Document Type : Original Article


1 Substance Abuse Prevention Research Center, Research Institute for Health, Kermanshah University of Medical Sciences, Kermanshah, Iran

2 Department of Biostatistics, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran

3 Department of Nursing, Kermanshah University of Medical Sciences, Kermanshah, Iran


BACKGROUND: Hemodialysis patients suffer from mental disorders such as anxiety and depression.
One of the known nonpharmacological methods to eliminate these disorders is music therapy. The
present study aimed to investigate the effect of instrumental music on state depression and anxiety
in hemodialysis patients.
MATERIALS AND METHODS: This study was a clinical trial. The population was hemodialysis
patients in Hamedan in 2017 and 50 patients were selected and randomly divided into experimental
and control groups. The duration each time of the instrumental music intervention for the experimental
group was 3 weeks, 3 times a week for 20 min. Data were measured by beck depression inventory
and SpeilBerger State–Trait Anxiety Inventory‑Y1 before the intervention and immediately after
the last intervention and analyzed using Yates correction, Chi‑square test, Mann–Whitney U‑test,
independent t‑test, and Wilcoxon test.
RESULTS: No significant difference between the intervention and control groups was observed
before the study in terms of demographic variables (P > 0.05). In the intervention group, the mean
and standard deviation of the depression score before the intervention was 8.99 ± 23.68 and after
the intervention reached 7.54 ± 14.88, which shows that the variable was significant (P = 0.001);
however, no significant difference was observed in the control group. In the intervention group, the
mean of state anxiety before the intervention was 10.05 ± 53.76 and after the intervention reached
9.76 ± 42.48, which was statistically significant (P = 0.004), while no significant difference was
observed in the control group.
CONCLUSION: The results indicate the positive effect of instrumental music on reducing anxiety
and depression in hemodialysis patients. It is recommended that this therapy be used as a nursing
method to reduce state anxiety and depression in hemodialysis patients.


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