Influence of Music Relaxation Therapy Combined with 4C Care on the Recovery of Patients with Coronary Heart Disease after Percutaneous Coronary Intervention

Abstract

Objective: This study aimed to analyze the effect of music relaxation therapy combined with comprehensive, coordinated, continuous, and collaborative (4C) care on the stress response and quality of life in patients with coronary heart disease (CHD). Methods: A retrospective analysis was conducted on the clinical data of 115 patients with CHD who underwent percutaneous coronary intervention (PCI) at West China Hospital, Sichuan University between December 2021 and May 2024. Based on different nursing plans, the patients were divided into the conventional group (40 cases, receiving routine care), the 4C group (35 cases, receiving routine care + 4C continuing care), and the music group (40 cases, receiving routine care + 4C continuing care + music relaxation therapy). Medical adherence, nursing satisfaction, psychological stress [Depression Anxiety Stress Scale - Shortened Version (DASS-C21)], perceived stress [Perceived Stress Scale (PSS-10)], post-traumatic growth [Post-Traumatic Growth Inventory (PTGI)], self-care capacity [Exercise of Self-care Agency Scale (ESCA)], comfort [General Comfort Questionnaire (GCQ)], and health status [Seattle Angina Questionnaire (SAQ)] were observed in the three groups. Results: After the 3-month follow-up period, the music group demonstrated significantly higher scores in medication adherence, nursing satisfaction, PTGI, ESCA, GCQ, and SAQ, and significantly lower scores in DASS-C21 and PSS-10 compared to the conventional and 4C groups (P < 0.05). Conclusion: The combination of music relaxation therapy and 4C care can effectively alleviate psychological and perceived stress in patients with CHD, enhance self-care capacity and quality of life, accelerate recovery process, improve medical adherence, promote post-traumatic growth, and achieve high patient satisfaction.