Benefits of Music Intervention on Anxiety, Pain, and Physiologic Response in Adults Undergoing Surgery: A Systematic Review and Meta-analysis
Lee HY, Nam ES, Chai GJ, Kim DM
Asian nursing research · 31 citations
Review labels
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
- Meta-analysis (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Funding not disclosed
Publication
- Published
- 2023-06-03 · Asian Nurs Res (Korean Soc Nurs Sci) · vol. 17 · issue 3 · pp. 138–149
- Publisher
- Elsevier BV
- Cited
- 40 citations · more than 86% of similar papers · 2.0× the field average
- References
- 29 works
- Access
- Open access (journal) · CC-BY
- Research areas
- Music Therapy and Health · Intensive Care Unit Cognitive Disorders · Family and Patient Care in Intensive Care Units
- Keywords
- Anxiety, Medicine, Randomized controlled trial, Music therapy, Meta-analysis, CINAHL, Physical therapy, Heart rate, Confidence interval, Blood pressure, Psychological intervention, MEDLINE, Internal medicine, Psychiatry
- MeSH
- humans, pain, music therapy, anxiety, anxiety disorders, music, adult
4 authors
From KR
- Ho Yeon LeeDoowon Technical University College
- Eun Sook Nam · correspondingKangwon National University
- Gong Ju ChaiHallym Polytechnic University
- Doo Myung KimAndong Science University
Abstract
Purpose
Evidence on factors influencing the variations of music's effect on anxiety and pain in surgical patients is unclear. We aimed to elucidate the effects of music intervention on anxiety and pain throughstudy characteristics.
Methods
We conducted a search on the PubMed, CINAHL, Embase, Cochrane, and Web of Science databases from March 7 to April 21, 2022, for randomized controlled trials (RCTs) for the effect of music intervention on anxiety, pain, and physiological responses in surgical patients. We included studies published within the last 10 years. We assessed the risk of bias in the study using the Cochrane risk of bias tool for randomized trials and performed meta-analyses using a random-effects model for all outcomes. We used change-from-baseline scores as summary statistics and computed bias-corrected standardized mean differences (Hedges'g) for anxiety and pain outcomes and mean differences (MD) for blood pressure and heart rate.
Results
Of the 454 records retrieved, 30 RCTs involving 2280 participants were found to be eligible. Music intervention was found to be superior to standard care in reducing anxiety (Hedges' g = -1.48, 95% confidence interval: -1.97 to -0.98), pain (Hedges's g = -0.67, -1.11 to -0.23), systolic blood pressure (MD = -4.62, -7.38 to -1.86), and heart rate (MD = -3.37, -6.65 to -0.10) in surgical patients. The impact of music on anxiety and pain relief varied significantly depending on the duration of the intervention. The largest effect was observed in interventions lasting between 30 and 60 minutes, with a decrease in anxiety and pain.
Conclusions
Music intervention is an effective way to reduce anxiety, pain, and physiological responses in surgical patients. Future reviews examining the influence of different types of surgery on the effects of music would add to the body of knowledge in this field. This study has been registered on the International Prospective Register of Systematic Reviews (PROSPERO) under the number CRD42022340203, with a registration date of July 4, 2022.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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