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Metaanálisis2024Financiación no declarada

Effects of Perioperative Music Therapy on Patients with Postoperative Pain and Anxiety: A Systematic Review and Meta-Analysis

Li G, Yu L, Yang Y, Deng J, Shao L, Zeng C

Journal of integrative and complementary medicine · 15 citas

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Cómo se estudió

Diseño
Metaanálisis (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2023-08-30 · J Integr Complement Med · vol. 30 · número 1 · págs. 37–46
Editorial
Mary Ann Liebert, Inc.
Citado
34 citas · más que el 83% de estudios similares · 1.8× el promedio de su campo
Referencias
30 trabajos
Acceso
De pago
Áreas de investigación
Music Therapy and Health · Anesthesia and Pain Management · Pediatric Pain Management Techniques
Palabras clave
music therapy, perioperative care, postoperative pain, postoperative anxiety, mind-body interventions, blood pressure, heart rate, patient satisfaction with hospital care, postoperative nausea and vomiting, surgical patients, patient satisfaction, anxiety reduction, non-pharmacological treatment
MeSH
humans, postoperative nausea and vomiting, music therapy, anxiety, music, postoperative pain

6 autores

  • Guanzhu Li🇨🇳Guangzhou University of Chinese Medicine; Guangdong Provincial Hospital of Chinese Medicine
  • Lina Yu🇨🇳Guangzhou University of Chinese Medicine; Guangdong Provincial Hospital of Chinese Medicine
  • Yating Yang🇨🇳Guangzhou University of Chinese Medicine; Guangdong Provincial Hospital of Chinese Medicine
  • Jinhe Deng🇨🇳Guangzhou University of Chinese Medicine; Guangdong Provincial Hospital of Chinese Medicine
  • Lan Shao🇨🇳Guangzhou University of Chinese Medicine; Guangdong Provincial Hospital of Chinese Medicine
  • Chaokun Zeng🇨🇳 · autor de correspondenciaGuangzhou University of Chinese Medicine; Guangdong Provincial Hospital of Chinese Medicine

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background: As a mind-body therapy, music may have a positive effect on patients with postoperative pain and anxiety. Objective: The aim of this systematic review and meta-analysis was to explore the effects of perioperative music therapy on postoperative pain and anxiety based on existing clinical trials. Methods: The Cochrane Library, PubMed, and Embase were searched from their inception to August 2022, selected the literature according to the inclusion and exclusion criteria, and completed the meta-analysis using RevMan 5.3. Results: A total of 19 eligible randomized controlled trials were enrolled, including 1803 patients. The results of the meta-analysis showed that the scores of pain (standardized mean difference [SMD], -0.90; 95% confidence interval [CI], -1.26 to -0.53; p p = 0.0008) decreased in the music group on postoperative day 1. The blood pressure (mean difference [MD], -5.29; 95% CI, -9.53 to -1.06; p = 0.01) and heart rate (MD, -6.13; 95% CI, -11.69 to -0.58; p = 0.03) also decreased on the same day. Further, the score of change in pain (SMD, 0.35; 95% CI, 0.01 to 0.68; p = 0.04) and anxiety (SMD, 1.35; 95% CI, 0.01 to 2.69; p = 0.05) increased between preoperative and postoperative days in the music group. However, the scores of hospital satisfaction (MD, -0.07; 95% CI, -1.40 to 1.27; p = 0.92) and incidences of postoperative nausea and vomiting (risk ratio, 0.41; 95% CI, 0.13 to 1.34; p = 0.14) did not decrease in the music group. Conclusion: Perioperative music therapy can significantly reduce postoperative pain and anxiety and avoid fluctuations in blood pressure and heart rate but does not improve patient hospital satisfaction or incidences of postoperative nausea and vomiting.

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