The Effectiveness of Music Therapy for Terminally Ill Patients: A Meta-Analysis and Systematic Review
Gao Y, Wei Y, Yang W, Jiang L, Li X, Ding J, Ding G
Journal of pain and symptom management · 50 citas
Cómo se estudió
- Diseño
- Metaanálisis (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- World Health Organization
- Universidad u hospital
- Lanzhou University
Según 2 financiadores declarados.
Publicación
- Publicado
- 2018-10-30 · J Pain Symptom Manage · vol. 57 · número 2 · págs. 319–329
- Editorial
- Elsevier BV
- Citado
- 85 citas · más que el 69% de estudios similares · 0.9× el promedio de su campo
- Referencias
- 38 trabajos
- Acceso
- Lectura gratuita
- Áreas de investigación
- Music Therapy and Health · Palliative Care and End-of-Life Issues · Palliative and Oncologic Care
- Palabras clave
- music therapy, palliative care, dying patients, analgesia, quality of life, anxiety, depression, emotional functioning, psychological symptoms, advanced disease
- MeSH
- humans, treatment outcome, music therapy, palliative care, terminal care, terminally ill, randomized controlled trials as topic
7 autores
- Yinyan Gao🇨🇳Lanzhou University
- Yanping Wei🇨🇳First Hospital of Lanzhou University; Lanzhou University
- Wenjiao Yang🇨🇳Lanzhou University
- Lili Jiang🇨🇳Lanzhou University
- Xiuxia Li🇨🇳Lanzhou University
- Jie Ding🇨🇳Lanzhou University
- Guowu Ding🇨🇳 · autor de correspondenciaLanzhou University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Context
The quality of death has increasingly raised concern because of the physical and psychological suffering of patients with advanced disease. Music therapy has been widely used in palliative care; however, its physical and mental effectiveness remains unclear.
Objective
To assess the effectiveness of music therapy during palliative care in improving physiology and psychology outcomes.
Methods
Randomized controlled trials evaluating music therapy for terminally ill patients were searched and included from inception up to April 25, 2018. The quality of the studies was assessed using the risk of bias tool recommended by the Cochrane Handbook V.5.1.0.
Results
In this study, 11 randomized controlled trials (inter-rater agreement, κ = 0.86) involving 969 participants were included. The quality of the included studies ranged from moderate to high. Compared with general palliative care, music therapy can reduce pain (standardized mean difference: -0.44, 95% confidence interval: -0.60 to -0.27, P < 0.00001) and improve the quality of life (standardized mean difference: 0.61, 95% confidence interval: 0.41 to 0.82, P < 0.00001) in terminally ill patients. In addition, anxiety, depression, and emotional function are improved as well. However, no significant differences were found in the patient's physical status, fatigue, and social function.
Conclusion
This meta-analysis study demonstrated that music therapy served as an effective intervention to alleviate pain and psychological symptoms of terminally ill patients. However, considering the limitation of the quantity of the studies included, these results would need to be further confirmed.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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