Huzhou Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Traditional Chinese Medicine, Zhejiang Province, P.R. China.
Eur Rev Med Pharmacol Sci. 2021 May;25(10):3822-3834. doi: 10.26355/eurrev_202105_25950.
Aggravating disease and the accompanying increase in the frequency of hemodialysis interventions worsen the quality of life of patients leading to poor physical and psychological outcomes. Music-based interventions have been suggested to improve both the physical and psychological prognoses for patients undergoing hemodialysis. Two meta-analyses on the impact of music-based interventions on anxiety in patients undergoing hemodialysis failed to evaluate the impact of these interventions on other physiological outcomes. Therefore, in this study, we gather evidence on the effects of music-based interventions on physical and psychological outcomes in patients with chronic kidney disease undergoing hemodialysis. To determine the influence of music-based interventions on anxiety, pain, heart rate, and blood pressure (systolic, diastolic) in patients with chronic kidney disease undergoing hemodialysis, we performed a systematic literature search adhering to PRISMA guidelines on the EMBASE, CENTRAL, Scopus, and MEDLINE academic databases. We performed meta-analyses to consolidate the evidence on the influence of music-based interventions on the physical and psychological outcomes of patients with chronic kidney disease undergoing hemodialysis. From 1,402 studies, we found eight eligible studies with 597 (264 women, 287 men) patients with chronic kidney disease undergoing hemodialysis (mean age, 56.9 ± 10.8 years). Among these patients, 298 received the music-based intervention and 299 were included as controls. Our meta-analysis revealed a small-to-medium effect of the music-based intervention to reduce pain levels (Hedge's g, -0.75), anxiety (-0.16), heart rate (-0.15), and systolic (-0.14) and diastolic blood pressure (-0.11) in patients with chronic kidney disease receiving hemodialysis as compared to the values of the same variables in the control group. The evidence from our analyses supports the beneficial impact of music-based interventions to alleviate anxiety and pain, and to reduce heart rate and blood pressure in these patients.
加重的疾病和随之而来的血液透析干预频率的增加会降低患者的生活质量，导致身体和心理预后不良。有研究表明，音乐干预可以改善接受血液透析患者的身体和心理预后。两项关于音乐干预对接受血液透析患者焦虑影响的荟萃分析未能评估这些干预对其他生理结果的影响。因此，在这项研究中，我们收集了关于音乐干预对接受血液透析的慢性肾脏病患者身体和心理结果影响的证据。为了确定音乐干预对接受血液透析的慢性肾脏病患者的焦虑、疼痛、心率和血压（收缩压、舒张压）的影响，我们按照 PRISMA 指南，对 EMBASE、CENTRAL、Scopus 和 MEDLINE 学术数据库进行了系统的文献检索。我们进行了荟萃分析，以综合关于音乐干预对接受血液透析的慢性肾脏病患者身体和心理结果影响的证据。从 1402 项研究中，我们找到了八项符合条件的研究，共纳入了 597 名（264 名女性，287 名男性）接受血液透析的慢性肾脏病患者（平均年龄 56.9±10.8 岁）。在这些患者中，298 名接受了音乐干预，299 名作为对照组。我们的荟萃分析显示，与对照组相比，音乐干预对接受血液透析的慢性肾脏病患者的疼痛水平（Hedge's g，-0.75）、焦虑（-0.16）、心率（-0.15）、收缩压（-0.14）和舒张压（-0.11）有较小到中等程度的影响。我们的分析结果支持音乐干预对减轻这些患者的焦虑和疼痛、降低心率和血压的有益影响。
