音乐治疗对老年人睡眠质量的影响:系统性审查和元分析
Cheng Li1, Archana Prabu Kumar2, Dapkupar Wankhar3
1School of Music and Dance, Ningxia Normal University, Xueyuan Road, Yuanzhou District, Guyuan, Ningxia, China.
PloS one
|November 4, 2025
概括
音乐治疗显著改善了老年人的睡眠质量. 然而,这些证据的确定性非常低,需要对临床使用保持谨慎.
科学领域:
- 老年学是指老年学的学科.
- 睡眠医学 睡眠医学
- 音乐治疗 音乐治疗
背景情况:
- 睡眠障碍影响高达50%的老年人,影响健康和生活质量.
- 音乐治疗是一种潜在的非药物睡眠辅助剂,但证据不一致.
研究的目的:
- 系统地审查和分析音乐治疗对改善老年人睡眠质量的有效性.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 包括50岁以上成年人的随机对照试验 (RCT) 和非随机对照试验 (非RCT).
- 使用Cochrane RoB 2和ROBINS-I工具评估偏差风险;使用GRADE评估证据确定性.
主要成果:
- 分析了10项研究 (6项RCT,4项非RCT) 涉及602名参与者.
- 音乐治疗显示睡眠质量显著改善 (SMD: -0.79;P <.001).
- 亚组分析表明RCT有好处,但非RCT没有好处;注意到了大量的异质性 (I2 = 79%).
结论:
- 音乐治疗对老年人睡眠质量有显著的好处.
- 证据确定性非常低 (GRADE) 需要对临床建议保持谨慎.
- 未来的研究应该解决方法学上的局限性,以加强实践指南的证据.
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