Music therapy combined with motivational interviewing

Abstract

Background: Percutaneous coronary intervention (PCI) is one of the main treatment methods for myocardial infarction (MI). Despite its positive effects, patients often experience different degrees of anxiety and depression after the intervention. Therefore, effectively changing the emotional state of patients with MI during PCI remains a focus of clinical research.

Aim: To assess the effect of music therapy and motivational interviewing in young and middle-aged patients with anxiety and depression after PCI.

Methods: We collected data from January 2022 to December 2023 from 86 young and middle-aged patients with MI after PCI. They were divided into observation and control groups according to the random throwing method. The observation group consisted of 43 patients undergoing music therapy and motivational interviewing, and the control group (43 cases) underwent music therapy and conventional communication. The two groups were then compared on mood status [Chinese Brief Mood Status Scale (POMS)], coping methods [Medical Coping Methods Questionnaire (MCMQ) Chinese version], and healthy lifestyle behaviors [Heart Health Self-Efficacy and Self-Management (HH-SESM) scale].

Results: Two weeks post-intervention, the observation group had lower POMS scores, improved MCMQ scores, and higher HH-SESM scores than the control group (P < 0.05).

Conclusion: The combined intervention of music therapy and motivational interviewing for young and middle-aged patients with anxiety and depression after MI can effectively regulate their mood, reduce anxiety and depression symptoms, and stimulate patients to actively face their condition. It also encourages the formation of healthy behavioral habits.

Keywords: Anxiety; Depression; Motivational interviewing; Music therapy; Myocardial infarction; Percutaneous coronary intervention; Young and middle-aged.