在接受放射治疗的癌症患者中音乐干预的有效性:系统性审查和元分析
Hsiao-Hsuan Chen1, Chia-Hsuan Lai1, Yu-Jen Hou2
1Department of Radiation Therapy, Chang Gung Memorial Hospital, Chiayi 613, Taiwan.
Cancers
|February 26, 2025
概括
在接受放射治疗的癌症患者中,音乐干预显著减少了焦虑和疲劳. 虽然音乐医学对焦虑有希望,但其对抑郁症的影响需要进一步研究.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 补充医学是一种补充医学.
背景情况:
- 音乐干预 (MI) 被探索为在接受放射治疗的癌症患者心理痛苦的补充疗法.
- 焦虑,抑郁和疲劳是癌症治疗的常见副作用.
- 在这个特定的患者群体中,关于心脏病发作疗效的证据需要进行系统的评估.
研究的目的:
- 系统地审查和分析音乐干预在减少焦虑,抑郁和疲劳方面的有效性.
- 评估不同类型的音乐干预 (音乐医学与音乐治疗) 对心理结果的影响.
主要方法:
- 在主要数据库 (MEDLINE,EMBASE,CENTRAL,ClinicalTrials.gov,ICTRP) 进行了全面的文献搜索,截至2025年1月9日.
- 包括的研究是随机对照试验 (RCT) 和涉及接受放射治疗的癌症患者的队列研究.
- 质量评估使用了Cochrane风险偏差2.0和ROBINS-I工具;元分析使用了随机效应模型.
主要成果:
- 分析了13项研究 (11个RCT,2个队列),共1073名参与者.
- 观察到焦虑 (MD: -3.53,95% CI: -5.98至 -1.07) 和疲劳 (MD: -15.88,95% CI: -28.19至 -3.57) 的显著减少.
- 没有发现对抑郁症有显著影响 (MD: -1.12,95%CI: -3.25至1.01);音乐医学显示比音乐治疗更大的焦虑减轻.
结论:
- 音乐干预,特别是音乐医学,在接受放射治疗的癌症患者中减轻焦虑和疲劳似乎是有益的.
- 在这个人群中,音乐干预对抑郁症的影响仍然是不确定的.
- 建议使用标准化方法和强大的RCT设计进行进一步的研究,以确认这些发现.
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