Music therapy in hemodialysis patients: Systematic review and meta-analysis

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC

ACS Applied Electronic Materials Pub Date : 2024-09-28 DOI:10.1016/j.ctim.2024.103090

Feng Lin , Long Chen , Yin Gao

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引用次数: 0

Abstract

Background

Patients undergoing hemodialysis (HD) face significant challenges; however, non-pharmaceutical interventions hold potential for enhancing their quality of life. This paper evaluates the effects of music therapy on various mental and physiological outcomes in patients undergoing HD.

Methods

This systematic review and meta-analysis followed the PRISMA 2020 guidelines. A comprehensive database search conducted up to May 21, 2024, identified studies for inclusion based on PICOS criteria. The methodological quality of these studies was assessed using the Cochrane risk-of-bias tool and Review Manager 5.4. For the meta-analysis, R and Stata/SE 15.1 were used, applying a random-effects model in cases of significant heterogeneity, and a fixed-effects model when heterogeneity was minimal.

Results

Twenty-four studies involving 1703 participants were analyzed. Music therapy significantly decreased anxiety (SMD: −0.72, 95 % CI: −0.97 to −0.46, I²: 83 %), pain (SMD: −1.22, 95 % CI: −1.68 to −0.75, I²: 93 %), depression (SMD: −0.85, 95 % CI: −1.31 to −0.39, I²: 77 %), stress (SMD: −0.93, 95 % CI: −1.17 to −0.68, I²: 41 %), and adverse reactions associated with HD (SMD: −0.67, 95 % CI: −0.88 to −0.46, I²: 0 %), all showing strong effect sizes (p < 0.001 for all). However, no significant changes were observed in sleep quality, fatigue, satisfaction with HD, systolic or diastolic blood pressure, heart rate, or finger temperature. A slight reduction in respiration rate (p = 0.0072) and an increase in oxygen saturation (p = 0.0056) were noted. While music therapy showed promising results, the notable heterogeneity in pain and anxiety outcomes suggests careful interpretation, although no significant publication bias was detected.

Conclusion

Music therapy has demonstrated encouraging outcomes in improving the well-being of patients undergoing HD, particularly in reducing anxiety, pain, and stress. However, due to notable heterogeneity and methodological issues such as small sample sizes and inconsistent blinding, further high-quality research is needed to confirm these findings and establish more robust evidence.

查看原文本刊更多论文

血液透析患者的音乐治疗：系统回顾与元分析》。

背景：接受血液透析（HD）的患者面临着巨大的挑战；然而，非药物干预措施有可能提高他们的生活质量。本文评估了音乐疗法对血液透析患者各种心理和生理结果的影响：本系统综述和荟萃分析遵循 PRISMA 2020 指南。截至 2024 年 5 月 21 日的全面数据库检索根据 PICOS 标准确定了纳入的研究。使用 Cochrane 偏倚风险工具和 Review Manager 5.4 对这些研究的方法学质量进行了评估。荟萃分析使用 R 和 Stata/SE 15.1，在异质性显著的情况下使用随机效应模型，在异质性极小的情况下使用固定效应模型：共分析了 24 项研究，涉及 1 703 名参与者。音乐疗法明显减轻了焦虑（SMD：-0.72，95% CI：-0.97 至 -0.46，I²：83%）、疼痛（SMD：-1.22，95% CI：-1.68 至 -0.75，I²：93%）、抑郁（SMD：-0.85，95% CI：-1.31 至 -0.39，I²：77%）。39，I²：77%）、压力（SMD：-0.93，95% CI：-1.17 至 -0.68，I²：41%）和与 HD 相关的不良反应（SMD：-0.67，95% CI：-0.88 至 -0.46，I²：0%），均显示出很强的效应大小（所有效应大小的 p <0.001）。然而，在睡眠质量、疲劳程度、对 HD 的满意度、收缩压或舒张压、心率或指温方面均未观察到明显变化。呼吸频率略有降低（p = 0.0072），血氧饱和度有所提高（p = 0.0056）。虽然音乐疗法显示出了令人鼓舞的结果，但疼痛和焦虑结果的显著异质性表明，尽管没有发现明显的出版偏倚，但仍需谨慎解释：音乐疗法在改善接受 HD 治疗的患者的身心健康方面取得了令人鼓舞的成果，尤其是在减轻焦虑、疼痛和压力方面。然而，由于存在明显的异质性以及小样本量和盲法不一致等方法学问题，需要进一步开展高质量的研究来证实这些发现，并建立更有力的证据。

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

ACS Applied Electronic Materials Multiple-

CiteScore

7.20

自引率

4.30%

发文量

567