P., Butters, M.A., …, Rollman, B.L. (2011). Elevated cortisol in older adults with generalized anxiety disorder is reduced by treatment: A placebo-controlled evaluation of escitalopram. American Association for Geriatric Psychiatry, 19(5), 482-490. https://doi.org/10.1097/JGP.0b013e3181ec806c
Loomba, R.S., Arora, R., Shah, P.H., Chandrasekar, S., & Molnar, J. (2012). Effects of music on systolic blood pressure, diastolic blood pressure, and heart rate: A meta-analysis. Indian Heart Journal, 64(3), 309-313. https://doi.org/10.1016/s0019-4832(12)60094-7
Maisyaroh, S.G., Rahayu, U., & Rahayu, S.Y. (2015) Tingkat kecemasan pasien post operasi yang mengalami fraktur ekstremitas. (Anxiety levels of postoperative patients who have extremity fractures). Jurnal Keperawatan Padjadjaran 3(2). https://doi.org/10.24198/jkp.v3i2.103
Meneghetti, C.C., Guidolin, B.L., Zimmermann, P.R., & Sfoggia, A. (2017). Screening for symptoms of anxiety and depression in patients admitted to a university hospital with acute coronary syndrome. Trends in Psychiatry and Psychotherapy, 39(1), 12-18. https://doi.org/10.1590/2237-6089-2016-0004
MiliÄić, D., Brajković, L., MaÄek, J.L., Andrić, A., Ardalić, Z., Buratović, T., & MarÄinko, D. (2016). Type a personality, stress, anxiety and health locus of control in patients with acute myocardial infarction. Psychiatria Danubina, 28(4), pp 409-414.
Ministry of Health of the Republic of Indonesia. (2018). Basic health research. Ministry of Health of the Republic of Indonesia.
Musey, P.I., & Kline, J.A. (2017). Emergency department cardiopulmonary evaluation of low-risk chest pain patients with selfreported stress and anxiety. Journal of Emergency Medicine, 52(3), 273-279. https://doi.org/10.1016/j.jemermed.2016.11.022
Nilsson, U. (2009). The effect of music intervention in stress response to cardiac surgery in a randomized clinical trial. Heart & Lung: The Journal of Acute and Critical Care, 38(3), 201-207. https://doi.org/10.1016/j.hrtlng.2008.07.008
Nuraeni, A., Mirwanti, R., Anna, A., Prawesti, A., & Emaliyawati, E. (2016). Faktor yang memengaruhi kualitas hidup pasien dengan penyakit jantung koroner. (Factors that affect the quality of life of patients with coronary heart disease). Jurnal Keperawatan Padjadjaran, 4(2). https://doi.org/10.24198/jkp.v4i2.231
Ohira, T., & Iso, H. (2013). Cardiovascular disease epidemiology in Asia: An overview. Circ J., 77(7), 1646-52. https://doi.org/10.1253/circj.CJ-13-0702
Okrainec, K., Banerjee, D.K., & Eisenberg, M.J. (2004). Coronary artery disease in the developing world. American Heart Journal, 148(1), 7-15. https://doi.org/10.1016/j.ahj.2003.11.027
Parker, G.B., Owen, C.A., Brotchie, H.L., & Hyett, M.P. (2010). The impact of differing anxiety disorders on outcome following an acute coronary syndrome: time to start worrying?. Depression and Anxiety, 27(3), 302-309. https://doi.org/10.1002/da.20602
Piironen, M., Ukkola, O., Huikuri, H., Havulinna, A.S., Koukkunen, H., Mustonen, J., …, Salomaa, V. (2016). Trends in long-term prognosis after acute coronary syndrome. European Journal of Preventive Cardiology, 24(3), 274-280. https://doi.org/10.1177/2047487316679522
Rahman, A., Santoso, B., & Sudirman. (2017). Effect of hariring kabayan instrumental music therapy on pain and anxiety level in patients with acute myocardial infarction. Belitung Nursing Journal, 4(1), 89-97. https://doi.org/10.33546/bnj.340
Roest, A.M., Martens, E.J., Denollet, J., & de Jonge, P. (2010). Prognostic association of anxiety post myocardial infarction with mortality and new cardiac events: A meta-analysis. Psychosomatic Medicine, 72, 563-569. https://doi.org/10.1097/PSY.0b013e3181dbff97
Roest, A.M., Heideveld, A., Martens, E.J., de Jonge, P., & Denollet, J. (2014). Symptom dimensions of anxiety following myocardial infarction: Associations with depressive symptoms and prognosis. Health Psychology, 33(12), 1468-1476. https://doi.org/10.1037/a0034806
Sanchis-Gomar, F., Perez-Quilis, C., Leischik, R., & Lucia, A. (2016). Epidemiology of coronary heart disease and acute coronary syndrome. Annals of translational medicine, 4(13), 256. https://doi.org/10.21037/atm.2016.06.33
Sastroasmoro, S. (2014). Dasar-dasar metodologi penelitian klinis (Edisi ke-5). (Fundamentals of clinical research methodology (5th Edition)). CV. Sagung Seto.
