College of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Department of Nursing, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
J Am Geriatr Soc. 2021 Jul;69(7):1925-1932. doi: 10.1111/jgs.17149. Epub 2021 Apr 20.
Poor sleep quality is a common issue among older adults; it can lead to a poor quality of life and impairments in cognitive function and physical health. This study aimed to conduct a systematic review and meta-analysis of the effect of listening to music on sleep quality in older adults.
Systematic review and meta-analyses.
Five databases, including Embase, Ovid Medline, Cochrane Library, Scopus, and the Index to Taiwan Periodical Literature System, were searched to identify studies assessing the efficacy of music therapy in older adults aged 60 years and older published through February 20, 2021.
Adults aged 60 years and older.
We searched English- and Chinese-language studies of randomized control trials. All studies were reviewed by two independent investigators. The primary sleep outcome was the Pittsburgh sleep quality index. The Cochrane Collaboration tool was used to assess the risk of bias, and Review Manager 5.3 software was used to conduct the meta-analysis.
Five randomized control trials were included in the meta-analysis. Older adults who listened to music experienced significantly better sleep quality than those who did not listen to music [mean difference (MD): -1.96, 95% CI -2.23 to -1.73, P = 0.003]. The subgroup analysis revealed that older adults who listened to sedative music obtained a more effective improvement in sleep quality than those who listened to rhythm-centered music (MD: -2.35, 95% CI -3.59 to -1.10, P = 0.0002). Furthermore, listening to music for longer than 4 weeks (MD: -2.61, 95% CI -4.72 to -0.50, P = 0.02) was to be effective at improving sleep quality.
Music therapy is safe and easy to administer and can effectively improve sleep quality among older adults, particularly those listening to more sedative music for at least a four-week duration.
睡眠质量差是老年人中常见的问题；它会导致生活质量下降，并损害认知功能和身体健康。本研究旨在对老年人听音乐对睡眠质量影响进行系统评价和荟萃分析。
系统评价和荟萃分析。
检索了 5 个数据库，包括 Embase、Ovid Medline、Cochrane 图书馆、Scopus 和台湾期刊文献索引系统，以确定 2021 年 2 月 20 日之前评估 60 岁及以上老年人音乐治疗疗效的研究。
60 岁及以上的成年人。
我们检索了英语和中文的随机对照试验研究。所有研究均由两名独立研究者进行审查。主要睡眠结果是匹兹堡睡眠质量指数。使用 Cochrane 协作工具评估偏倚风险，并使用 Review Manager 5.3 软件进行荟萃分析。
荟萃分析纳入了 5 项随机对照试验。与未听音乐的老年人相比，听音乐的老年人睡眠质量显著改善[平均差异（MD）：-1.96，95%置信区间（CI）：-2.23 至-1.73，P=0.003]。亚组分析显示，听镇静音乐的老年人睡眠质量改善效果优于听节奏音乐的老年人（MD：-2.35，95%CI：-3.59 至-1.10，P=0.0002）。此外，听音乐时间超过 4 周（MD：-2.61，95%CI：-4.72 至-0.50，P=0.02）可有效改善睡眠质量。
音乐疗法安全且易于实施，可有效改善老年人的睡眠质量，尤其是那些至少听 4 周镇静音乐的老年人。
