Evidence Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou, China.
Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou, China.
J Adv Nurs. 2020 May;76(5):1111-1123. doi: 10.1111/jan.14313. Epub 2020 Feb 19.
To assess the effectiveness of music therapy on the quality of life, anxiety, depression and pain of patients with cancer.
Systematic review.
Five electronic databases were searched in September 2018 for randomized controlled trials evaluating music therapy for patients with cancer.
The quality of the studies was assessed using the risk of bias tool recommended by the Cochrane Handbook Version 5.1.0 and the Revman version 5.3 software was used to perform the meta-analysis. The outcomes were overall quality of life, anxiety, depression and pain.
A total of 19 trials evaluating 1,548 patients were included in this study, of which 765 were in the control group and 783 in the experimental group. Compared with standard care, music therapy can significantly increase the score of the overall quality of life in patients with cancer. In addition, music therapy was found to be more effective for decreasing the score of anxiety, depression and pain.
Music therapy can improve the overall quality of life of patients with cancer, with an observed optimal intervention duration of 1-2 months. Meanwhile, anxiety, depression and pain are improved as well. Nevertheless, high-quality trials are still needed to further determine the effects of music intervention in supportive cancer care.
评估音乐疗法对癌症患者生活质量、焦虑、抑郁和疼痛的影响。
系统评价。
2018 年 9 月，检索了 5 个电子数据库，以评估针对癌症患者的音乐疗法的随机对照试验。
使用 Cochrane 手册第 5.1.0 版推荐的偏倚风险工具评估研究质量，并使用 Revman 版本 5.3 软件进行荟萃分析。结局指标为总体生活质量、焦虑、抑郁和疼痛。
共纳入 19 项试验，评估了 1548 例患者，其中对照组 765 例，实验组 783 例。与标准护理相比，音乐疗法可显著提高癌症患者的总体生活质量评分。此外，音乐疗法在降低焦虑、抑郁和疼痛评分方面更为有效。
音乐疗法可以提高癌症患者的总体生活质量，最佳干预时间为 1-2 个月。同时，焦虑、抑郁和疼痛也得到了改善。然而，仍需要高质量的试验来进一步确定音乐干预在癌症支持性护理中的效果。