Spielberger, C.D. (2010). State-trait anxiety inventory. The corsini encyclopedia of psychology. https://doi.org/10.1002/9780470479216.corpsy0943
Supnet, C., Crow, A., Stutzman, S., & Olson, D. (2016). Music as medicine: The therapeutic potential of music for acute stroke patients. Critical Care Nurse, 36(2), e1-e7. https://doi.org/10.4037/ccn2016413
Stern, C. (2013). Music interventions for preoperative anxiety. International Journal of Evidence-Based Healthcare, 11(3), 208-209. https://doi.org/10.1111/1744-1609.12031
Tao, W.-W., Jiang, H., Tao, X.-M., Jiang, P., Sha, L.-Y., & Sun, X.-C. (2016). Effects of acupuncture, tuina, tai chi, qigong, and traditional chinese medicine five-element music therapy on symptom management and quality of life for cancer patients: A meta-analysis. Journal of Pain and Symptom Management, 51(4), 728-747. https://doi.org/10.1016/j.jpainsymman.2015.11.027
Thompson, W.F. (2009). Music, thought, and feeling: Understanding the psychology of music. Oxford University Press.
Toker, E., & Kömürcü, N. (2017). Effect of Turkish classical music on prenatal anxiety and satisfaction: A randomized controlled trial in pregnant women with pre-eclampsia. Complementary Therapies in Medicine, 30, 1-9. https://doi.org/10.1016/j.ctim.2016.11.005
Townsend, N., Wilson, L., Bhatnagar, P., Wickramasinghe, K., Rayner, M., & Nichols, M. (2016). Cardiovascular disease in Europe: Epidemiological update 2016. European Heart Journal, 37(42), 3232-3245. https://doi.org/10.1093/eurheartj/ehw334
Trappe, H. (2010) The effects of music on the cardiovascular system and cardiovascular health. Heart, 96, 1868-1871. http://dx.doi.org/10.1136/hrt.2010.209858
Wan-Nor-Asyikeen, W.A., Siti-Azrin, A.H., Sulong, Z.R., & Hashairi, F.M. (2017). Associated Factors of Anxiety among Acute Coronary Syndrome Patients in Kelantan and Terengganu. Iran J Health Sci., 5(4), 1-9. https://doi.org/10.29252/jhs.5.4.1
Yeo, J.K., Cho, D.Y., Oh, M.M., Park, S.S., & Park, M.G. (2013). Listening to music during cystoscopy decreases anxiety, pain, and dissatisfaction in patients: A pilot randomized controlled trial. Journal of Endourology, 27(4), 459-462. https://doi.org/10.1089/end.2012.0222
Yusli, U.D., & Rachma, N. (2019). Pengaruh pemberian terapi musik gamelan jawa terhadap tingkat kecemasan lansia. (The effect of giving Javanese gamelan music therapy on the level of anxiety in the elderly). Jurnal Perawat Indonesia, 3(1), 72-78. https://doi.org/10.32584/jpi.v3i1.290
Zhou, K.N., Li, X.M., Yan, H., Dang, S.N., & Wang, D.L. Effects of music therapy on depression and duration of hospital stay of breast cancer patients after radical mastectomy. Chinese Medical Journal, 124(15), 2321-2327. https://doi.org/10.3760/cma.j.issn.0366-6999.2011.15.014