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儿科肿瘤学中的音乐干预:系统评价和荟萃分析。

MUSIC INTERVENTIONS IN PEDIATRIC ONCOLOGY: Systematic review and meta-analysis.

机构信息

Pediatrics Department of the School of Medicine of the University of São Paulo (FMUSP), Av. Dr Enéas Carvalho Aguiar No. 647, Cerqueira Cesar, São Paulo, CEP: 05403-901, Brazil.

Department of Preventive Medicine of the Paulista School of Medicine of the Federal University of São Paulo (UNIFEST-EPM), Rua Botucatu 740, Vila Clementino, São Paulo, CEP: 04023-062, Brazil.

出版信息

Complement Ther Med. 2021 Jun;59:102725. doi: 10.1016/j.ctim.2021.102725. Epub 2021 May 5.

DOI:10.1016/j.ctim.2021.102725
PMID:33964406
Abstract

BACKGROUND

Pain is a disagreeable and distressing feeling that affects human beings in multi-dimensional ways. A number of non-pharmacological interventions have had varying degrees of success in treating cancer-related pain, such as breathing and relaxation techniques, and music therapy, which have been identified as beneficial therapies for alleviating pain and anxiety.

OBJECTIVE

Identify the therapeutic effects of music interventions in psychological and physiological terms and on the quality of life of children undergoing cancer treatment.

METHOD

Systematic review of effectiveness based on the methodology of the Joanna Briggs Institute.

RESULTS

Eleven articles were included with a total of 429 children, whose ages ranged from 0 to 18 years. The mean duration of the music intervention was 30.6 (±SD 9.8) min. In a combined estimate of five studies for pain and anxiety outcomes, there were benefits to using music when compared with the control group (SMD -1.05; CI 95 % -1.70 - 0.40 N = 453 I = 90 %). A combined analysis of five studies to assess quality of life showed that the use of music was favorable when compared with the control (SMD -0.80; CI 95 % -1.17-0.43 N = 457= I = 71 %).

CONCLUSION

After completing this review, it was determined that there is evidence to support the use of music to reduce pain and anxiety and improve the quality of life of children undergoing cancer treatment.

摘要

背景

疼痛是一种令人不快和痛苦的感觉,以多维方式影响人类。许多非药物干预措施在治疗癌症相关疼痛方面取得了不同程度的成功,例如呼吸和放松技术以及音乐疗法,这些方法已被确定为缓解疼痛和焦虑的有益疗法。

目的

从心理和生理方面以及癌症治疗儿童的生活质量方面确定音乐干预的治疗效果。

方法

基于 Joanna Briggs 研究所的方法进行系统的有效性审查。

结果

纳入了 11 篇文章,共 429 名儿童,年龄从 0 岁到 18 岁不等。音乐干预的平均持续时间为 30.6(±SD 9.8)分钟。在对五项研究进行疼痛和焦虑结果的综合评估中,与对照组相比,使用音乐具有益处(SMD-1.05;CI95%-1.70-0.40 N=453 I=90%)。对五项研究进行综合分析以评估生活质量表明,与对照组相比,使用音乐是有利的(SMD-0.80;CI95%-1.17-0.43 N=457=I=71%)。

结论

完成此综述后,有证据表明使用音乐可以减轻癌症治疗儿童的疼痛和焦虑,改善生活质量。

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