Systematic review2019

A systematic review of the use of music interventions to improve outcomes for patients undergoing hip or knee surgery

Sibanda A, Carnes D, Visentin D, Cleary M

Journal of advanced nursing · 20 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Systematic review (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Funding not disclosed

Publication

Published
2018-09-19 · J Adv Nurs · vol. 75 · issue 3 · pp. 502–516
Publisher
Wiley
Cited
30 citations · more than 65% of similar papers · 0.7× the field average
References
66 works
Access
Open access (repository copy) · CC-BY
Research areas
Music Therapy and Health · Intensive Care Unit Cognitive Disorders · Empathy and Medical Education
Keywords
Medicine, CINAHL, Delirium, Anxiety, Randomized controlled trial, MEDLINE, Physical therapy, Music therapy, Psychological intervention, Hip fracture, Population, Surgery, Intensive care medicine, Psychiatry, Internal medicine, Osteoporosis
MeSH
hip, knee, humans, delirium, treatment outcome, music therapy, preoperative care, anxiety, adult, aged, aged, 80 and over, middle aged, female, male, postoperative pain

4 authors

From AU

  • Annah Sibanda · correspondingUniversity of Tasmania
  • Debra CarnesUniversity of Tasmania
  • Denis C. VisentinUniversity of Tasmania
  • Michelle L. ClearyUniversity of Tasmania

Abstract

Aim

To examine the effectiveness of music as an adjunct treatment for pain, anxiety, and/or postoperative delirium, for patients undergoing hip or knee surgery.

Background

Patients undergoing hip or knee surgery are known to experience pain and anxiety before and after surgery and be prone to postoperative delirium.

Design

Quantitative systematic review.

Data sources

CENTRAL, Embase, Ovid MEDLINE, CINAHL, and PsycINFO databases were systematically searched without time limits (to June 2018).

Review methods

A systematic search yielded 10 randomized controlled trials and quasi-experimental designs. Studies were appraised using the Cochrane Risk of Bias Tool. Data were extracted using the Effective Practice and Organization of Care data extraction tool.

Results

Mixed results were found for the effect of music on anxiety, pain, and postoperative delirium in patients undergoing hip or knee surgery. Six of 10 included studies provided evidence that music can improve anxiety, pain, or postoperative delirium outcomes for patients undergoing hip or knee surgery. Music effectively reduced anxiety in one of three studies. Three of seven studies reported benefits of music for reducing postoperative pain. Positive effects of music on postoperative delirium were reported in all three studies that evaluated this outcome. Within group improvements were observed in many of the studies.

Conclusion

Music has the potential to improve outcomes of anxiety, pain, and postoperative delirium, for patients undergoing hip or knee surgery. The low number of studies found indicates results should be treated with caution. Further studies are required to provide strong evidence generalizable to a broader population.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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