• Logo
  • SBMUJournals

The Effect of Music on Fatigue and Anxiety of Patients Undergoing Hemodialysis

Shaghyegh Haghi, Shahla Mohammad Zadeh, Marjan Vafayee




Abstract Introduction: Chronic renal failure is largely asymptomatic complication, which requires dialysis as a time process to control it. On the other hand, due to the high prevalence and progressive maladaptive nature, its progress should be prevented. In addition to various physiological changes, it changes the mental, psychological, and social aspects of patients. Fatigue and anxiety are common nursing diagnoses of patients undergoing hemodialysis. Employment of music as a complementary therapy and an uncomplicated, low-cost, and pleasurable method can be a nursing practice to reduce such complications. The current study aimed at investigating the effect of listening to music on anxiety and fatigue in patients undergoing hemodialysis. Methods: The current clinical trial was conducted on 25 patients as a group randomly selected to participate in the study. Patients listened to music for 30 minutes three times per week, 12 sessions a month, during hemodialysis sessions. Data were collected using three questionnaires: a researcher-made demographic information questionnaire, Beck anxiety inventory (BAI), and fatigue severity scale (FSS). Data were collected by a researcher based on interviewing method. Data were expressed as means ± standard deviation (SD). Data were statistically analyzed with SPSS version 20. The paired t test was used to compare before and after intervention mean valuesbetween the groups. The level of significance was < 0.05. Results: The mean anxiety score of the patients before intervention was 19.6%, indicating a moderate level of anxiety and the mean anxiety score was 14.48% after intervention. The mean fatigue score decreased from 36.8 to 31.2, and remained at moderate levels of fatigue. The reductions were significant (P < 0.05).Conclusions: The results of the current study showed that the employment of music as a complementary therapy was effective on reducing the anxiety and fatigue ofpatients undergoing hemodialysis and utilizing it along with other therapeuticinterventions is recommended.


Music, fatigue, anxiety, hemodialysis



Najafi E. [Peritoneal dialysis in Iran and in the world]. 1st ed. Tehran: Pelk Publishing; 2013.

Mortazavi H. [Effect of massage on intensity of physiological stress associated with the treatment in hemodialysis patient]. J Knowledge Health. 2015;11(1):24-31.

Khoshnazar T. [Relevance self –efficacy with anxiety and depression among patient receiving hemodialysis referred To hemodialysis unit at educational]. J Urima Nurs Midwifey Fac. 2014;12(9):807-14.

Moradi M. [The effect of acupressure on anxiety in patient with hemodialysis]. Bimonthly J Sabzevar univ Med Sci. 2015;22(5).

Shear Moghadam S. [The effect of hard reflexology on fatigue in patient undergoing hemodialysis] Zabol Univ Med Sci. 2016;8(1):1-10.

Tavakoli M. [Evaluation of fatigue in hemodialysis patient in AJA selected hospital Military caring science]. Mil Car Sci. 2017;2(4):197-205.

Zarurati M. [The effect of music therapy on comfort Level and some vital signs of patients undergoing hemodialysis]. Mil Car Sci. 2017;3(4):221-32.

Arab M. [The Effect of music therapy on anxiety and vital signs of patient with acute coronary syndrome]. J Health Dev. 2017;4(4):287-97.

Kanani M. [The effect of aromatherapy with orange essential oils on anxiety in patients undergoing hemodialysis]. J Sabzevar Univ Med Sci. 2012;19(3):249-57.

Afkand S. [The effect of multi-dimensional model of psychiatric rehabilitation care on hemodialysis patient anxious]. J Sabzevar univ Med Sci. 2014;21(1):28-35.

DOI: https://doi.org/10.22037/anm.v28i2.18374