RNRCTNursing in critical care2025

The effect of listening to the voice recording of relatives on chest pain, anxiety and depression in patients hospitalized in the coronary intensive care unit: A randomized controlled trial.

Yasemin Kalkan Uğurlu, Dilek Küçük Alemdar

PMID 39474687

WHAT IT FOUND

Chest pain and depression scores did not differ between groups.

In coronary ICU patients after heart attack, listening to relatives' recorded voices lowered anxiety at 15 and 30 minutes.

Key findings

01Listening to a relative's recorded voice lowered anxiety scores compared with routine information at the 15-minute and 30-minute measurements.

02Chest pain scores fell in both groups, but the voice-recording group and control group did not differ significantly.

03Depression scores did not differ significantly between the voice-recording group and the control group at the 15-minute and 30-minute measurements.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The follow-up was short, with outcome measurements only before, 15 minutes after, and 30 minutes after the intervention. Patients and the researcher knew which group they were in, so expectation could have influenced self-reported anxiety. The study was done in one six-bed coronary ICU with Turkish-speaking patients, so it may not apply to other settings or languages. All patients received nitroglycerin, but doses differed because of clinical characteristics, which could affect chest pain scores. The paper does not name a single primary outcome, so the anxiety finding is one of several measured outcomes. The paper does not clearly report whether all 60 patients completed the outcome measurements.

Declared interests

This work was supported by the Scientific Research Projects Coordination Unit of Ordu University under project number D-2209. The authors declare no conflicts of interest.

The easy way to misread this

Do not conclude that the voice recording treats chest pain or depression. Pain and depression scores decreased in both groups, but the differences between the voice-recording group and the control group were not significant.

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