音乐疗法对接受心脏手术患者焦虑情绪的影响：一项系统评价与荟萃分析。
Effects of music therapy on anxiety among patients undergoing cardiac procedures: a systematic review and meta-analysis.
作者信息
Tharwani Zoaib Habib, Kumar Prince, Kumar Avinash, Javaid Saad, Kumar Rohet, Shah Mohsin Ali, Shaeen Sean Kaisser, Sunita Fnu, Ladhwani Naresh Kumar, Malikzai Abdullah
机构信息
Faculty of Medicine, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Bahria University Medical and Dental College, Karachi, Pakistan.
出版信息
Ann Med Surg (Lond). 2025 Apr 2;87(5):2904-2913. doi: 10.1097/MS9.0000000000003226. eCollection 2025 May.
OBJECTIVE
The article aims to assess impact of music therapy on anxiety in patients undergoing cardiac procedures.
METHODS
MEDLINE, Embase, and Cochrane Central were searched to identify relevant cohorts and randomized controlled trials (RCTs). We evaluated anxiety, heart rate (HR), systolic and diastolic blood pressures (SBP and DBP), respiratory rate, mean arterial pressure (MAP), and mean oxygen saturation (SaO) using weighted random-effects models, reporting mean difference (MD) with 95% confidence intervals.
RESULTS
In total, 1706 patients from 18 RCTs and one cohort study were analyzed. Music therapy recipients showed significantly lower anxiety measured by the State-Trait Anxiety Inventory (MD: -4.75; = 0.002). The music therapy group demonstrated improved HR (MD: -4.90, = 0.02), SBP (MD: -5.14, = 0.01), and respiratory rate (MD: -1.15, = 0.01). No significant differences were observed in anxiety measured by the Numerical Anxiety Rating Scale (MD: -1.09, = 0.14), DBP (MD: -2.61, = 0.15), MAP (MD: -4.71, = 0.47), or SaO (MD: 0.93, = 0.61).
CONCLUSION
Music therapy significantly reduces anxiety and enhances post-procedural HR, SBP, and respiratory rates in cardiac procedure patients.
目的
本文旨在评估音乐疗法对接受心脏手术患者焦虑情绪的影响。
方法
检索MEDLINE、Embase和Cochrane中心数据库，以识别相关队列研究和随机对照试验（RCT）。我们使用加权随机效应模型评估焦虑、心率（HR）、收缩压和舒张压（SBP和DBP）、呼吸频率、平均动脉压（MAP）和平均血氧饱和度（SaO），报告平均差（MD）及95%置信区间。
结果
共分析了来自18项RCT和1项队列研究的1706例患者。接受音乐疗法的患者在状态-特质焦虑量表上测得的焦虑水平显著更低（MD：-4.75；P = 0.002）。音乐疗法组的心率（MD：-4.90，P = 0.02）、收缩压（MD：-5.14，P = 0.01）和呼吸频率（MD：-1.15，P = 0.01）有所改善。在数字焦虑评定量表测得的焦虑（MD：-1.09，P = 0.14）、舒张压（MD：-2.61，P = 0.15）、平均动脉压（MD：-4.71，P = 0.47）或血氧饱和度（MD：0.93，P = 0.61）方面未观察到显著差异。
结论
音乐疗法可显著降低接受心脏手术患者的焦虑情绪，并提高术后心率、收缩压和呼吸频率。
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