Music therapy in hemodialysis patients: Systematic review and meta-analysis
Lin F, Chen L, Gao Y
Complementary therapies in medicine · 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
- Gobierno
- Jilin Scientific and Technological Development Program
- Subvenciones
- Jilin Scientific and Technological Development Program (20240402037GH)
Según 1 financiador declarado.
Publicación
- Publicado
- 2024-09-27 · Complement Ther Med · vol. 86 · pág. 103090
- Editorial
- Elsevier BV
- Citado
- 19 citas · más que el 84% de estudios similares · 1.7× el promedio de su campo
- Referencias
- 94 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY-NC
- Áreas de investigación
- Music Therapy and Health · Art Therapy and Mental Health · Music Education and Analysis
- Palabras clave
- music therapy, hemodialysis, anxiety, pain, depression, stress, non-pharmaceutical interventions, end-stage renal disease, quality of life, physiological outcomes, sleep quality, fatigue, patient satisfaction, blood pressure, respiration rate, oxygen saturation, finger temperature, heart rate, well-being, physical health, non-pharmacological treatment
- MeSH
- humans, music therapy, renal dialysis, depression, anxiety, quality of life
3 autores
- Feng Lin🇨🇳Jilin University
- Long Chen🇷🇺Herzen University
- Yin Han Gao🇨🇳 · autor de correspondenciaJilin University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Patients undergoing hemodialysis (HD) face significant challenges; however, non-pharmaceutical interventions hold potential for enhancing their quality of life. This paper evaluates the effects of music therapy on various mental and physiological outcomes in patients undergoing HD.
Methods
This systematic review and meta-analysis followed the PRISMA 2020 guidelines. A comprehensive database search conducted up to May 21, 2024, identified studies for inclusion based on PICOS criteria. The methodological quality of these studies was assessed using the Cochrane risk-of-bias tool and Review Manager 5.4. For the meta-analysis, R and Stata/SE 15.1 were used, applying a random-effects model in cases of significant heterogeneity, and a fixed-effects model when heterogeneity was minimal.
Results
Twenty-four studies involving 1703 participants were analyzed. Music therapy significantly decreased anxiety (SMD: -0.72, 95 % CI: -0.97 to -0.46, I²: 83 %), pain (SMD: -1.22, 95 % CI: -1.68 to -0.75, I²: 93 %), depression (SMD: -0.85, 95 % CI: -1.31 to -0.39, I²: 77 %), stress (SMD: -0.93, 95 % CI: -1.17 to -0.68, I²: 41 %), and adverse reactions associated with HD (SMD: -0.67, 95 % CI: -0.88 to -0.46, I²: 0 %), all showing strong effect sizes (p < 0.001 for all). However, no significant changes were observed in sleep quality, fatigue, satisfaction with HD, systolic or diastolic blood pressure, heart rate, or finger temperature. A slight reduction in respiration rate (p = 0.0072) and an increase in oxygen saturation (p = 0.0056) were noted. While music therapy showed promising results, the notable heterogeneity in pain and anxiety outcomes suggests careful interpretation, although no significant publication bias was detected.
Conclusion
Music therapy has demonstrated encouraging outcomes in improving the well-being of patients undergoing HD, particularly in reducing anxiety, pain, and stress. However, due to notable heterogeneity and methodological issues such as small sample sizes and inconsistent blinding, further high-quality research is needed to confirm these findings and establish more robust evidence.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC).
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