预先录制的音乐干预在住院成人的痴呆症:一个系统的审查和元分析
Lucas T S Kwakernaak1, Jetske M Stoop2, Pascal R D Clephas3
1Department of Anesthesiology (LTK, MK), Erasmus Medical Centre, Rotterdam, The Netherlands.
概括
音乐干预显著减少了住院成年患者妄的发展. 这一系统性审查和元分析发现,与标准护理相比,听音乐的患者患狂妄症的风险降低了48%.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 临床医学 临床医学
背景情况:
- 痴呆症是住院老年患者常见的急性认知障碍,导致短期和长期结果不佳.
- 预先录制的音乐干预显示出在医院环境中预防妄发展的潜力.
研究的目的:
- 分析音乐干预对各种医院环境中成年患者痴呆症发展的影响.
- 通过系统审查和元分析来更新现有研究.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 包括随机对照试验 (RCT),涉及成年患者 (≥18岁) 与标准护理相比接受音乐干预.
- 主要结局:妄想发病率和严重程度得分. 分析的重点是 Delirium 发作的风险比率.
主要成果:
- 包括8项涉及1,129名患者的研究;大多数表明音乐干预的 Delirium 事件较少.
- 对5项研究的元分析 (1,023名患者) 显示,狂妄症发展的风险比为0.52 (95% CI:0.37-0.73),有利于音乐干预.
- 纳入研究中的患者平均年龄为66.99岁.
结论:
- 这项研究提供了新的证据,支持预先录制的音乐干预措施在预防妄想方面具有有益影响.
- 音乐干预是一种有前途的非药物治疗方法,可以减少住院成年人群,特别是老年人 Delirium 的发病率.
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