{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T17:10:40Z","timestamp":1788887440808,"version":"build-2803163510"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"133","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    This study aims to analyze the impact of perioperative music therapy (including intraoperative playback and postoperative guided listening) on procedural comfort in patients undergoing cerebral digital subtraction angiography (DSA).\n                    <jats:bold>Methods:<\/jats:bold>\n                    A retrospective cohort study was conducted. The clinical data of 145 patients who underwent DSA at the Second Affiliated Hospital of Bengbu Medical University between January 2024 and October 2025 were reviewed and categorized based on the administration of perioperative music therapy. Seventy-three patients receiving standard DSA were assigned to the conventional group, while 72 patients receiving DSA plus immediate music therapy were assigned to the music group. The primary outcome measure was comfort level assessed by the Kolcaba General Comfort Questionnaire (GCQ). Secondary outcomes included procedure-related metrics, hemodynamic parameters, anxiety and depression status [State-Trait Anxiety Inventory (STAI) and Beck Depression Inventory-II (BDI-II)], as well as complication rates.\n                    <jats:bold>Results:<\/jats:bold>\n                    No significant differences were found between the groups in terms of either procedure duration or hospital stay (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &gt; 0.05). A significant group\u2009\u00d7\u2009time interaction was observed for postoperative Visual Analogue Scale scores (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05), with the music group reporting lower pain at all time points (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05). Post-procedure GCQ scores increased in both groups, with significantly higher scores observed in the music group (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05). Hemodynamic analysis revealed a significant group\u2009\u00d7\u2009time interaction (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05); at 30\u2009min, the music group exhibited smaller increases (\u0394\n                    <jats:sub>1<\/jats:sub>\n                    ) in heart rate, respiratory rate, and mean arterial pressure (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05), and at the end of the procedure, all parameters were closer to baseline (smaller absolute \u0394\n                    <jats:sub>2<\/jats:sub>\n                    ,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05). At discharge, STAI and BDI-II scores were significantly lower in the music group (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05). No significant difference was found in complication rates (6.85% versus 2.78%,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &gt; 0.05).\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Perioperative music therapy for patients undergoing DSA is associated with more stable hemodynamics, greater comfort, lower pain levels, and reduced anxiety and depression, without an increased complication risk.\n                  <\/jats:p>","DOI":"10.4103\/nah.nah_254_25","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T10:04:25Z","timestamp":1788343465000},"page":"904-913","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Perioperative Music Therapy with Intraoperative Playback and Postoperative Guided Listening on Procedural Comfort in Patients Undergoing Cerebral Digital Subtraction Angiography"],"prefix":"10.4103","volume":"28","author":[{"given":"XueZhi","family":"Wei","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Yao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Geng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"GuangHui","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"FengJie","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"YouZhong","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"FangFang","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"R1-20260908","doi-asserted-by":"crossref","first-page":"967","DOI":"10.3233\/THC-213118","article-title":"The value of whole-brain CT perfusion imaging combined with dynamic CT angiography in the evaluation of pial collateral circulation with middle cerebral artery occlusion","volume":"30","author":"Ma","year":"2022","journal-title":"Technol Health Care"},{"key":"R2-20260908","doi-asserted-by":"crossref","first-page":"1627","DOI":"10.3174\/ajnr.A7657","article-title":"Correlation of collateral scores derived from whole-brain time-resolved flat panel detector imaging in acute ischemic stroke","volume":"43","author":"Kurmann","year":"2022","journal-title":"Am J Neuroradiol"},{"key":"R3-20260908","first-page":"138","article-title":"Benefits of music intervention on anxiety, pain, and physiologic response in adults undergoing surgery: A systematic review and meta-analysis","volume":"17","author":"Lee","year":"2023","journal-title":"Asian Nurs Res (Korean Soc Nurs Sci)"},{"key":"R4-20260908","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1097\/HNP.0000000000000444","article-title":"Effect of music on fatigue, comfort, and vital signs in patients after liver transplant surgery: A randomized controlled trial","volume":"35","author":"Demir","year":"2021","journal-title":"Holist Nurs Pract"},{"key":"R5-20260908","article-title":"The world report on hearing, 2021","volume":"99: 242-242A","author":"Chadha","year":"2021","journal-title":"Bull World Health Organ"},{"key":"R6-20260908","doi-asserted-by":"crossref","first-page":"2368","DOI":"10.1161\/STR.0000000000000070","article-title":"Guidelines for the management of patients with unruptured intracranial aneurysms: A guideline for healthcare professionals from the American Heart Association\/American Stroke Association","volume":"46","author":"Thompson","year":"2015","journal-title":"Stroke"},{"key":"R7-20260908","doi-asserted-by":"crossref","first-page":"S267","DOI":"10.2337\/dc23-S016","volume":"46(Suppl 1)","author":"ElSayed","year":"2023","journal-title":"16. 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