The impact of music on anxiety, pain, and blood pressure in ophthalmic surgery: A systematic review and meta-analysis

IF 3.3 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine Pub Date : 2024-06-04 DOI:10.1016/j.ctim.2024.103062

Xue Chen , Long Chen , Yin Gao

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引用次数: 0

Abstract

Objectives

To evaluate the effectiveness of music therapy in reducing anxiety, pain, and vital sign changes in ophthalmic surgery patients.

Methods

An extensive search of databases, including PubMed, Embase, Cochrane, Web of Science, and Google Scholar, identified relevant studies up to Jan 2024. Selection of studies was conducted based on the PICOS criteria. The quality of methodology was assessed using the Cochrane risk-of-bias assessment tool and Review Manager 5.4. Meta-analysis comparing the control group and the music therapy group was performed using R and Stata/SE 15.1 random or fixed effects model.

Results

This meta-analysis included fifteen studies comprising 2098 participants. The analysis revealed that music therapy significantly reduced the risk of high anxiety levels as measured by Visual Analogue Scale (VAS) (I² = 0 %, RR(95 %CI): 0.75(0.63, 0.88), p = 0.0006), indicating a substantial effect without heterogeneity. The Anxiety scores determined by State-Trait Anxiety Inventory-State (STAI-S) also showed a significant decrease (SMD(95 %CI): −0.75(−0.88, −0.61), p < 0.0001), albeit with moderate heterogeneity (I² = 36 %). Additionally, music therapy was associated with a reduction in intraoperative pain levels, with no observed heterogeneity (I² = 0 %, SMD(95 %CI): −0.74(−0.93, −0.56), p < 0.0001). In contrast, music intervention did not significantly influence self-reported nervousness, relaxation, or satisfaction levels as determined by VAS. Regarding to physiological parameters, a marginal decrease in systolic blood pressure (SBP) was observed (SMD(95 %CI): −0.42(−0.79, −0.04), p = 0.0286), with considerable heterogeneity (I² = 92 %). Diastolic blood pressure (DBP) experienced a slight reduction (I² = 90 %, SMD(95 %CI): −0.45(−0.79, −0.11), p = 0.0088). However, no significant effect was observed on patients’ heart rate (p = 0.0864).

Conclusion

Music therapy effectively reduced anxiety and pain, and moderately improved vital signs in patients undergoing ophthalmic surgery, highlighting its role in enhancing patient well-being. Further in-depth RCTs are needed to confirm its efficacy.

查看原文本刊更多论文

音乐对眼科手术中焦虑、疼痛和血压的影响：系统回顾与元分析》。

目的：评估音乐疗法在减轻眼科手术患者焦虑、疼痛和生命体征变化方面的效果：评估音乐疗法在减轻眼科手术患者焦虑、疼痛和生命体征变化方面的效果：方法：对数据库（包括PubMed、Embase、Web of Science和Google Scholar）进行广泛检索，确定了截至2024年1月的相关研究。根据 PICOS 标准选择研究。使用 Cochrane 偏倚风险评估工具和 Review Manager 5.4 对研究方法的质量进行了评估。使用 R 和 Stata/SE 15.1 随机或固定效应模型对对照组和音乐治疗组进行了荟萃分析：这项荟萃分析包括 15 项研究，共有 2098 名参与者。分析结果显示，音乐疗法能显著降低以视觉模拟量表（VAS）衡量的高度焦虑的风险（I2 = 0%，RR(95%CI)：0.75(0.63, 0.88)，p = 0.0006），这表明音乐疗法具有无异质性的实质性效果。国家特质焦虑量表-状态（STAI-S）测定的焦虑评分也有显著下降（SMD(95%CI)：-0.75(-0.88, -0.61)，p < 0.0001），尽管存在中度异质性（I² = 36%）。此外，音乐疗法与术中疼痛程度的减轻有关，未观察到异质性（I2 = 0%，SMD(95%CI)：-0.74(-0.93, -0.56)，p < 0.0001）。相比之下，音乐干预对自我报告的紧张、放松或满意度（通过 VAS 测定）没有明显影响。在生理参数方面，观察到收缩压（SBP）略有下降（SMD(95%CI)：-0.42(-0.79, -0.04)，p = 0.0286），异质性相当大（I² = 92%）。舒张压（DBP）略有下降（I² = 90%，SMD（95%CI）：-0.45（-0.79，-0.11），p = 0.0088）。结论：音乐疗法能有效减轻患者的焦虑和疼痛：结论：音乐疗法有效减轻了眼科手术患者的焦虑和疼痛，并适度改善了患者的生命体征，突出了音乐疗法在提高患者幸福感方面的作用。要确认其疗效，还需要进一步深入研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Complementary therapies in medicine 医学-全科医学与补充医学

CiteScore

8.60

自引率

2.80%

发文量

101

审稿时长

112 days

期刊介绍： Complementary Therapies in Medicine is an international, peer-reviewed journal that has considerable appeal to anyone who seeks objective and critical information on complementary therapies or who wishes to deepen their understanding of these approaches. It will be of particular interest to healthcare practitioners including family practitioners, complementary therapists, nurses, and physiotherapists; to academics including social scientists and CAM researchers; to healthcare managers; and to patients. Complementary Therapies in Medicine aims to publish valid, relevant and rigorous research and serious discussion articles with the main purpose of improving healthcare.