The Impact of Music Therapy on Preoperative Anxiety in Pediatric Patients Undergoing Anesthesia: A Systematic Review and Meta-analysis
Li H, Cheng M, Jiang S
Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · 3 citas
Etiquetas de revisión
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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
- 2025-04-08 · J Perianesth Nurs · vol. 40 · número 5 · págs. 1325–1332.e2
- Editorial
- Elsevier BV
- Citado
- 6 citas · más que el 78% de estudios similares · 1.4× el promedio de su campo
- Referencias
- 52 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Pediatric Pain Management Techniques · Anesthesia and Pain Management
- Palabras clave
- music therapy, preoperative anxiety, pediatric anesthesia, children, non-pharmacological treatment, perioperative anxiety, pediatric surgery, perioperative nursing
- MeSH
- humans, music therapy, preoperative care, anesthesia, anxiety, child
3 autores
- Haowen Li
- Menghua Cheng
- Shuying Sue Jiang🇨🇳 · autor de correspondenciaYantaishan Hospital
Resumen
El texto original del estudio, en el idioma en que se publicó.
Purpose
Preoperative anxiety remains a critical concern in pediatric anesthesia, often worsening surgical outcomes and complicating postoperative recovery. This systematic review and meta-analysis aimed to evaluate whether music therapy, as a nonpharmacological intervention, effectively reduces preoperative anxiety in children undergoing anesthesia.
Design
Systematic review and meta-analysis.
Methods
Studies examining the impact of music therapy on preoperative anxiety in pediatric patients were systematically identified, screened, and selected for inclusion. Data from eligible studies were synthesized using a random-effects model to assess the pooled effect size, with sensitivity analyses performed to verify result stability. Publication bias across the included studies was also investigated to ensure reliability of the findings.
Findings
The analysis included 7 studies comprising a total of 440 pediatric participants. Findings indicated that music therapy led to a statistically significant reduction in anxiety levels, yielding a moderate effect size (standardized mean difference = -0.48; 95% confidence interval, -0.81 to -0.15; I2 = 65.6%). Sensitivity analyses demonstrated consistent results, as the removal of individual studies did not significantly alter the overall effect estimate. Additionally, no substantial publication bias was detected, supporting the validity of the meta-analysis.
Conclusions
The findings strongly endorse music therapy as an effective nonpharmacological strategy for managing preoperative anxiety in pediatric patients undergoing anesthesia. With a statistically significant moderate reduction in anxiety observed, music therapy emerges as a valuable tool for improving the perioperative experience and potentially enhancing recovery outcomes in pediatric surgical care.
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