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Efficacy of music therapy for pain control of extracorporeal shock wave lithotripsy: A meta-analysis of randomized controlled studies

  • 0Department of Anesthesiology, General Medical 363 Hospital, Sichuan, China.
Medicine +

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September 11, 2024

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September 11, 2024

View abstract on PubMed

Summary

This summary is machine-generated.

Music therapy effectively reduces pain during extracorporeal shock wave lithotripsy. This meta-analysis of randomized controlled trials found significant improvements in pain scores, patient satisfaction, and willingness to repeat the procedure.

Area Of Science

  • Pain Management
  • Complementary Therapies
  • Nephrology

Background

  • Extracorporeal shock wave lithotripsy (ESWL) is a common procedure for kidney stones.
  • Pain is a significant challenge during ESWL, impacting patient experience and outcomes.
  • Investigating non-pharmacological interventions like music therapy is crucial for improving ESWL patient care.

Purpose Of The Study

  • To evaluate the analgesic efficacy of music therapy for pain control during ESWL.
  • To synthesize evidence from randomized controlled trials (RCTs) on music therapy's impact on ESWL pain.
  • To assess music therapy's effect on patient satisfaction and willingness to undergo repeat procedures.

Main Methods

  • A systematic meta-analysis was performed, searching major databases (PubMed, EMbase, Web of Science, EBSCO, Cochrane Library).
  • Randomized controlled trials comparing music therapy with routine care for ESWL pain were selected.
  • Data were analyzed using random-effect or fixed-effect models based on heterogeneity.

Main Results

  • Ten RCTs involving 879 patients were included.
  • Music therapy significantly reduced pain scores (SMD = -1.00, P = .0007) compared to routine care.
  • Improved patient satisfaction (SMD = 1.61, P = .006) and willingness to repeat (SMD = 2.06, P = .01) were observed, with no significant effect on analgesic consumption or adverse events.

Conclusions

  • Music therapy is an effective intervention for managing pain associated with extracorporeal shock wave lithotripsy.
  • The findings support the integration of music therapy into ESWL protocols to enhance patient comfort and satisfaction.
  • Further research may explore optimal music therapy protocols for different patient populations undergoing ESWL.