Nursing Department, Affiliated Zhongshan Hospital of Dalian University, Dalian, China.
Hemopurification Center, The Second Affiliated Hospital of the University of South China, Hengyang, China.
BMJ Open. 2021 May 10;11(5):e037561. doi: 10.1136/bmjopen-2020-037561.
Music listening is used as a non-pharmacological intervention in various populations with positive results; however, evidence for its effect on sleep and psychological outcomes in critically ill patients remains unclear. It is essential to understand the impact of music listening for critically ill patients to optimise care and minimise the risk for harm. We will assess whether music listening improves sleep and psychological outcomes in critically ill patients.
We will systematically search scientific databases for relevant studies, including PubMed, Embase, CINAHL, PsycINFO, Web of Science, Scopus, ProQuest, the Cochrane Central Register of Controlled Trials, China Biological Medicine Database, China National Knowledge Infrastructure Library, Wan fang databases, VIP Database for Chinese Technical Periodicals and the Chinese Clinical Trial Registry. Databases will be searched for articles published from inception to 10 June 2020. Music therapy journals and reference lists in some articles will be hand-searched. Grey literature will also be searched. We will include randomised and quasi-randomised controlled trials that used music listening to improve sleep and psychological outcomes in critically ill patients. The primary outcomes will be sleep-related outcomes, and secondary outcomes will be anxiety and depression scores and physiological outcomes. Two reviewers will independently verify study eligibility and methodological quality; disagreements will be resolved by a third reviewer or through discussion. The risk of bias will be independently determined using the Cochrane Risk of Bias Tool. The Consolidated Standards of Reporting Trials checklist will be used to examine the quality of included papers. Data will be extracted from eligible studies by two researchers. RevMan V.5.3 will be used for meta-analysis.
This work will review existing trial data and will not introduce new patient data or interventions; therefore, ethics committee approval is not required. We will disseminate this protocol in a related peer-reviewed journal.
CRD42019147202.
音乐聆听作为一种非药物干预手段，已在各种人群中得到广泛应用，并取得了积极效果。然而，关于其对危重症患者睡眠和心理结局的影响，目前仍证据不足。了解音乐聆听对危重症患者的影响对于优化护理和降低风险至关重要。我们将评估音乐聆听是否能改善危重症患者的睡眠和心理结局。
我们将系统地检索科学数据库，包括 PubMed、Embase、CINAHL、PsycINFO、Web of Science、Scopus、ProQuest、Cochrane 对照试验中心注册库、中国生物医学文献数据库、中国国家知识基础设施库、万方数据库、维普中文科技期刊数据库和中国临床试验注册中心，以寻找从建库至 2020 年 6 月 10 日发表的相关研究。我们将查阅音乐治疗期刊和一些文章的参考文献列表，以寻找可能遗漏的研究。此外，我们还将检索灰色文献。我们将纳入使用音乐聆听来改善危重症患者睡眠和心理结局的随机和半随机对照试验。主要结局将是睡眠相关结局，次要结局将是焦虑和抑郁评分以及生理结局。两位评审员将独立验证研究的纳入标准和方法学质量；如有分歧，将由第三位评审员或通过讨论解决。使用 Cochrane 偏倚风险工具来独立确定偏倚风险。使用 CONSORT 报告标准检查表来评估纳入研究的质量。两位研究人员将从合格研究中提取数据。RevMan V.5.3 将用于荟萃分析。
这项工作将回顾现有的试验数据，不会引入新的患者数据或干预措施；因此，不需要伦理委员会批准。我们将在相关同行评议期刊上发表本方案。
PROSPERO 注册号：CRD42019147202。
