Effectiveness of music in pain relief during the femoral arterial introductor withdrawal after cardiac catheterism: randomized clinical trial
Music Therapy; Pain Management; Cardiac Catheterization; Endovascular Procedures; Nursing Care.
Cardiac catheterization is an invasive exam with the purpose of evaluating the functioning of the valves, cardiac muscle and obstructions of the coronary arteries, which can lead to complications such as pain. Considered a personal experience, the individual's pain report should be respected for influencing biopsychosocial factors that affect individual well-eing. Therefore, measuring pain intensity through scales is essential for thinking about analgesia strategies. In this sense, music has been used in pain management for its distraction capacity, inducing emotions such as joy and pleasure, mood modulation, increased relaxation and decreased anxiety, in addition to affecting areas responsible for pain processing. This study aims to evaluate the effectiveness of music in relieving pain during arterial sheath removal via the femoral route after cardiac catheterization. This is a randomized controlled, double-blind clinical trial to be carried out in accordance with the guidelines of the Consolidated Standards of Reporting Trials (CONSORT). It will be developed in the hemodynamics of the University Hospital Onofre Lopes, with a probabilistic, random and simple sample of 68 participants divided equally into the following groups: Control Group (CG) and Experimental Group. The randomization of these will be guaranteed through the website "Research Randomizer". The control group will consist of patients who had the need to undergo cardiac catheterization, will receive the industry standard care and application of headphones without transmission of any music for the removal of the arterial introducer via the femoral route at the appropriate time. The experimental group, on the other hand, will receive the intervention through headphones with the patient's musical preference, in order to verify its effectiveness in relieving pain during removal of the arterial introducer via the femoral artery. A form will be used to collect the patient's sociodemographic data and musical preference, another form to collect clinical data such as the presence of comorbidities and the patient's vital signs before, during and after the intervention. Two scales will also be applied to assess pain intensity, namely: Visual Analog Scale and Visual Numerical Scale. This study will be submitted for evaluation by the Research Ethics Committee (CEP) of UFRN. In case of receiving a favorable opinion, it will be forwarded to the Teaching and Research Management of the University Hospital Onofre Lopes. This study can contribute to greater humanization of care, offering greater comfort during the performance of a painful procedure, with the possibility of improving the individual experience, assisting in the patient's recovery process and promoting user satisfaction with the service and assistance provided.