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大人の手術後の回復に役立つ音楽:体系的なレビューとメタ解析
Jenny Hole1, Martin Hirsch2, Elizabeth Ball3
1Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Lancet (London, England)
|August 17, 2015
まとめ
音楽は手術後の痛みや不安を 効果的に軽減し 患者の満足度を高め 病院滞在を長くしません この非侵襲的介入は,手術後の回復を改善するために,様々な臨床環境に統合できます.
科学分野:
- 医療 介入
- 証拠 に 基づく 医学
- 手術による回復
背景:
- 音楽は安全で 入手可能で 費用対効果の高い手段です
- 手術後の回復を改善するその可能性は,体系的な評価を必要とします.
研究 の 目的:
- 体系的なレビューとメタ分析を行う.
- 術後の回復を改善する音楽の有効性を評価する.
主な方法:
- 中枢神経/ 頭部/ 首の手術を受けた成人の73件のランダム化対照試験 (RCT) を含めた.
- 標準的なケアや他の非薬物介入と比較した音楽介入 (手術前,手術中の,または手術後の).
- 標準化平均差 (SMD) とランダム効果モデルを用いたメタ分析を実施した.
主要な成果:
- 音楽は手術後の痛み (SMD - 0. 77) と不安 (SMD - 0. 68) を有意に軽減しました.
- 鎮痛薬の使用は減少した (SMD - 0. 37),患者の満足度は増加した (SMD 1. 09).
- 病院滞在の長さでは有意な差は認められなかった (SMD - 0. 11). 音楽は麻酔下でも効果的でした
結論:
- 術後の痛みや不安を和らげるために音楽を勧めることができます.
- その実施は,特定の臨床環境と医療チームに適応することができます.
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