Comparison of the effect of music therapy on hypertension in middle-aged and elderly patient

Subject Areas : Health Sciences and Psychology

Masoumeh Khanlari ¹ , Ali Rouhani ² , Hamidreza Hoeeinzadeh ³

1 -
2 - Department of biomedical engineering, Faculty of artificial intelligence, Islamic Azad University g Tehran North branch, Tehran, Iran
3 - Department of biomedical engineering, Faculty of artificial intelligence, Islamic Azad University g Tehran North branch, Tehran, Iran

Received: 2024-11-19 Accepted : 2025-03-30 Published : 2025-05-10

Keywords: Music therapy, blood pressure, elderly, middle-aged,

Abstract :

Background and purpose: For the treatment of high blood pressure, drug therapy methods are often used, which include the long-term use of numerous chemical drugs. Drug therapy has many unwanted side effects along with high health care costs. The purpose of the present study is to investigate and compare the effect of music therapy on hypertension in middle-aged and elderly patients.

 

Materials and methods: In the present experimental study, 60 patients (30 middle-aged and 30 elderly) with primary hypertension in Zanjan city in the year 1402 were selected by multi-stage cluster random sampling and randomly divided into four groups of 15 people (middle-aged test group, elderly test group, middle-aged control group and elderly control group). The music chosen by the participants was performed for 30 minutes on even days for 2 months for the test groups. Blood pressure changes of the participants were measured, recorded and compared before, during and after the intervention. The data was analyzed by SPSS software version 26.

 

Results: The results of the paired sample t test showed a greater decrease in the average systolic and diastolic blood pressure (with p-value less than 0.05) of the test groups compared to the control groups. Also, the results of the ANCOVA test in addition of confirming the result of the paired sample t test, revealed that the effect of music therapy on reducing systolic and diastolic blood pressure is greater in middle-aged people (with an effect size of 0.933 and 0.885, respectively) than in the elderly (0.838 and 0.304).

Conclusion: Music therapy is effective in reducing blood pressure in patients with primary hypertension, and this effect is more prominent in the middle-aged group.

References:

