Effects of Five-Element Music Therapy Combined with Relaxation Therapy on the Recovery of Elderly Patients with Unstable Angina Pectoris Following Percutaneous Coronary Intervention.

BACKGROUND

Unstable angina pectoris (UAP) is prevalent among the elderly, and it is often treated with percutaneous coronary intervention (PCI). This study assessed the effect of five-element music therapy (FEMT) combined with relaxation therapy (RT) on recovery outcomes in elderly patients with UAP after PCI.

METHODS

This retrospective cohort study included 287 elderly patients with UAP (age > 60 years) treated by PCI at Wenzhou Yining Geriatric Hospital between April 2021 and April 2023. Patients were divided into two groups: the RT group (n = 132) and the FEMT combined with RT (FEMRT) group (n = 155). Baseline characteristics, therapeutic effects, anxiety level (Self-Rating Anxiety Scale [SAS]), quality of life (Seattle Angina Questionnaire [SAQ]), echocardiographic parameters, and serum biomarkers were evaluated.

RESULTS

The FEMRT group exhibited significant improvements in therapeutic effects compared with the RT group (P = 0.032), with notable increases in patients experiencing significant therapeutic effects (38.06% vs. 27.27%). Post-intervention, the SAS score decreased more in the FEMRT group than in the RT group (P = 0.006). SAQ results indicated enhanced quality of life and treatment satisfaction in the FEMRT group (P < 0.01). Both groups exhibited improvements in echocardiographic parameters (including stroke volume, left ventricular ejection fraction, left ventricular end-diastolic diameter, and left ventricular end-systolic diameter) and serum biomarkers (including tumour necrosis factor-alpha, interleukin-6, and N-terminal pro-brain natriuretic peptide), but the differences between the groups were not significant.

CONCLUSION

The integration of FEMRT significantly enhanced recovery post-PCI in elderly patients with UAP, as evidenced by improved clinical and quality of life outcomes.