The Effect of Music on Anxiety Levels and Sleep Quality in Patients Who Have a Myocardial Infarction

NCT07454434 | Not Yet Recruiting

• 2 other identifiers: MersinUniversitGülay Altun Ugras
• Study Type: interventional
• Target: 64
• Locations: 0 countries
• Sites: N/A

Brief Summary

Music therapy is a non-invasive method with no side effects and can be administered independently by a nurse. Nevertheless, it should be noted that music therapy can be discontinued if any adverse effects are experienced by patients during the research process. After completing the music listening session, eye masks and earplugs, which are effective in reducing sleep problems in patients, will be applied from 11:00 p.m. to 7:00 a.m. All patients will be asked to complete the DAÖ at 10:00 PM and 10:30 PM. The RCUÖ will be requested to be completed by all patients between 8:00 AM and 9:00 AM the following morning.

Conditions

Sleep Quality; Anxiety

Keywords

music listening; nursing; sleep; anxiety

Outcome Measures

Primary Outcomes (1)

• Participants' anxiety levels

  In this study, the State-Trait Anxiety Inventory (STAI) developed by Spielberger and colleagues will be used to measure feelings experienced at the moment. The adaptation of the State-Trait Anxiety Inventory into Turkish, as well as its validity and reliability studies, were conducted by Öner and Le Comte. The scale consists of the SSI, which determines how an individual feels at a particular moment and under specific conditions, and the State Anxiety Scale (SAS), which determines how an individual feels regardless of their current situation and conditions. State anxiety is the fear felt by an individual due to stressful situations they are in and is an indicator of the individual's feelings of tension and unease . The response options in the SSI are grouped into four classes: (1) Not at all, (2) A little, (3) Very much, and (4) Completely. There are two types of statements in the SAD. These are (1) direct or straightforward and (2) reverse statements.

  Within the State Anxiety Scale framework, the study group will receive 30 minutes of music at 22:00 on their first night in the Coronary Intensive Care Unit, alongside routine care, via wireless Bluetooth headphones under researcher supervision.

Secondary Outcomes (1)

• Sleep Quality

  The Richard-Campbell Sleep Questionnaire will be administered to all patients between 08:00 and 09:00 on the morning following their first night of hospitalization.

Study Arms (2)

Control

NO INTERVENTION

Control Group: Patients in the control group will receive routine treatment and care in the coronary care unit (CCU). Patients with MI are admitted to the coronary care unit from the emergency department and the cardiology outpatient clinic. In patients admitted to the care unit, preparations are made for percutaneous coronary intervention (PCI) and admission procedures by evaluating electrocardiography (ECG), blood parameters (CK-MB and Troponin), and pain symptoms. These preparations include obtaining the patient's medical history and necessary consent, establishing an intravenous line, measuring and monitoring vital signs, and recording the ECG and adding it to the file. In patients undergoing PCI, the femoral sheath is not removed for four hours due to the heparin infusion administered. After the femoral sheath is removed by the physician, pressure dressing is applied to the procedure site and a sandbag is placed to control bleeding for six hours. During this time, patients are pl

Music Group

EXPERIMENTAL

Patients included in the study group will be played music at 10:00 PM on their first night in the Coronary Care Unit (CCU) for 30 minutes using wireless Bluetooth headphones (JBL TUNE 520BT, Harman International Industries, USA) by the researcher (MY), in addition to the clinic's routine treatment and care practices. The volume of the music will be adjusted according to the patient's preference. Patients in the study will listen to the CD "Music and Health Series: Tümata-Receptive \& Meditative Uşşak Mode" from the Turkish Music Research and Promotion Association (TÜMATA), which is said to provide calmness and relaxation and has previously been shown to be effective in reducing preoperative anxiety . The Uşşak mode has a tempo of 60-80 beats per minute and provides relaxation by calming the heart . The CD used contains an instrumental piece without lyrics in the Uşşak mode, which fits the definition of "sedative music" . The piece features improvisation based on rhythm

Other: Music intervention

Interventions

Music intervention OTHER

Music therapy is a non-invasive method with no side effects and can be administered independently by a nurse. However, it should be noted that music therapy may be discontinued if any adverse effects are observed in patients during the research process. After completing the music therapy, eye masks and earplugs , which are effective in reducing sleep problems in patients, will be applied from 11:00 p.m. to 7:00 a.m.

Music Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Admitted to the coronary care unit with a diagnosis of MI,
• Aged 18 years or older,
• Conscious, oriented, and cooperative,
• Able to read and understand Turkish,
• Agreeing to participate in the study,
• Having no physical condition that would prevent listening to music,
• Having no diagnosis of hearing loss,
• Not using a hearing aid,
• Having no diagnosis of anxiety disorder,
• Not diagnosed with a sleep disorder,
• Not taking medication for anxiety or sleep disorders,
• Without mental illness,
• With a State Anxiety Scale (SAS) total score of 60 or below,
• Who agree to participate in the study (by signing the Informed Consent Form) will be included.

You may not qualify if:

• Admitted to the coronary care unit (CCU) for reasons other than MI diagnosis,
• Under 18 years of age,
• Unconscious, disoriented, and uncooperative,
• Unable to read and understand Turkish,
• Refusing to participate in the study,
• Having a physical condition that prevents listening to music,
• Diagnosed with hearing loss,
• Using a hearing aid,
• Diagnosed with an anxiety disorder or taking medication for anxiety,
• Diagnosed with a sleep disorder or taking medication for a sleep disorder,
• With a mental disorder,
• With a State Anxiety Scale (SAS) total score of 60 or above,
• Patients who do not agree to participate in the study (who do not sign the Informed Consent Form) will not be included in the study.

Sponsors & Collaborators

• Mersin University: lead

MeSH Terms

Conditions

Sleep Initiation and Maintenance Disorders; Anxiety Disorders

Condition Hierarchy (Ancestors)

Sleep Disorders, Intrinsic; Dyssomnias; Sleep Wake Disorders; Nervous System Diseases; Mental Disorders

Central Study Contacts

Meryem YEŞİL, Master Degree

CONTACT

05074373163; meryemsag@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Randomized Group Assignment and Blinding The total of 64 patients (32 control, 32 intervention group) in the sample group determined by randomization will be divided into groups A and B created by the same statistician in a computer environment. The outcome of the draw will determine whether group A or group B will be the study or control group at the beginning of the study. Information indicating that the patients included in the study sample have been assigned to groups A and B according to the randomization table (Appendix 1) will be placed in an opaque envelope. This envelope will be kept by the advisor (GAU), and when the researcher (MY) goes to the patient for the application, he/she will open the envelope after filling out the "Informed Consent Form" to find out which group the patient belongs to. The researcher will be blinded to the group assignment. Since the patients in the study group included in the research will be listening to music, the patients and the researcher (MY)
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: graduate student

Model Details: Single blind

Study Record Dates

• First Submitted: December 10, 2025
• First Posted: March 6, 2026
• Study Start: February 23, 2026
• Primary Completion: March 15, 2026
• Study Completion (Estimated): August 30, 2026
• Last Updated: March 6, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share