1. Cao, Min, and Zhiyuan Zhang. Adjuvant music therapy for patients with hypertension: a meta-analysis and systematic review. BMC Complementary Medicine and Therapies 23.1 (2023): 1-11.3
2. Manurung, Sarida Surya, et al. Effect of Classical Music Therapy on Blood Pressure Reduction in Hypertension Patients at Hospital. Jurnal Aisyah: Jurnal Ilmu Kesehatan 5.1 (2020): 103-106.
3. Maisi, Sri, et al. Effectiveness of lavender aromatherapy and classical music therapy in lowering blood pressure in pregnant women with hypertension. Belitung Nursing Journal 3.6 (2017): 750-756.
4. Im-Oun, Supap, et al. Effect of Thai instrumental folk music on blood pressure: A randomized controlled trial in stage-2 hypertensive patients. Complementary therapies in medicine 39 (2018): 43-48.
5. Fitriani, Dewi, et al. Effect of classical music on blood pressure in elderly with hypertension in bina bhakti werdha elderly nursing home, Indonesia. Blood pressure 1.2 (2020).
6. Kusumahati, Indhiyah Ayu, Indri Sarwili, and Marisca Agustina. Gamelan Music Therapy can Decreased Blood Pressure at Hypertension Patients. Journal of Complementary Nursing 1.01 (2021): 1-6.
7. Mir, Imtiyaz Ali, et al. Relaxing music reduces blood pressure and heart rate among pre‐hypertensive young adults: A randomized control trial. The Journal of Clinical Hypertension 23.2 (2021): 317-322.
8. Mathew, Elsa, and J. K Mukkadan. The Therapeutic Effect of Music on Oxidative Stress Markers and Anxiety in Hypertension. (2021).
9. UBAIDILLAH, Zaqqi, et al. Comparing Effects Between Music Intervention and Aromatherapy on Blood Pressure Among Hypertensive Patients: A Feasibility Study Conducted in Indonesia. Malaysian Journal of Medicine and Health Sciences 18.17 (2022): 54-60.
10. Aden, Christine, and Barto Mansyah. The Influence Of Classical Music Therapy To Decrease Blood Pressure Of Patients With Hypertension In The Elderly. International Journal of Health and Pharmaceutical (IJHP) 2.2 (2022): 233-239.
11. Marlinda, Roza, Emira Apriyeni, and Dani Setiawan. Mozart Classical Music Therapy Lowering Blood Pressure in Patients with Hypertension. 2nd Syedza Saintika International Conference on Nursing, Midwifery, Medical Laboratory Technology, Public Health, and Health Information Management (SeSICNiMPH 2021). Atlantis Press, 2021.
12. Mayangsari, Vandarina Dwi, et al. THE EFFECT OF COMBINATION PROGRESSIVE MUSCLE RELAXATION AND MUSIC THERAPY ON BLOOD PRESSURE AND PULSE IN PATIENTS WITH PRIMARY HYPERTENSION IN BABATAN RT 07 RW 01 SURABAYA. Nurse and Holistic Care 2.1 (2022): 44-53.
13. Sari, Ni Luh Putu Dian Yunita, and Etty Rekawati. The effect of traditional music therapy on blood pressure among elderly with hypertension: a literature review. International Journal of Nursing and Health Services (IJNHS) 2.2 (2019): 55-65.
14. Sari, N. L. P. D. Y., & Rekawati, E. (2019). The effect of traditional music therapy on blood pressure among elderly with hypertension: a literature review. International Journal of Nursing and Health Services (IJNHS), 2(2), 55-65.
15. Batubara, Junita, et al. Box Musik Terapi (BMT) for Hypertensive Patient in Methodist Hospital Medan: Used MPX5050dp and GSR. Journal of Coastal Life Medicine 11 (2023): 858-861.
16. Hatami S., Pakbaz S., Ghafari F., Music therapy from ancient Iran till Teymooriyan age, Journal of Medical History. 2017; 7(22): 107-131.
17. Mehrabizadeh H. M., Salehi M., Kazemi N., The effectiveness of music therapy and relaxation on blood pressure and pulse in the elderly with hypertension. Journal of Aging Psychology. 2017; 2(4):293-303
18. Hojjati H., Afra A., Dehghani A., Alostany S., Dehghan B. H., Pourkhani S., The effect of music therapy on hemodynamic in patients undergoing caesarean section in Hakim Jorjani Hospital in Gorgan. Medical - Surgical Nursing Journal, 2013; 2(3,4):122-127.
19. Halida, V., & Sartika, A. (2023). Perbedaan Efektivitas Terapi Musik Klasik dan Murotal Terhadap Tekanan Darah Penderita Hipertensi di Panti Sosial Tresna Werdha Pagar Dewa Kota Bengkulu. JURNAL NERS GENERATION, 2(2).
20. Saing, S. K. (2007). Pengaruh musik klasik terhadap penurunan tekanan darah (Doctoral dissertation, Universitas Sumatera Utara).
21. Suherly, M., & Meikawati, W. (2012). Perbedaan tekanan darah pada pasien hipertensi sebelum dan sesudah pemberian terapi musik klasik di RSUD Tugurejo Semarang. Karya Ilmiah.
22. Bekiroğlu, T., Ovayolu, N., Ergün, Y., & Ekerbiçer, H. Ç. (2013). Effect of Turkish classical music on blood pressure: a randomized controlled trial in hypertensive elderly patients. Complementary therapies in medicine, 21(3), 147-154.
23. Zanini, C. R. D. O., Jardim, P. C. B. V., Salgado, C. M., Nunes, M. C., Urzêda, F. L. D., Carvalho, M. V. C., ... & Souza, W. K. S. B. D. (2009). Music therapy effects on the quality of life and the blood pressure of hypertensive patients. Arquivos brasileiros de cardiologia, 93, 534-540.
24. Shankar, V. M., Geethanjali, B., Veezhinathan, M., Hariharakrishnan, J., Balakrishnan, N., & Lakshmi, L. (2020). Evaluating the effect of music intervention on hypertension. Current Science, 118(4), 612-620.
25. Teng, X. F., Wong, M. Y. M., & Zhang, Y. T. (2007, August). The effect of music on hypertensive patients. In 2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (pp. 4649-4651). IEEE.