Hakimi Sevil, Hajizadeh Khadije, Hasanzade Robab, Ranjbar Minoo
Department of Midwifery, Research Center of Psychiatry and Behavioral Science, Tabriz University of medical science, Tabriz, Iran.
Department of Midwifery, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
J Caring Sci. 2021 Oct 12;10(4):230-237. doi: 10.34172/jcs.2021.033. eCollection 2021 Nov.
Postpartum anxiety may be associated with depression, postpartum blues, and maternal mood disorders. This systematic review investigated the effects of music therapy on postpartum anxiety and pain levels. English databases including Cochrane, Medline, Embase, Web of Science, Scopus, and PubMed and Persian databases including Scientific Information Database (SID) and the Iranian Registry of Clinical Trials (IRCT) were searched. The data were analyzed in RevMan 5.3 and reported as forest plots. The present study was conducted on postpartum women (i.e., the participants). All randomized controlled trials comparing the effects of music (i.e., the intervention) and placebo or routine care (i.e., the control) on postpartum anxiety and pain (i.e., the outcome) were included in the study. Out of a total of 60 retrieved articles, four eligible articles were selected and entered the meta-analysis process. According to the results, anxiety (MD=-0.68, 95% CI=-1.90 to -0.54, < 0.001) and pain (MD=-1.85, 95% CI=-3.96 to 0.26, < 0.001) levels of patients in the music therapy group were reduced more significantly than those in the control group. The results showed that music therapy can significantly reduce both postpartum anxiety and pain scores. However, due to the high heterogeneity of the studies, more randomized trials using a standard tool such as the Consolidated Standards of Reporting Trials (CONSORT) statement are needed.
产后焦虑可能与抑郁症、产后情绪低落及产妇情绪障碍有关。本系统评价研究了音乐疗法对产后焦虑和疼痛程度的影响。检索了英文数据库，包括Cochrane、Medline、Embase、科学引文索引、Scopus和PubMed，以及波斯文数据库，包括科学信息数据库（SID）和伊朗临床试验注册中心（IRCT）。数据在RevMan 5.3中进行分析，并以森林图形式报告。本研究以产后女性（即参与者）为对象。所有比较音乐（即干预措施）与安慰剂或常规护理（即对照）对产后焦虑和疼痛（即结局）影响的随机对照试验均纳入本研究。在总共检索到的60篇文章中，筛选出4篇符合条件的文章并进入荟萃分析过程。结果显示，音乐治疗组患者的焦虑程度（MD=-0.68，95%CI=-1.90至-0.54，P<0.001）和疼痛程度（MD=-1.85，95%CI=-3.96至0.26，P<0.001）比对照组下降得更显著。结果表明，音乐疗法可显著降低产后焦虑和疼痛评分。然而，由于研究的异质性较高，需要更多使用诸如《报告试验的统一标准》（CONSORT）声明等标准工具的随机试验。
