Effects of Perioperative Music Therapy on Patients with Postoperative Pain and Anxiety: A Systematic Review and Meta-Analysis

作者：Guanzhu Li, Lina Yu, Yating Yang, Jinhe Deng, Lan Shao, Chaokun Zeng · 发表于：Journal of Integrative and Complementary Medicine · 年份：2023 · DOI：10.1089/jicm.2022.0803 · 被引用次数：35 · 研究领域：Music Therapy and Health、Intensive Care Unit Cognitive Disorders、Neuroscience and Music Perception

Background:As a mind–body therapy, music may have a positive effect on patients with postoperative pain and anxiety. Objective:The aim of this systematic review and meta-analysis was to explore the effects of perioperative music therapy on postoperative pain and anxiety based on existing clinical trials. Methods:The Cochrane Library, PubMed, and Embase were searched from their inception to August 2022, selected the literature according to the inclusion and exclusion criteria, and completed the meta-analysis using RevMan 5.3. Results:A total of 19 eligible randomized controlled trials were enrolled, including 1803 patients. The results of the meta-analysis showed that the scores of pain (standardized mean difference [SMD], −0.90; 95% confidence interval [CI], −1.26 to −0.53; p < 0.00001) and anxiety (SMD, −0.75; 95% CI, −1.19 to −0.31; p = 0.0008) decreased in the music group on postoperative day 1. The blood pressure (mean difference [MD], −5.29; 95% CI, −9.53 to −1.06; p = 0.01) and heart rate (MD, −6.13; 95% CI, −11.69 to −0.58; p = 0.03) also decreased on the same day. Further, the score of change in pain (SMD, 0.35; 95% CI, 0.01 to 0.68; p = 0.04) and anxiety (SMD, 1.35; 95% CI, 0.01 to 2.69; p = 0.05) increased between preoperative and postoperative days in the music group. However, the scores of hospital satisfaction (MD, −0.07; 95% CI, −1.40 to 1.27; p = 0.92) and incidences of postoperative nausea and vomiting (risk ratio, 0.41; 95% CI, 0.13 to 1.34; p = 0.14) did not...