Optimal timing and effect of music therapy in patients with burn injuries: Systematic review and meta-analysis of randomized controlled trials
Wu TJ, Chen KH, Chiu WK, Lee CL, Wang HJ, Kang YN, Chen C
Burns : journal of the International Society for Burn Injuries · 11 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
- Taipei Medical University
Según 1 financiador declarado.
Publicación
- Publicado
- 2021-08-03 · Burns · vol. 48 · número 5 · págs. 1069–1078
- Editorial
- Elsevier BV
- Citado
- 11 citas · más que el 43% de estudios similares · 0.2× el promedio de su campo
- Referencias
- 28 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Burn Injury Management and Outcomes · Art Therapy and Mental Health
- Palabras clave
- music therapy, burns, anxiety, pain, opioid analgesic use, psychological outcomes, dressing changes, burn pain management
- MeSH
- humans, burns, music therapy, anxiety, music, randomized controlled trials as topic
7 autores
- Ting‐Ju Wu🇹🇼Taipei Medical University
- Kee‐Hsin Chen🇹🇼Wan Fang Hospital; Taipei Medical University
- Wen-Kuan Chiu🇹🇼Wan Fang Hospital; Taipei Medical University
- Chia‐Lin Lee🇹🇼Wan Fang Hospital; Taipei Medical University
- Hsian-Jenn Wang🇹🇼Wan Fang Hospital; Taipei Medical University
- Yi‐No Kang🇹🇼 · autor de correspondenciaNational Taiwan University; Wan Fang Hospital; Taipei Medical University
- Chiehfeng Chen🇹🇼 · autor de correspondenciaWan Fang Hospital; Taipei Medical University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Burn injuries may have both physiological and psychological consequences. Numerous studies have reported the use of music therapy during burn injury treatment, but the optimal timing for music therapy remains unclear. Therefore, we performed a systematic review and meta-analysis of randomized controlled trials on patients with burn injuries to analyze the effects of music intervention on them at different timings: background (T0) and time before (T1), during (T2), and after (T3) change dressing (CD).
Method
The PubMed and EMBASE databases were searched for articles published before Novenber 2020 based on predetermined criteria. Our search focused on two keywords: music and burn. Reviewers extracted data from all eligible studies independently. The I2 statistic was used to determine statistical heterogeneity. The endpoints included standardized mean differences (SMDs) and 95% confidence intervals (CIs). Relevant Forest plots were also created.
Result
This study finally included seven trials recruiting a total of 524 patients. The results indicated that compared with non-music intervention, music intervention significantly reduced anxiety at T0 (SMD = -1.32, 95% CI [-2.61, -0.02], T1 (SMD = -2.15, 95% CI [-4.30, -0.00]) and T2 (SMD = -0.39, 95% CI [-0.74, -0.04]). Moreover, they also significantly reduced the pain levels at T0 (SMD = -1.59, 95% CI [-2.00, -1.17]) and T2 (SMD = -0.47, 95% CI [-0.82, -0.12]), improved the mental condition, and reduced the amount of opioid analgesics used at T0.
Conclusion
Music therapy seems to have some effects at T0 and T1 in patients with burn injuries. Music therapy was more effective in improving psychological outcomes than physiological outcomes. However, additional high-quality studies related to music therapy for patients with burn injuries are warranted.
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