NON-PHARMACOLOGICAL THERAPIES USED TO REDUCE ANXIETY IN PATIENTS UNDERGOING CORONARY ANGIOPLASTY: A SYSTEMATIC REVIEW

DOI:

https://doi.org/10.17564/2316-3151.2025v9n1p8-26

Authors

  • Alan Santos Oliveira Universidade Tiradentes
  • Adenilson dos Santos Universidade Federal de Sergipe
  • Lucas Andrade de Sá Universidade Tiradentes
  • Senhora Leina Universidade Tiradentes
  • Senhora Erika Universidade Tiradentes

Published

2025-04-09

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Issue

Vol. 9 No. 1 (2025)

Section

Artigos

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Copyright (c) 2025 Caderno de Graduação - Ciências Biológicas e da Saúde - UNIT - SERGIPE

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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Abstract

Introduction: Coronary angioplasty (CA) is a non-surgical procedure used to expand blocked coronary arteries. Currently, there is a desire to use non-pharmacological anxiety management strategies in order to reassure and mitigate stress levels and reduce complications during the procedure. Objective: To evaluate the scientific evidence of non-pharmacological therapies in reducing anxiety in patients undergoing coronary angioplasty. Methodology: Systematic review using the PICOT strategy. Randomized clinical trials that evaluated the effect of non-pharmacological therapies in reducing anxiety in patients undergoing CA, searched in the BVS, PubMed, Web of Science, Scholar google, Embase, Scielo, Scopus databases in September 2022. Two reviewers independently screened the studies, extracted the data and assessed the risk of bias of the included studies. Results: Five studies were included in this review. Three non-pharmacological therapies, noetic therapy, autogenic training and music therapy were identified to reduce anxiety of patients undergoing CA.  The overall quality of the studies was satisfactory; several potential sources of bias were identified. Music therapy and autogenic therapy showed promise for reducing anxiety levels assessed by self-reported scales and physiological parameters. Pooled analysis (meta-analysis) was not performed due to the heterogeneity of the interventions. Nevertheless, these studies presented important limitations, making it necessary to conduct randomized clinical trials of high methodological quality. Conclusion: Despite significant heterogeneity in trial designs, non-pharmacological therapies show promise in reducing anxiety in patients undergoing coronary angioplasty.

 

Keywords: Coronary Angioplasty; Anxiety; Non-Pharmacological Interventions; Systematic Review; Noetic Therapies; Autogenic Training; Music Therapy.

How to Cite

Santos Oliveira, A., dos Santos , A., Andrade de Sá, L., Paula Santos, L. ., & Gardine do Nascimento, E. . (2025). NON-PHARMACOLOGICAL THERAPIES USED TO REDUCE ANXIETY IN PATIENTS UNDERGOING CORONARY ANGIOPLASTY: A SYSTEMATIC REVIEW. Caderno De Graduação - Ciências Biológicas E Da Saúde - UNIT - SERGIPE, 9(1), 8–26. https://doi.org/10.17564/2316-3151.2025v9n1p8-26