在内镜和结肠镜手术中减少焦虑的非药物干预措施的有效性:系统性审查和网络元分析
Ernesto Calderon Martinez1, Patricia Ghattas Hasbun2, Joceline Isabel Almeida Hidalgo3
1Department of Internal Medicine, The University of Texas Health Science Center at Houston, Houston, TX, USA. ernestocalderon.mtz@gmail.com.
Digestive diseases and sciences
|October 31, 2025
概括
音乐治疗,雷基和芳香疗法有效地减少了内镜手术期间的焦虑. 音乐治疗也提高了患者的满意度,尽管干预措施不会显著影响疼痛或手术持续时间.
科学领域:
- 胃肠病学 胃肠病学
- 麻醉学 麻醉学
- 心理学 心理学 心理学
背景情况:
- 焦虑影响到70%的患者进行内镜手术,增加疼痛感知和减少满意度.
- 非药物干预措施被探索为抗焦虑药物的替代品.
- 这项研究评估了音乐疗法,芳香疗法和雷基疗法,以减少内镜中的焦虑.
研究的目的:
- 在内镜手术中系统审查和网络元分析非药物干预措施,以减少内镜手术中的焦虑.
- 评估这些干预措施对疼痛,患者满意度和手术持续时间等次要结果的影响.
- 根据有效性和患者背景,确定最佳干预措施.
主要方法:
- 按照PRISMA指南,系统地搜索七个随机对照试验 (RCT) 数据库.
- 网络元分析 (NMA) 使用随机效应模型来比较干预的有效性.
- 用于对干预措施进行排名的积累性排名 (SUCRA) 概率下的表面;根据程序类型和镇静状态对子组进行分析.
主要成果:
- 48个具有6014名参与者的RCT评估了12种非药物干预措施.
- 与标准护理相比,雷基,芳香疗法和音乐疗法显著减少了焦虑 (SMD: -1.51, -1.31, -1.09分别).
- 音乐治疗显著改善了患者的满意度 (SMD:2.21);没有干预影响疼痛或手术持续时间. 疗效因手术类型和镇静而异.
结论:
- 音乐治疗在内镜检查期间显示了最强有力的证据,减少焦虑和改善患者满意度.
- 雷基和芳香疗法也很有效,根据手术类型和镇静剂的不同意义和具体应用.
- 根据临床背景调整干预措施至关重要;未来的研究需要标准化试验来证实研究结果.
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