Effectiveness of music interventions for patients undergoing needle biopsy: A systematic review and meta-analysis

IF 3.5 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine Pub Date : 2025-07-22 DOI:10.1016/j.ctim.2025.103216

Wenrui Han , Min Zhang , Min Luo , Quanxing Su , Yahui Guan

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引用次数: 0

Abstract

Introduction

Percutaneous biopsy is a routine diagnostic procedure often associated with anxiety and pain. Music intervention, a simple and low-cost non-pharmacological approach, has been widely used to reduce psychological distress in clinical settings. This study evaluates its effectiveness in patients undergoing biopsy.

Methods

A comprehensive systematic search was conducted across multiple databases, including PubMed, Embase, the Cochrane Library, Web of Science, MEDLINE, ProQuest, CINAHL, and major Chinese databases (CBM, CNKI, VIP, and Wanfang), from the inception of each database to November 20, 2024. Eligible studies assessing the effects of music interventions on anxiety and pain during biopsy procedures were identified. Two independent reviewers screened titles, abstracts, and full texts, extracted relevant data, and resolved discrepancies through discussion or consultation with a third reviewer. Meta-analysis was conducted using RevMan 5.4.1 and Stata 16.0.

Result

A total of 16 studies met the inclusion criteria. Pooled analysis revealed that music interventions significantly reduced both anxiety and pain in patients undergoing biopsy. The anxiolytic effect was particularly significant in prostate biopsy procedures and consistent across various age groups. Regarding pain management, music interventions demonstrated overall efficacy, with especially pronounced effects observed during bone marrow and prostate biopsies. Subgroup analyses indicated pain relief across different age groups.

Conclusion

Music intervention is an effective, non-invasive, and drug-free approach to alleviate anxiety and pain associated with biopsy procedures, particularly those that are more invasive. While current findings are promising, further large-scale, high-quality randomized controlled trials are warranted to strengthen the evidence base and inform clinical guidelines.

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音乐干预对穿刺活检患者的有效性：一项系统回顾和荟萃分析

经皮活检是一种常规的诊断方法，通常与焦虑和疼痛有关。音乐干预是一种简单、低成本的非药物治疗方法，已广泛应用于临床环境中减少心理困扰。本研究评估其在活检患者中的有效性。方法对PubMed、Embase、Cochrane Library、Web of Science、MEDLINE、ProQuest、CINAHL以及各大中文数据库（CBM、CNKI、VIP、万方）从各数据库建成至2024年11月20日进行全面系统检索。确定了评估音乐干预对活检过程中焦虑和疼痛影响的合格研究。两名独立审稿人筛选标题、摘要和全文，提取相关数据，并通过与第三名审稿人讨论或咨询来解决差异。meta分析采用RevMan 5.4.1和Stata 16.0进行。结果16项研究符合纳入标准。综合分析显示，音乐干预显著减少了活检患者的焦虑和疼痛。抗焦虑作用在前列腺活检过程中尤为显著，并在不同年龄组中一致。在疼痛管理方面，音乐干预显示出总体效果，在骨髓和前列腺活检中观察到特别明显的效果。亚组分析显示不同年龄组的疼痛缓解。结论：音乐干预是一种有效的、非侵入性的、无药物的方法，可以减轻活检手术相关的焦虑和疼痛，特别是那些侵入性较大的活检。虽然目前的发现是有希望的，但需要进一步的大规模、高质量的随机对照试验来加强证据基础并为临床指南提供信息。

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.