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Various Writers • June 19, 2019

Effects of Music on Anxiety in Heart Attack Patients

Music is powerful. The knowledge that music has healing properties and can change moods is not new. Historically, even for thousands of years, music has been found to reduce negative emotions such as fear, anger, and worry, as well as have healing power. Unfortunately, even though there is evidence that music has healing effects, general hospitals do not often use music to help their patients. However, research into music’s beneficial effects is continually growing, and more evidence is being collected. For example, an American study looking at the effects of music on anxiety in heart attack (medically known as myocardial infarction) patients found that music does have a relaxing effect on these patients. [ https://journals.lww.com/ccnq/citation/1990/09000/effects_of_relaxing_music_on_state_anxiety_in.9.aspx ]

The reason this study was conducted is because there is an increasing demand for caregiving creativity, especially to address patients with anxiety. Thus, using music as the creative component, this study aimed to investigate its beneficial effects on patients with anxiety.

Anxiety is a term you may have heard before. The study states that anxiety occurs when a person has feelings of tension, apprehension, nervousness, and worry, and it develops as a response to stress. Stress forms as a result of when a person recognizes a situation, whether it is from their external (i.e. physical) or internal (i.e. psychological) environment, as a danger. This means that when someone believes that a situation is threatening to them, their stress levels increase, leading to their anxiety levels increasing as well.

The researchers specifically looked into heart attack patients because they have been found to experience anxiety when they are hospitalized. Visiting regulations, interrupted sleep, and noises that occur in a hospital unit, all of which are a part of being hospitalized, are some of the factors that may lead to anxiety. The patients’ minds perceive these occurrences in the hospital environment as a threat, leading to the increased stress and anxiety levels. As for the results of the study, it was found that when the anxiety levels of the heart attack patients before and after the study were compared, the researchers found that soft, repetitive music seemed to reduce anxiety. Interestingly, patients who participated in the study reported that they felt a sense of relaxation due to the music, and that they felt less tense. Furthermore, it was determined that when compared to the group that did not listen to music, the anxiety levels of the group members that did listen to music were significantly lower.

In conclusion, from the findings of this study, it is suggested that the caregivers in these situations (i.e. nurses) should integrate the controlled use of music in their caregiving to reduce anxiety levels of such patients. This would create a more patient-centred approach to caregiving, as the music’s controlled use can be individualized by the nurses to their patients. It has been proven time after time that music does, in fact, have healing properties, and should be used in care settings to help patients with their stress and anxiety levels. The study concludes by stating that more research should be done to look at the beneficial effects of music on heart attack patients. For example, improving upon the results of the study by giving patients a choice of music.

Rachel Lee is a 4 th year Bachelor of Health Sciences student at McMaster University. She wrote this blog while completing HTH SCI 3H03 at the Room 217 Foundation.

By Shelley Neal March 8, 2024
I initially trained with MUSIC CARE to work with Seniors in Long Term Care who were experiencing dementia and Alzheimer’s Disease. This is the path I travelled with my mom. My training with Music Care and Room 217 supported capacity building in selecting music that was played on my harp or chosen recorded music. The music centered on the care of the individual and their specific needs. My job was to determine the individual’s specific and select music to address these needs. The music selected helped to build community, support sleep, talk about life experiences, create a background landscape of sound, support connection to decrease isolation and loneliness, as well as coming alongside people dying. My training with Music Care helped me understand how to support people “where they were” physically, emotionally, and spiritually. Through using beat, tempo, melody, and timbre, I could cater the music and desired support required for individuals or small groups. My profession is teaching. I am a special education teacher and use music in my primary teaching as a method for learning, practicing language skills, transmitting information about science studies or math equations, as well as having fun and creating our own songs. My teacher toolkit married exceptionally well with the knowledge and skills provided by the Music Care Certification training. Recently, my work with students has involved individual programming for the medically fragile children and the palliative children. I use music (repeating the chorus several times) to engage and connect with the kiddos. We use music to "talk" about feelings (our communication is through eye gaze, eye blinks, and squeezing hands), and content material. I use music to enjoy our relationship of being together. At times, due to medication for seizures, my little ones can be very sleepy. I increase the tempo, engaging in tapping the beat on her hands and using silly action songs. The giggles and wiggles make it magical. I also use music to tell stories (my students have CVI, cortical vision impairment, so visual perception is difficult). This helps the child to engage in the story arch and adventures. Music is my conduit for reaching out and being with the students. Recently, I had the sacred journey of visiting one of my children in ICU at Sick Kids. I was invited to come to say "goodbye". A dear friend who was an ICU nurse in a different department told me (AKA, insisted) that I bring my harp with me. I wasn't sure if this would be appropriate for the family. However, with the permission of the mom, I bravely packed my harp up and took it to the Unit. It was a beautiful evening of talking with their mom and dad about how special their child was in my life. I played the kiddo's favorite songs and then ended with "The More We Get Together". The little one opened their eyes and stared at me. We hugged, and I left. They passed the next morning. I consider this time to be a sacred gift. Music Care Certification has given me the confidence and toolset to work alongside people and to journey together. It is a time a beautiful, difficult, or sacred time that I have been honoured to participate in.  Thank You
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