術前の不安を軽減する戦略としての音楽介入:総括的なレビュー
Ke-Lu Yang1, Elke Detroyer1,2, Ming-Ming Niu3
1Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven - University of Leuven, Kapucijnenvoer 7, Leuven, B-3000, Belgium.
BMC anesthesiology
|August 21, 2025
まとめ
音楽による介入は 成人手術患者の手術前の不安を 効果的に軽減します 最適な臨床統合と患者の成果を改善するために,実施を標準化するためにさらなる研究が必要です.
科学分野:
- 麻酔学と手術前医学
- 心理学 と 行動 医学
- 証拠に基づいた医療
背景:
- 手術前の不安はよくあるもので 合併症のリスクを高めます
- 音楽による介入は 手術前の不安を緩和する 実行可能な戦略です
- この概要は 術前の不安を軽減する 音楽の有効性に関する証拠をまとめています
研究 の 目的:
- 大人の外科患者の手術前不安に対する音楽介入に関する体系的なレビューの総括的なレビューを行う.
- 術前の不安を軽減する音楽介入の全体的な効果を評価する.
- 実施の詳細を要約し,音楽介入の有効性に影響を与える要因を特定する.
主な方法:
- 2024年8月22日まで,MEDLINE,PubMed,EMBASE,CINAHL,およびコクラン図書館の体系的な検索を行いました.
- 成人手術患者の手術前不安に対する音楽介入を評価した体系的なレビューを掲載.
- AMSTAR 2のチェックリストを用いた体系的なレビューの品質評価
主要な成果:
- 40件のプライマリ研究を分析した6件の体系的レビュー (1件は高品質,4件は中等品質,1件は低品質) が含まれていた.
- 音楽による介入は,手術前の不安の統計的に有意な減少を示した (MD = - 5. 20,95%CI [ - 6. 32, - 4. 07]).
- 治療期間が20分以上と60歳未満の患者で,より大きな効果が観察されました.
結論:
- 音楽による介入は 術前の不安を軽減する潜在的利点を示しています
- 高品質のエビデンスと実施方法に関するより明確な報告は,日常的な臨床統合に必要である.
- 音楽の介入プロトコルを最適化することで 外科での効果が向上します
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