Education, Research and Organization Change, ATS Sardegna, Sassari, Italy (Dr Burrai); Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, England (Dr Forton Magavern); AOU of Sassari, Sassari, Italy (Ms Micheluzzi); San Raffaele Hospital, Milan, Italy (Mr Magnaghi); Intensive Care Unit, Sant'Anna e San Sebastiano Hospital, Caserta, Italy (Mr Apuzzo); and San Raffaele Hospital, Milan, Italy (Ms Brioni).
Holist Nurs Pract. 2020 Nov/Dec;34(6):324-333. doi: 10.1097/HNP.0000000000000411.
Anxiety affects many hemodialysis patients. The response to treatment varies and often requires patients to take therapeutics for long periods; thus, many patients look for complementary approaches. There have been reports of music alleviating anxiety in hemodialysis patients. However, the efficacy of music needs to be evaluated. The objective of this study was to conduct a systematic review and meta-analysis to compare the effects of participation in standard care combined with music with standard care alone. This was a systematic review and meta-analysis of randomized controlled trials to determine the efficacy of music to lower anxiety in hemodialysis patients. Five studies were included in the review (290 patients). Listening to music resulted, on average, in an anxiety reduction that was -0.52 standard deviation units greater (95% confidence interval, -1.02 to -0.03 lower, P = .003) than in the standard care group. No adverse events were identified. All trials contained a risk of bias due to lack of blinding. The heterogeneity showed an I = 75%. The strength of evidence was very low. No adverse events were identified. Few trials were available for inclusion, with small sample sizes and significant heterogeneity. Within these considerable limitations there was a demonstrated decrease in anxiety for hemodialysis patients receiving standard care augmented with music. The effect size was moderate. Results were inconsistent across studies. We are uncertain about the estimate. The likelihood that effect will be substantially different is very high. Further research has a large potential for reducing uncertainty about the effects of the music interventions.
焦虑影响着许多血液透析患者。治疗反应因人而异，往往需要患者长期接受治疗；因此，许多患者寻求补充治疗方法。有报道称音乐可以缓解血液透析患者的焦虑。然而，音乐的疗效仍需要评估。本研究旨在进行系统评价和荟萃分析，比较标准护理联合音乐与单纯标准护理对降低血液透析患者焦虑的效果。该研究为系统评价和荟萃分析随机对照试验，旨在确定音乐降低血液透析患者焦虑的疗效。本研究共纳入了 5 项研究（290 名患者）。与标准护理组相比，听音乐平均可使焦虑程度降低-0.52 个标准差（95%置信区间，-1.02 至-0.03，P =.003）。未发现不良事件。所有试验均因缺乏盲法而存在偏倚风险。异质性显示 I = 75%。证据强度非常低。未发现不良事件。可纳入的试验较少，样本量小且存在显著异质性。在这些较大的局限性中，接受标准护理联合音乐治疗的血液透析患者的焦虑程度有所降低，其效应大小为中等。研究结果不一致。我们对估计值不确定。效果很可能有很大差异。进一步的研究有很大的潜力来降低对音乐干预效果的不确定性。
