Monsalve-Duarte Sofia, Betancourt-Zapata William, Suarez-Cañon Nicolas, Maya Rafael, Salgado-Vasco Andrés, Prieto-Garces Sergio, Marín-Sánchez Juliana, Gómez-Ortega Viviana, Valderrama Mario, Ettenberger Mark
Department of Biomedical Engineering, University Los Andes, Bogotá, Colombia.
Department of Critical Care, University Hospital Fundación Santa Fe de Bogotá, Bogotá, Colombia.
Burns. 2022 May;48(3):510-521. doi: 10.1016/j.burns.2021.11.002. Epub 2021 Nov 16.
Pain is one of the most common and most difficult symptoms to manage in adult burn patients in the Intensive Care Unit (ICU). Insufficient or unsuccessful pain management can negatively affect physiological, psychological, and social health in burn patients, both during and after hospitalization. Music therapy and music medicine interventions have been shown to positively affect pain and mental health in this population. This systematic review and meta-analysis provide an update of Randomized Controlled Trials (RCTs) using music therapy or music medicine interventions in adult burn patients.
A variety of databases were searched from their beginning to June 2020, including PsycINFO and PsycArticles (via APAsycNET), PubMed and MEDLINE (via OvidSP), Scopus, Web of Science, and the Cochrane Library. Data of all articles meeting the inclusion criteria were extracted, organized, and processed according to the PRISMA guidelines. Statistical analysis was performed using Q-test and I2 statistics.
10 RCTs with a total of 1061 participants were included. The results of the meta-analysis showed a statistically significant reduction of pain (I = 96.03%, P < 0.001), anxiety (I = 98.85%, P < 0.002), and improved relaxation (I = 87.19%, P < 0.001) favoring music interventions compared to control groups.
This review provides preliminary evidence for the effectiveness of music interventions for adult burn patients. However, more high-quality RCTs are needed to safely establish guidelines for music therapists and other health care professionals in using music for health purposes with this population.
疼痛是重症监护病房（ICU）成年烧伤患者中最常见且最难处理的症状之一。疼痛管理不足或未成功会对烧伤患者住院期间及出院后的生理、心理和社会健康产生负面影响。音乐疗法和音乐医学干预已被证明对该人群的疼痛和心理健康有积极影响。本系统评价和荟萃分析提供了使用音乐疗法或音乐医学干预对成年烧伤患者进行随机对照试验（RCT）的最新情况。
检索了从建库至2020年6月的各种数据库，包括PsycINFO和PsycArticles（通过APAsycNET）、PubMed和MEDLINE（通过OvidSP）、Scopus、科学引文索引以及考克兰图书馆。根据PRISMA指南提取、整理和处理所有符合纳入标准的文章的数据。使用Q检验和I²统计量进行统计分析。
纳入了10项RCT，共1061名参与者。荟萃分析结果显示，与对照组相比，音乐干预在疼痛（I = 96.03%，P < 0.001）、焦虑（I = 98.85%，P < 0.002）方面有统计学意义的降低，放松程度有所改善（I = 87.19%，P < 0.001）。
本综述为音乐干预对成年烧伤患者的有效性提供了初步证据。然而，需要更多高质量的RCT来安全地为音乐治疗师和其他医护人员制定针对该人群使用音乐促进健康的指南。
