The Effect of Music Therapy on Chest Tube Removal Pain in Patients Undergoing Heart Bypasses Surgery

Chest Tube Removal (CTR) is deemed as a painful procedure that may not respond well to palliative therapies and there is no selected and recommended procedure and guideline to manage CTR pain. This study is intended to examine effect of music therapy on reducing pain during and after CTR. This study is a randomized clinical trial with a control group and which has been conducted on 90 hospitalized patients under heart bypass surgery inintensive care units where they had at least a pleural chest tube. Patients were divided randomly into two groups so that there were 45 participants in each group. Music was played for the patient by headphone in Group-A from 15 minutes before until 15 minutes after CTR and only usual interventions were executed for chest tube removal in the Group-B. The pain severity was measured in two groups before, during and 15 minutes after chest tube removal by visual analogue scale. ANOVA with repeated measures test were employed for data analysis. There was no statistically significant difference in the baseline pain score among the study groups (P=0.53). There was nostatistical significant difference between scores of pain severity during chest tube removal among music group (4.93±1.06) and control group (4.73±1.08) (P=0.36). There was no statistical significant difference between scores of pain severity 15 minutes after chest tube removal between two groups (P=0.31). Music therapyas non-pharmacological intervention dose not effect on the pain relief caused by CTR.