Music intervention to relieve anxiety and pain in adults undergoing cardiac surgery: a systematic review and meta-analysis
Kakar E, Billar RJ, van Rosmalen J, Klimek M, Takkenberg JJM, Jeekel J
Open heart · 62 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
- Universidad u hospital
- Erasmus Medisch Centrum
- Universidad u hospital
- Erasmus Universitair Medisch Centrum Rotterdam
Según 2 financiadores declarados.
Publicación
- Publicado
- 2021-01-01 · Open Heart · vol. 8 · número 1 · pág. e001474
- Editorial
- BMJ
- Citado
- 103 citas · más que el 93% de estudios similares · 3.2× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 72 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY-NC
- Áreas de investigación
- Music Therapy and Health · Intensive Care Unit Cognitive Disorders · Family and Patient Care in Intensive Care Units
- Palabras clave
- Medicine, Anxiety, Visual analogue scale, Meta-analysis, Perioperative, Physical therapy, Music therapy, Randomized controlled trial, Anesthesia, Confidence interval, Psychological intervention, Internal medicine, Psychiatry
- MeSH
- humans, music therapy, postoperative care, cardiac surgical procedures, anxiety, adult
6 autores
- Ellaha Kakar🇳🇱 · autor de correspondenciaErasmus MC; Erasmus University Rotterdam
- Ryan J. Billar🇳🇱Erasmus MC; Erasmus University Rotterdam
- Joost van Rosmalen🇳🇱Erasmus MC; Erasmus University Rotterdam
- Markus Klimek🇳🇱Erasmus MC; Erasmus University Rotterdam
- Johanna J.M. Takkenberg🇳🇱Erasmus MC
- Johannes J. Jeekel🇳🇱Erasmus MC; Erasmus University Rotterdam
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objectives
Previous studies have reported beneficial effects of perioperative music on patients' anxiety and pain. We performed a systematic review and meta-analysis of randomised controlled trials investigating music interventions in cardiac surgery.
Methods
Five electronic databases were systematically searched. Primary outcomes were patients' postoperative anxiety and pain. Secondary outcomes were hospital length of stay, opioid use, vital parameters and time on mechanical ventilation. PRISMA guidelines were followed and PROSPERO database registration was completed (CRD42020149733). A meta-analysis was performed using random effects models and pooled standardised mean differences (SMD) with 95% confidence intervals were calculated.
Results
Twenty studies were included for qualitative analysis (1169 patients) and 16 (987 patients) for meta-analysis. The first postoperative music session was associated with significantly reduced postoperative anxiety (SMD = -0.50 (95% CI -0.67 to -0.32), p<0.01) and pain (SMD = -0.51 (95% CI -0.84 to -0.19), p<0.01). This is equal to a reduction of 4.00 points (95% CI 2.56 to 5.36) and 1.05 points (95% CI 0.67 to 1.41) on the State-Trait Anxiety Inventory and Visual Analogue Scale (VAS)/Numeric Rating Scale (NRS), respectively, for anxiety, and 1.26 points (95% CI 0.47 to 2.07) on the VAS/NRS for pain. Multiple days of music intervention reduced anxiety until 8 days postoperatively (SMD = -0.39 (95% CI -0.64 to -0.15), p<0.01).
Conclusions
Offering recorded music is associated with a significant reduction in postoperative anxiety and pain in cardiac surgery. Unlike pharmacological interventions, music is without side effects so is promising in this population.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC).
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