Effect of five-tone music-based intervention combined with the Yarward YH-997S nursing communication information system on psychological coping among family caregivers of patients with perioperative stroke

Objective: Family caregivers of patients with perioperative stroke frequently experience elevated levels of psychological distress. This study assessed the effects of combining five-tone music-based intervention with the Yarward YH-997S Communication Information Nursing System on reducing symptoms of anxiety and depression and enhancing psychological coping strategies. Methods: In this randomized controlled trial, a total of 120 family caregivers of patients with perioperative stroke were randomly assigned to either an intervention group (n = 60) or a control group (n = 60). Both groups received routine nursing support-standard caregiver education and communication from nursing staff. The intervention group additionally received five-tone music-based intervention combined with the Yarward YH-997S Communication Information Nursing System for 10 consecutive days. Psychological status was assessed using the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), and Coping Inventory for Stressful Situations, administered prior to and following the intervention. Results: Compared to the control group, the intervention group demonstrated significantly lower SAS and SDS scores after the intervention. Task-oriented coping scores increased, whereas emotion-oriented and avoidance-oriented coping scores decreased. Psychological well-being improved significantly in the intervention group. Furthermore, nursing satisfaction and compliance with the intervention were higher in the intervention group than in the control group, with statistically significant differences. Conclusion: Combining five-tone music-based intervention with the Yarward YH-997S Communication Information Nursing System effectively alleviated negative emotional states, enhanced psychological adaptability, and optimized coping strategies among family caregivers of patients with perioperative stroke. These findings indicate that this combined approach represents a feasible and sustainable nursing intervention.