在接受手术的患者中进行音乐干预:使用严格的纳入标准进行系统审查
Roos Geensen1, Thomas L A Dirven1, Florine H E Bax1
1Department of Neuroscience, Erasmus Medical Center, P.O. Box 2040, Rotterdam NL-3000CA, the Netherlands.
Complementary therapies in medicine
|May 23, 2025
概括
音乐干预显著减少手术患者的疼痛和焦虑,提高了满意度. 然而,现有研究的质量往往很低,存在偏见的高风险和不良的方法报告.
科学领域:
- 医疗干预 医疗干预
- 医疗保健研究 医疗保健研究
- 基于证据的实践.
背景情况:
- 音乐干预因其在医疗保健环境中的有效性而得到认可.
- 现有关于音乐干预的研究经常受到低质量和不充分的方法的损害.
- 需要批判性地评估音乐干预研究的方法严格性.
研究的目的:
- 评估音乐对手术患者疼痛,焦虑,主观压力和患者满意度的影响.
- 评估包含的研究的方法质量,重点关注样本大小计算和随机化.
- 综合高质量的随机对照试验 (RCT) 的发现,使用严格的纳入标准.
主要方法:
- 从1980年到2024年7月,对7个数据库进行了系统搜索.
- 包括随机对照试验 (RCT),比较录制的音乐干预与手术患者的标准护理.
- 使用Cochrane偏差风险2工具 (RoB 2.0) 评估了方法质量和偏差风险.
主要成果:
- 包括10项涉及1114名患者的研究.
- 音乐干预显著减少了焦虑 (6项研究),疼痛 (4项研究) 和压力 (1项研究).
- 音乐干预组 (3项研究) 的患者满意度更高,但整体方法质量低,偏差风险高.
结论:
- 在手术前,手术期间或手术后进行的音乐干预与减少疼痛和焦虑以及增加患者满意度有关.
- 尽管标准缩小了,但所有纳入的研究都表现出高偏差风险和对样本大小计算的报告不佳.
- 未来的研究应该强调可靠的对照组程序,随机化和RCT中适当的样本大小计算.
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