College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK.
Department of Clinical Neuroscience, The Royal Infirmary of Edinburgh, Edinburgh, UK, EH16 4SA.
Br J Neurosurg. 2022 Aug;36(4):472-482. doi: 10.1080/02688697.2022.2061421. Epub 2022 Apr 19.
Several studies have demonstrated music intervention as a safe and inexpensive option for reducing anxiety and pain perioperatively. We performed a systematic review to evaluate its possible benefit in perioperative neurosurgical management.
The following databases were searched with no restrictions on publication date: PubMed, Embase, CINAHL, PsycINFO, CENTRAL and ClinicalTrials.gov. All studies that quantitatively or qualitatively assessed the effects of any music-based intervention administered within one week of cranial or spinal neurosurgery were eligible. Meta-analysis could not be performed, and quantitative findings were instead summarised narratively. We then synthesised qualitative observations through thematic analysis before conducting an integrative review. PROSPERO registration: CRD42019152626.
Seven studies, of sample sizes ranging from 8 to 60, were included, with the timing, duration, frequency and type of music intervention varying considerably across studies. Quantitative analysis involving five studies showed a significant decrease in anxiety following music intervention in four studies ( < 0.05), and reduced pain perception in three studies ( < 0.05). Mixed evidence was obtained for physiological outcomes including heart rate and blood pressure. Risk of bias was moderate to high. Quantitative findings were generally supported by qualitative analysis which provided additional insight into the factors influencing music intervention's effectiveness.
Despite the heterogeneity in study characteristics, this review, which is the first mixed-methods systematic review assessing the effects of perioperative music intervention, not only reveals a potential role for music intervention in neurosurgery, but also highlights the possible importance of considering qualitative evidence in future studies to better characterise its effectiveness.
多项研究表明，音乐干预是一种安全且经济的选择，可以减少围手术期的焦虑和疼痛。我们进行了一项系统评价，以评估其在围手术期神经外科管理中的可能益处。
无发表日期限制，检索了以下数据库：PubMed、Embase、CINAHL、PsycINFO、CENTRAL 和 ClinicalTrials.gov。所有定量或定性评估在颅或脊柱神经手术后一周内给予任何基于音乐的干预措施效果的研究都符合条件。由于无法进行荟萃分析，因此定量结果以叙述性方式进行总结。然后，我们通过主题分析对定性观察结果进行综合，然后进行综合评价。PROSPERO 注册：CRD42019152626。
纳入了 7 项研究，样本量从 8 到 60 不等，研究之间的音乐干预的时间、持续时间、频率和类型差异很大。涉及 5 项研究的定量分析显示，4 项研究中音乐干预后焦虑显著下降（ < 0.05），3 项研究中疼痛感知降低（ < 0.05）。生理结果（包括心率和血压）的证据混合。偏倚风险为中度至高度。定量结果通常得到定性分析的支持，定性分析提供了更多影响音乐干预效果的因素的见解。
尽管研究特征存在异质性，但这项首次对围手术期音乐干预效果进行混合方法系统评价的研究，不仅揭示了音乐干预在神经外科中的潜在作用，还强调了在未来研究中考虑定性证据以更好地描述其效果的重要性。
