音乐干预对接受生育治疗的妇女在卵细胞采集和胚胎移植前的焦虑、疼痛和怀孕率的影响：随机对照试验的系统回顾和荟萃分析

IF 1.9 4区医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE

European Journal of Integrative Medicine Pub Date : 2024-09-23 DOI:10.1016/j.eujim.2024.102408

Mehtap Kızılkaya , Aysu Yıldız Karaahmet , Kerime Derya Beydağ

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引用次数: 0

摘要

介绍本综述旨在评估文献中关于音乐干预对改善接受生育治疗的妇女在卵细胞采集和胚胎移植前的焦虑、疼痛和妊娠率相关结果的影响的现有证据。方法我们检索了以下数据库（从数据库开始到 2024 年 5 月 2 日）：PUBMED、Embase、Web of Science 和土耳其学术网络和信息中心 (ULAKBIM)。筛选包括土耳其语和英语的随机对照试验（RCT）。文章采用基于 MeSH 的关键词进行扫描。结果共有 8 项 RCT（包括 1634 名女性患者）被纳入我们的综述。与对照组相比，音乐干预明显降低了卵细胞采集或受精前的焦虑评分（标准化平均差（SMD）：0.26，95 % CI：0.39 至 0.13，Z = 3.91，p < 0.0001）。此外，经过音乐治疗后，手术过程中的疼痛评分有了明显改善（SMD：0.96，95 % CI：1.72 至 -0.20，Z = 2.49，p = 0.01）。虽然与对照组相比，音乐干预组中有更多女性的临床妊娠率有所提高，但没有证据表明音乐干预对妊娠率有影响（SMD:0.14, 95 % CI:2.63 to 2.34, Z = 0.11, p = 0.91）。音乐干预可能会提高临床妊娠率，但在统计学上并不显著。要研究音乐干预对辅助生殖技术临床结果的影响，还需要更多样本量更大的研究。

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The effect of music interventions on anxiety, pain, and pregnancy rates in women undergoing fertility treatment before oocyte collection and embryo transfer: Systematic review and meta-analysis of randomized controlled trials

Introdution

The present review aimed to evaluate the available evidence in the literature on the effect of music interventions on improving outcomes related to anxiety, pain, and pregnancy rates of women undergoing fertility treatment, prior to oocyte collection and embryo transfer.

Method

We searched the following databases from database inception to 2 May 2024, PUBMED, Embase, Web of Science, and the Turkish Academic Network and Information Center (ULAKBIM). Randomized controlled trials (RCT) in Turkish and English languages were included in the screening. Articles were scanned using MeSH-based keywords. The data were analyzed using the Review Manager computer program (Version 5.4.1).

Results

A total of 8 RCTs, including 1634 female patients, were included in our review. Music interventions significantly reduced anxiety scores prior to oocyte collection or fertilization compared to the control group (Standardised Mean Difference (SMD):0.26, 95 % CI:0.39 to 0.13, Z = 3.91, p < 0.0001). Moreover, after the music treatment, there was a significant improvement in the pain score during the procedure (SMD:0.96, 95 % CI:1.72 to -0.20, Z = 2.49, p = 0.01). Although more women in the music interventions group experienced an increase in the clinical pregnancy rate compared to the control group, there was no evidence of an effect on pregnancy rate (SMD:0.14, 95 % CI:2.63 to 2.34, Z = 0.11, p = 0.91).

Conclusion

Music interventions appears to improve anxiety and pain scores in female patients receiving fertility treatment when administered during oocyte collection and fertilization. They may increase the clinical pregnancy rate but this not statistically significant. More research with larger sample sizes is needed to investigate the impact of music interventions on assisted reproductive technology clinical outcomes.

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来源期刊

European Journal of Integrative Medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

4.70

自引率

4.00%

发文量

102

审稿时长

33 days

期刊介绍： The European Journal of Integrative Medicine (EuJIM) considers manuscripts from a wide range of complementary and integrative health care disciplines, with a particular focus on whole systems approaches, public health, self management and traditional medical systems. The journal strives to connect conventional medicine and evidence based complementary medicine. We encourage submissions reporting research with relevance for integrative clinical practice and interprofessional education. EuJIM aims to be of interest to both conventional and integrative audiences, including healthcare practitioners, researchers, health care organisations, educationalists, and all those who seek objective and critical information on integrative medicine. To achieve this aim EuJIM provides an innovative international and interdisciplinary platform linking researchers and clinicians. The journal focuses primarily on original research articles including systematic reviews, randomized controlled trials, other clinical studies, qualitative, observational and epidemiological studies. In addition we welcome short reviews, opinion articles and contributions relating to health services and policy, health economics and psychology.