Dose-response analysis of music intervention for improving delirium in intensive care unit patients: A systematic review and meta-analysis
Dai RS, Wang TH, Chien SY, Tzeng YL
Nursing in critical care · 6 citas
Cómo se estudió
- Diseño
- Metaanálisis (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Eventos clínicos como enfermedad o muerte
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- National Science and Technology Council
- Universidad u hospital
- China Medical University Hospital
- Universidad u hospital
- China Medical University, Taiwan
- Gobierno
- Ministry of Science and Technology, Taiwan
- Subvenciones
- China Medical University, Taiwan (CMU110-S-15); National Science and Technology Council (NSTC111-2410-H039-009-MY3); China Medical University Hospital (DMR-113-126)
Según 4 financiadores declarados.
Publicación
- Publicado
- 2025-01-24 · Nurs Crit Care · vol. 30 · número 5 · pág. e13230
- Editorial
- Wiley
- Citado
- 9 citas · más que el 84% de estudios similares · 2.2× el promedio de su campo
- Referencias
- 50 trabajos
- Acceso
- De pago
- Áreas de investigación
- Intensive Care Unit Cognitive Disorders · Music Therapy and Health · Neuroscience and Music Perception
- Palabras clave
- music intervention, delirium, intensive care unit patients, dose-response relationship, non-pharmacological treatment, intervention dosage, critical care nursing, delirium prevention and treatment, quality of evidence, future research directions, implementation barriers and facilitators, cost-effectiveness
- MeSH
- humans, delirium, music therapy, intensive care units
4 autores
- Rong‐Sian Dai🇹🇼China Medical University; China Medical University Hospital
- Tsuei‐Hung Wang🇹🇼National Health Research Institutes
- Shao‐Yun Chien🇹🇼China Medical University
- Ya‐Ling Tzeng🇹🇼 · autor de correspondenciaChina Medical University; China Medical University Hospital
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Delirium is a common and severe condition among adult intensive care unit (ICU) patients. Music intervention, as a non-pharmacological approach, has the potential to reduce delirium, but the optimal dosage and type of intervention remain unclear.
Aim
To explore the effects of music intervention at different doses and types on reducing delirium in ICU patients.
Study design
This study was conducted as a systematic review and meta-analysis. Databases including Cochrane Library, EBSCO, Embase, PubMed, Web of Science, Airiti Library, China National Knowledge Infrastructure and Wanfang Data were searched until 29 February 2024. Study quality was assessed using the Cochrane Risk of Bias 2.0 criteria. Data were analysed using RevMan 5.4.1 and Comprehensive Meta-Analysis 3.0.
Results
Fourteen studies involving 1434 ICU patients were included. Four studies were of good quality (low risk of bias), seven were of moderate quality (unclear risk) and three were of low quality (high risk). Pooled analysis showed that music interventions significantly reduced the risk of delirium (12 studies, RR = .49, 95% confidence interval [CI] [.40, .61]). Slow-tempo music had the strongest effect (11 studies, RR = .46, 95% CI [.37, .57]). The optimal intervention dosage involves conducting music interventions twice daily (12 studies, RR = .46, 95% CI [.34, .63]), with each session lasting 30 min (12 studies, RR = .41, 95% CI [.30, .55]). Additionally, a pooled analysis showed that a 7-day music intervention (6 studies, RR = .43, 95% CI [.26, .71]) was the most effective in reducing the risk of delirium.
Conclusions
Music intervention reduces delirium in ICU patients, especially with two 30-min sessions daily for 7 days. However, the certainty of evidence is low, highlighting the need for further high-quality research.
Relevance to clinical practice
Music intervention is a simple, non-invasive method that may help reduce delirium in ICU patients. However, given the low certainty of the current evidence, it should be used cautiously, and further research is needed to validate its effectiveness before routine implementation.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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