Yang Ke-Lu, Detroyer Elke, Niu Ming-Ming, Hoogma Danny Feike, Tian Jin-Hui, Rex Steffen, Milisen Koen
Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven - University of Leuven, Kapucijnenvoer 7, Leuven, B-3000, Belgium.
Department of Geriatric Medicine, University Hospitals Leuven, Leuven, Belgium.
BMC Anesthesiol. 2025 Aug 20;25(1):410. doi: 10.1186/s12871-025-03120-z.
Preoperative anxiety is pervasive among patients awaiting surgical procedures and is associated with an increased risk of postoperative complications. Music intervention is a promising strategy to alleviate preoperative anxiety levels and is easily implementable even in busy clinical settings. Our objective was to conduct an umbrella review of systematic reviews studying the efficacy of music intervention in reducing preoperative anxiety among adult patients.
To identify systematic reviews assessing the effects of music intervention on preoperative anxiety in adult surgical patients, we retrieved MEDLINE via PubMed, EMBASE, CINAHL, and the Cochrane Library from inception until 22 August 2024. The primary outcome was to review the overall efficacy of music intervention in reducing preoperative anxiety levels. In addition, specific details regarding the implementation of music intervention were also summarized. We assessed the quality of the included systematic reviews by using A MeaSurement Tool to Assess Systematic Reviews 2 checklist.
Six eligible systematic reviews (i.e. one high-quality, four moderate-quality, and one low-quality review) analyzing 40 primary studies were included. The reporting on the intervention content and its implementation process was often unsatisfactory, with some key information missing. The pooled results on the reduction of preoperative anxiety using music intervention were statistically significant (MD = -5.20, 95%CI (-6.32, -4.07), I = 49%). Subgroup analyses revealed that music intervention had a more pronounced effect when the duration of the intervention was 20 min or longer and in patients younger than 60 years of age.
Music intervention may have a beneficial effect on reducing preoperative anxiety levels. However, to optimize the integration of music intervention into routine clinical practice, high-quality evidence and especially clearer reporting on the implementation methods are required.
PROSPERO (CRD42022333246).
术前焦虑在等待手术的患者中普遍存在，且与术后并发症风险增加相关。音乐干预是一种有前景的减轻术前焦虑水平的策略，即使在繁忙的临床环境中也易于实施。我们的目的是对研究音乐干预降低成年患者术前焦虑疗效的系统评价进行一项伞状综述。
为了识别评估音乐干预对成年外科手术患者术前焦虑影响的系统评价，我们通过PubMed、EMBASE、CINAHL和Cochrane图书馆检索了MEDLINE，检索时间从数据库建立至2024年8月22日。主要结局是评价音乐干预降低术前焦虑水平的总体疗效。此外，还总结了音乐干预实施的具体细节。我们使用评估系统评价的测量工具2清单评估纳入的系统评价的质量。
纳入了六项符合条件的系统评价（即一项高质量、四项中等质量和一项低质量评价），分析了40项原始研究。干预内容及其实施过程的报告往往不尽人意，一些关键信息缺失。使用音乐干预降低术前焦虑的汇总结果具有统计学意义（MD = -5.20，95%CI（-6.32，-4.07），I² = 49%）。亚组分析显示，当干预持续时间为20分钟或更长时，以及在60岁以下的患者中，音乐干预的效果更为显著。
音乐干预可能对降低术前焦虑水平有有益作用。然而，为了优化音乐干预在常规临床实践中的整合，需要高质量的证据，尤其是关于实施方法的更清晰报告。
PROSPERO（CRD42022333246）。
