音乐干预减少外科病人的焦虑和疼痛：综述。

IF 2 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing Pub Date : 2025-10-01 DOI:10.1016/j.jopan.2024.11.009

Heather Parr DNAP, APRN-CRNA , Jiale Hu PhD, RN, FAAN

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引用次数: 0

摘要

目的：焦虑和疼痛是围手术期最常见的两个临床问题。音乐干预已被证明可以减少手术患者的焦虑和疼痛程度。本综述旨在总结当前关于围手术期音乐聆听及其对患者焦虑和疼痛的影响的证据。设计：定性总体评价，包括系统评价和荟萃分析。方法：在MEDLINE （Pubmed）、CINAHL （EBSCO）、EMBASE （OVID）、PsycINFO （EBSCO）和Cochrane上详细检索2007年至2023年间发表的系统评价和荟萃分析。数据提取和方法学质量分级由两位独立作者独立完成。研究发现：大多数纳入的评论发现，听音乐对焦虑和疼痛水平有统计学上显著的影响。由于不同的音乐类型和特征，所有的音乐干预都具有很高的异质性。经过认证的音乐治疗师的音乐干预和患者选择的音乐偏好证明比听预先指定的音乐效果更好。结论：音乐聆听是一种安全、经济、易于实施的干预措施，可作为围手术期减少焦虑和疼痛水平的唯一方法或辅助治疗。

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Music Interventions to Reduce Anxiety and Pain in Surgical Patients: An Umbrella Review

Purpose

Anxiety and pain are two of the most prevalent clinical problems seen in the perioperative period. Music intervention has been shown to decrease anxiety and pain levels in patients undergoing surgery. This umbrella review aimed to summarize current evidence regarding music listening and its effects on patient anxiety and pain during the perioperative period.

Design

Qualitative umbrella review including systematic reviews and meta-analyses.

Methods

A detailed search strategy of systematic reviews and meta-analyses published between 2007 and 2023 was conducted on MEDLINE (Pubmed), CINAHL (EBSCO), EMBASE (OVID), PsycINFO (EBSCO), and Cochrane. Data extraction and methodological quality grading was performed independently by two separate authors.

Findings

Most included reviews found a statistically significant effect of music listening on anxiety and pain levels. All music interventions had high heterogeneity due to differing music types and characteristics. Music intervention by a certified music therapist and music preferences chosen by patients proved to have better results than listening to preassigned music.

Conclusions

Music listening is a safe, cost-effective, and easy-to-implement intervention that can be used as a sole approach or complementary therapy to decrease anxiety and pain levels during the perioperative period.

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来源期刊

Journal of Perianesthesia Nursing NURSING-

CiteScore

2.20

自引率

17.60%

发文量

279

审稿时长

90 days

期刊介绍： The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.