Arteriovenous Fistula Dysfunction
Conditions
Keywords
music therapy, percutaneous transluminal angioplasty, pain
Brief summary
This study evaluated the effectiveness of complementary music therapy in reducing pain among hemodialysis patients undergoing percutaneous transluminal angioplasty (PTA) for arteriovenous fistula dysfunction. Participants were assigned to either a music intervention group or a control group. The intervention group listened to self-selected music during the procedure, while the control group received routine care without music. Pain intensity and physiological parameters, including heart rate, respiratory rate, and blood pressure, were assessed to determine the effects of complementary music therapy during PTA.
Interventions
Participants listened to self-selected music at 60-80 beats per minute through over-ear headphones from the beginning to the end of the PTA procedure, in addition to routine care.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients scheduled to undergo percutaneous transluminal angioplasty (PTA) under local anesthesia. 2. Adults aged 18 years or older who are willing to participate and provide written informed consent.
Exclusion criteria
1. Patients with impaired consciousness or inability to express their pain perception. 2. Patients requiring additional anesthesia or sedation during the procedure due to their clinical condition. 3. Patients with hearing impairment or who use hearing aids.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Intensity Measured by the Visual Analog Scale (VAS) | During the PTA procedure, at up to five balloon inflation time points. | Pain intensity was assessed using the Visual Analog Scale (VAS), ranging from 0 to 10, with higher scores indicating greater pain intensity. Pain was assessed during balloon inflation throughout the PTA procedure. |
| Pain Intensity Measured by the Numeric Rating Scale (NRS) | Immediately after completion of the PTA procedure. | Pain intensity was assessed using the Numeric Rating Scale (NRS), ranging from 0 to 10, with higher scores indicating greater pain intensity. After the PTA procedure, participants rated their current pain intensity and retrospectively rated the most and least pain experienced during the procedure. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Heart Rate During the PTA Procedure | Before, during, and immediately after the PTA procedure. | Heart rate was measured in beats per minute (bpm) before, during, and after the PTA procedure. During the procedure, measurements were recorded at up to five balloon inflation time points. |
| Respiratory Rate During the PTA Procedure | Before, during, and immediately after the PTA procedure. | Respiratory rate was measured in breaths per minute before, during, and after the PTA procedure. During the procedure, measurements were recorded at up to five balloon inflation time points. |
| Systolic Blood Pressure During the PTA Procedure | Before, during, and immediately after the PTA procedure. | Systolic blood pressure was measured in mmHg before, during, and after the PTA procedure. During the procedure, measurements were recorded at up to five balloon inflation time points. |
| Diastolic Blood Pressure During the PTA Procedure | Before, during, and immediately after the PTA procedure. | Diastolic blood pressure was measured in mmHg before, during, and after the PTA procedure. During the procedure, measurements were recorded at up to five balloon inflation time points. |
Countries
Taiwan