音乐作为成人术后康复的辅助:系统审查和元分析
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
概括
音乐有效地减少了手术后的疼痛和焦虑, 增加了患者的满意度而不会增加住院时间. 这种非侵入性干预可以整合到各种临床环境中,以改善手术恢复.
科学领域:
- 医疗干预
- 基于证据的医学
- 手术恢复
背景情况:
- 音乐是一种安全,易于获得和经济有效的干预手段.
- 它在手术后改善康复的潜力需要系统评估.
研究的目的:
- 进行系统审查和元分析.
- 评估音乐在改善术后康复中的有效性.
主要方法:
- 包括73个随机对照试验 (RCT) 的成年患者接受手术 (不包括中枢神经系统/头部/部).
- 与标准护理或其他非药物干预相比,音乐干预 (手术前,手术期间或手术后)
- 使用标准化平均差异 (SMD) 和随机效应模型进行了元分析.
主要成果:
- 音乐显著降低了手术后的疼痛 (SMD - 0. 77) 和焦虑 (SMD - 0. 68).
- 止痛药使用量减少 (SMD - 0.37),患者满意度增加 (SMD 1. 09).
- 住院时间没有显著差异 (SMD - 0. 11). 即使在全身麻醉下, 音乐仍然有效.
结论:
- 音乐可以减轻手术后的疼痛和焦虑.
- 它的实施可以适应特定的临床环境和医疗保健团队.
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