Music therapy reduces stress and anxiety in critically ill patients: a systematic review of randomized clinical trials
Umbrello M, Sorrenti T, Mistraletti G, Formenti P, Chiumello D, Terzoni S
Minerva anestesiologica · 86 citas
Etiquetas de revisión
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Cómo se estudió
- Diseño
- Revisión sistemática (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2019-07-01 · Minerva Anestesiol · vol. 85 · número 8 · págs. 886–898
- Editorial
- Edizioni Minerva Medica
- Citado
- 189 citas · más que el 93% de estudios similares · 3.5× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 70 trabajos
- Acceso
- Acceso abierto (copia en repositorio) · OTHER-OA
- Áreas de investigación
- Music Therapy and Health · Intensive Care Unit Cognitive Disorders · Family and Patient Care in Intensive Care Units
- Palabras clave
- Medicine, Music therapy, Anxiety, Randomized controlled trial, Psychological intervention, CINAHL, Cochrane Library, MEDLINE, Intensive care unit, Physical therapy, Intensive care medicine, Internal medicine, Psychiatry
- MeSH
- humans, critical illness, music therapy, stress, psychological, anxiety, randomized controlled trials as topic
6 autores
- Michele Umbrello🇺🇸🇮🇹 · autor de correspondenciaAOL (United States); Ospedale San Paolo; Ospedale San Paolo; Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo
- Tiziana Sorrenti🇮🇹Centro Cardiologico Monzino
- Giovanni Mistraletti🇺🇸🇮🇹AOL (United States); University of Milan; Ospedale San Paolo; Ospedale San Paolo; Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo
- Paolo Formenti🇺🇸🇮🇹AOL (United States); Ospedale San Paolo; Ospedale San Paolo; Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo
- Davide Chiumello🇺🇸🇮🇹AOL (United States); University of Milan; Ospedale San Paolo; Ospedale San Paolo; Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo
- Stefano Terzoni🇮🇹University of Milan
Resumen
El texto original del estudio, en el idioma en que se publicó.
Introduction
The underlying clinical condition and the Intensive Care Unit (ICU) environment make critical illness a stressful event. Although the usual management consists of sedation, non-pharmacological interventions such as music therapy have been suggested for their drug-sparing effect. Aim of the present review is to assess the current evidence on the effectiveness of music therapy in reducing stress and anxiety in critically ill, adult patients.
Evidence acquisition
A systematic review of publications was undertaken using MEDLINE, CINAHL, Cochrane Library, Scopus, Web of Science, Indice Italiano di Letteratura di Scienze Infermieristiche. We included studies of critically ill patients that assessed any effect of music therapy on stress and anxiety, which were variably assessed according to each study's definition.
Evidence synthesis
Eleven studies were included (10 RCTs and one quasi-experimental design), for a total of 959 patients (range 17-373). The overall quality of the studies was satisfactory; several potential sources for bias were identified. Music therapy was generally provided as a single, 30'-intervention, ranging from 15 to 60'. Only in two studies was the intervention repeated more than once daily. The control groups were standard care, relaxation, headphones with no music or noise-cancelling headphones. Music therapy determined a significant reduction in the levels of anxiety and stress, as assessed by self-reported scales and physiologic parameters. Pooled analysis was not performed due to the heterogeneity of the interventions.
Conclusions
Despite significant heterogeneity in trial designs, timing and features of the intervention, music therapy is consistently associated with a reduction in anxiety and stress of critically ill patients.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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