Meghani Shaista, Frishkopf Michael, Park Tanya, Montgomery Carmel L, Norris Colleen, Papathanassoglou Elizabeth
Faculty of Nursing, University of Alberta Edmonton Clinic Health Academy, Edmonton, AB T6G 1C9, Canada.
Canadian Centre for Ethnomusicology (CCE), Faculty of Medicine and Dentistry, Department of Music, Faculty of Arts, University of Alberta, 3-98 Fine Arts Building, Edmonton, AB T6G 2C9, Canada.
Intensive Crit Care Nurs. 2025 Feb;86:103777. doi: 10.1016/j.iccn.2024.103777. Epub 2024 Aug 24.
Hospitalization in the ICU can have long-term physiological and psychological impacts, affecting functional recovery and quality of life of post-ICU patients. Despite systematic reviews showing the impact of music interventions on physiological and psychological outcomes in ICU patients, their applicability and effectiveness in the post-ICU context remain unclear.
This review aimed to summarize: a) the types and characteristics of music/sound of interventions used in the rehabilitation of ICU patients, b) evidence on the feasibility, safety and acceptability of sound and music interventions for post ICU survivors, c) the types of post-ICU outcomes explored and the effects of sound and music interventions on any type of outcome in post-ICU survivors, and d) potential mechanisms or theoretical frameworks underlying the effects of sound and music interventions.
We combined current systematic review search methods with a critical narrative approach to synthesize a diverse body of evidence.
Results showed that music interventions positively affect the psychological well-being and health outcomes of post-ICU patients. Outcomes included improvements in stress, anxiety, mood, movement, sleep, and pain, despite differences in patient populations and intervention design. No safety concerns were reported. The identified theoretical frameworks described physiological, neurobiological and/or psycho-social pathways as key mediators, however, these mechanisms are not completely understood.
Research evidence supports the positive effects of music interventions in post-ICU patients. Further experimental studies are required, especially in adult post-ICU populations to elucidate the characteristics, components, feasibility, and long-term effects of sound/music interventions.
在重症监护病房（ICU）住院可能会产生长期的生理和心理影响，影响ICU后患者的功能恢复和生活质量。尽管系统评价显示音乐干预对ICU患者的生理和心理结局有影响，但其在ICU后环境中的适用性和有效性仍不明确。
本综述旨在总结：a）ICU患者康复中使用的音乐/声音干预的类型和特点，b）声音和音乐干预对ICU后幸存者的可行性、安全性和可接受性的证据，c）探索的ICU后结局类型以及声音和音乐干预对ICU后幸存者任何类型结局的影响，d）声音和音乐干预效果的潜在机制或理论框架。
我们将当前的系统评价搜索方法与批判性叙述方法相结合，以综合大量不同的证据。
结果表明，音乐干预对ICU后患者的心理健康和健康结局有积极影响。结局包括压力、焦虑、情绪、运动、睡眠和疼痛的改善，尽管患者群体和干预设计存在差异。未报告安全问题。所确定的理论框架将生理、神经生物学和/或心理社会途径描述为关键中介因素，然而，这些机制尚未完全理解。
研究证据支持音乐干预对ICU后患者的积极影响。需要进一步的实验研究，特别是在成年ICU后人群中，以阐明声音/音乐干预的特点、组成部分、可行性和长期效果。
