Lin Hsin-Hui, Chang Yu-Chen, Chou Hsiao-Hui, Chang Chih-Po, Huang Ming-Yuan, Liu Shu-Jung, Tsai Chin-Han, Lei Wei-Te, Yeh Tzu-Lin
Department of Family Medicine, MacKay Memorial Hospital, Taipei, Taiwan.
Department of Hospice and Palliative Care, MacKay Memorial Hospital, Tamsui Branch, New Taipei City, Taiwan.
PeerJ. 2019 May 15;7:e6945. doi: 10.7717/peerj.6945. eCollection 2019.
Anxiety is commonly experienced during the delivery process and has shown to have adverse effects on maternal and infant health outcomes. Music interventions tend to reduce the effects of anxiety in diverse populations, are low cost, are easily accessible, and have high acceptability. The aim of this review and meta-analysis was to assess the effectiveness of music interventions in reducing anxiety levels among women during labor.
Seven databases from inception to the end of December, 2018, without any language or time restriction including Embase, PubMed, the Cochrane Library, the Cumulative Index to Nursing and Allied Health, PsycINFO, Airiti Library, and PerioPath: Index to Taiwan Periodical Literature were searched using key terms related to pregnancy, anxiety, and music. Randomized controlled trials that assessed the effect of music during labor and measured anxiety levels as an outcome were included. Meta-analyses were conducted to assess anxiety reduction following a music intervention compared to that after placebo treatment.
A total of 14 studies that investigated a total of 1,310 participants were included in this review. The meta-analyses indicated that those in the intervention group had a significant decrease in anxiety scores (standardized mean difference = -2.40, 95% confidence interval (CI) [-3.29 to -1.52], < 0.001; = 97.66%), heart rate (HR) (difference in means = -3.04 beats/min, 95% CI [-4.79 to -1.29] beats/min, = 0.001; = 0.00%), systolic blood pressure (SBP) (difference in means = -3.71 mmHg, 95% CI [-7.07 to -0.35] mmHg, = 0.031; = 58.47%), and diastolic blood pressure (DBP) (difference in means = -3.54 mmHg, 95% CI [-5.27 to -1.81] mmHg, < 0.001; = 0.00%) as compared to the women in the control group.
Music interventions may decrease anxiety scores and physiological indexes related to anxiety (HR, SBP, and DBP). Music interventions may be a good non-pharmacological approach for decreasing anxiety levels during labor.
分娩过程中常见焦虑情绪，且已证明其对母婴健康结局有不利影响。音乐干预往往能减轻不同人群的焦虑影响，成本低、易获取且接受度高。本综述和荟萃分析的目的是评估音乐干预对降低分娩期女性焦虑水平的有效性。
检索了7个数据库，从建库至2018年12月底，无任何语言或时间限制，包括Embase、PubMed、Cochrane图书馆、护理及相关健康累积索引、PsycINFO、华艺数位艺术图书馆和台湾期刊文献索引PerioPath：使用与妊娠、焦虑和音乐相关的关键词进行检索。纳入评估分娩期间音乐效果并将焦虑水平作为一项结局指标进行测量的随机对照试验。进行荟萃分析以评估与安慰剂治疗后相比，音乐干预后焦虑减轻的情况。
本综述共纳入14项研究，涉及1310名参与者。荟萃分析表明，与对照组女性相比，干预组的焦虑评分显著降低（标准化均数差值=-2.40，95%置信区间[CI][-3.29至-1.52]，P<0.001；I²=97.66%）、心率（HR）（均数差值=-3.04次/分钟，95%CI[-4.79至-1.29]次/分钟，P=0.001；I²=0.00%）、收缩压（SBP）（均数差值=-3.71mmHg，95%CI[-7.07至-0.35]mmHg，P=0.031；I²=58.47%）和舒张压（DBP）（均数差值=-3.54mmHg，95%CI[-5.27至-1.81]mmHg，P<0.001；I²=0.00%）。
音乐干预可能会降低焦虑评分以及与焦虑相关的生理指标（HR、SBP和DBP）。音乐干预可能是分娩期降低焦虑水平的一种良好的非药物方法。
