音乐干预对重症患者焦虑的影响,随机对照试验的元分析
Muhammad Saqib1, Asia Batool2, Qurat Ul Ain Iftikhar3
1Khyber Medical College, Pakistan.
Journal of critical care
|June 8, 2025
概括
根据这种随机对照试验的元分析,音乐疗法不会显著降低重症患者的焦虑. 需要进一步的研究来确定其在重症监护机构的有效性.
科学领域:
- 临界护理医学 临界护理医学
- 精神病学护理 精神病学护理
- 基于证据的实践.
背景情况:
- 焦虑是重症患者的常见问题.
- 正在探索诸如音乐治疗之类的非药物干预措施.
- 在这种人群中,音乐疗法的有效性证据有限.
研究的目的:
- 系统地评估音乐治疗对重症患者减轻焦虑的有效性.
- 综合高质量的随机对照试验 (RCT) 的研究结果.
主要方法:
- 进行了对5个带有325名参与者的RCT进行元分析.
- 这些研究是通过对PubMed,Embase和Cochrane数据库 (2010-2025) 的全面搜索来确定的.
- 用随机效应模型分析数据,评估焦虑得分的平均差异 (MD).
主要成果:
- 综合分析显示,焦虑症没有显著减少 (MD = -1.11;95% CI: -12.97至10.75,p = 0.85),但存在显著的异质性 (I2 = 99%).
- 除了影响性研究之外的敏感性分析减少了异质性 (I2 = 30%),但仍然没有发现显著的影响 (MD = 0.69;95% CI: -2.15至3.53,p = 0.63).
- 提出了潜在的出版偏见,但由于研究数量有限,无法正式评估.
结论:
- 目前的证据不支持音乐治疗作为一种独立的干预措施,以治疗危急病患者的焦虑.
- 实质性的异质性和潜在的偏见限制了研究结果的解释.
- 需要进一步研究标准化方案和更大的样本大小,以澄清音乐治疗在重症监护中的作用.
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