Alvarenga Willyane de Andrade, Leite Ana Carolina Andrade Biaggi, Oliveira Marina Sanches, Nascimento Lucila Castanheira, Silva-Rodrigues Fernanda Machado, Nunes Michelle Darezzo Rodrigues, Carvalho Emilia Campos de
University of Sao Paulo at Ribeirão Preto College of Nursing, Brazil.
Santa Casa de Sao Paulo School of Medical Sciences, Brazil.
J Holist Nurs. 2018 Jun;36(2):192-204. doi: 10.1177/0898010117710855. Epub 2017 Jun 7.
Although some studies have suggested that music can positively affect physical and psychological variables, few have evaluated its effects on spirituality. This study aimed to evaluate the effects of musical interventions on the spirituality of patients, regardless of diagnoses.
This was a systematic literature review that followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations conducted through a relevant search of terms in six databases (PubMed, Web of Science, CINAHL, PsycINFO, ScienceDirect, and LILACS) without temporal delimitation. Experimental or quasi-experimental studies were included, involving participants regardless of diagnoses, to assess the effect of music on spirituality, either through musical intervention as music medicine or through music therapy. The methodological quality of included studies was evaluated using the Physiotherapy Evidence Database scale.
A total of 147 studies were identified; 7 met the inclusion criteria. Five studies were randomized controlled trials involving six music therapists leading the musical intervention with the active participation of patients. The interventions used were heterogeneous. Three studies were associated with improved spirituality after the intervention. Four studies used measurements to evaluate spiritual well-being.
This review did not allow ascertaining the positive impact of music intervention on spirituality in patients, which motivates further research.
尽管一些研究表明音乐可以对身体和心理变量产生积极影响，但很少有研究评估其对灵性的影响。本研究旨在评估音乐干预对患者灵性的影响，无论其诊断如何。
这是一项系统的文献综述，遵循系统评价和荟萃分析的首选报告项目（PRISMA）建议，通过在六个数据库（PubMed、科学网、护理学与健康领域数据库、心理学文摘数据库、科学Direct和拉丁美洲及加勒比地区卫生科学数据库）中对相关术语进行无时间限制的检索来进行。纳入了实验性或准实验性研究，研究对象为无论诊断如何的参与者，以评估音乐通过作为音乐医学的音乐干预或通过音乐疗法对灵性的影响。使用物理治疗证据数据库量表评估纳入研究的方法学质量。
共识别出147项研究；7项符合纳入标准。5项研究为随机对照试验，涉及6名音乐治疗师在患者的积极参与下进行音乐干预。所使用的干预措施各不相同。3项研究表明干预后灵性有所改善。4项研究使用测量方法来评估精神幸福感。
本综述无法确定音乐干预对患者灵性的积极影响，这促使进一步开展研究。
