音乐干预作为减少手术前焦虑的策略:一个总体审查
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
概括
音乐干预有效地减少了成年手术患者的手术前焦虑. 需要进一步的研究来规范实施以实现最佳的临床整合和改善患者的治疗结果.
科学领域:
- 麻醉学和外科外科
- 心理学与行为医学
- 基于证据的医疗保健
背景情况:
- 手术前的焦虑很常见,增加了并发症的风险.
- 音乐干预是缓解手术前焦虑的可行策略.
- 这篇综合评论综合了音乐在减轻手术前焦虑方面的证据.
研究的目的:
- 对成人手术患者的音乐干预治疗焦虑症进行综合性综述.
- 评估音乐干预在减少手术前焦虑的整体效果.
- 总结实施细节,并确定影响音乐干预有效性的因素.
主要方法:
- 在MEDLINE,PubMed,EMBASE,CINAHL和Cochrane图书馆进行系统搜索,截至2024年8月22日.
- 包括评估成年手术患者在手术前焦虑时的音乐干预的系统审查.
- 使用AMSTAR 2检查清单进行包括系统审查的质量评估.
主要成果:
- 包括六项系统性审查 (1项高质量,4项中等质量,1项低质量) 分析了40项初级研究.
- 音乐干预显示了手术前焦虑的统计显著减少 (MD = - 5. 20, 95% CI [- 6. 32, - 4. 07]).
- 持续时间≥20分钟和年龄<60岁的患者观察到更大的效果.
结论:
- 音乐干预可以减少手术前的焦虑.
- 高质量的证据和更明确的实施方法是常规临床整合所必需的.
- 优化音乐干预方案可以提高其在手术环境中的有效性.
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