音乐疗法在消化内镜检查过程中干预效果的Meta分析

摘要

Objective To systematically evaluate the psychological intervention effect of music therapy on the patients during the digestive endoscopic process.Methods The databases of EMbase,PubMed,Cochrane Library,CNKI,VIP,Wanfang and CSCD were retrieved by computer,the retrieval time was from their establishment to March 2016.The randomized controlled trials (RCTs) on the music therapy application in the digestive endoscopic process were included.The data were independently extracted by 2 researchers for conducting the literature quality assessment.After extracting and checking the data,the meta analysis was performed by using the RevMan 5.3 software.Results Twenty-six RCTs conforming to the standard were included,involving 4593 patients.The meta analysis results showed that the music therapy could alleviate the anxiety status(SMD=-0.82,95％ CI:-1.14--0.49,P＜0.01),relieve the pain perception(WMD=-1.27,95％CI:-1.87--0.66,P＜0.01),remit the vital signs fluctuations of blood pressure,heart rate and respiratory rate(P＜0.01),meanwhile shorten the duration of examination procedure (WMD=-4.64,95％CI:-6.75--2.52,P＜0.01).Conclusion The current evidences indicate that the music application during the digestive endoscopic process can obviously decrease the anxiety status and pain perception.%目的 系统性评价音乐疗法在胃肠镜检查过程中对患者心理状态干预的效果及可行性.方法 计算机检索EM-base、PubMed、Cochrane Library、中国知网(CNKI)、维普、万方、中国科学引文数据库(CSCD)等数据库,检索时间从各数据库建库至2016年3月.纳入音乐疗法应用于胃肠镜检查过程中的随机对照研究,由2名研究者独立提取数据并进行文献质量评价,提取并核对数据后,应用RevMan5.3软件进行Meta分析.结果 共纳入符合标准的随机对照试验26篇,共计病例4 593例.Me-ta分析结果显示:音乐疗法能明显缓解消化内镜检查过程中患者的焦虑状态(SMD=-0.82,95％CI:-1.14～-0.49,P＜0.01),减轻对疼痛的感知(WMD=-1.27,95％CI:-1.87～-0.66,P＜0.01),缓解心率、血压及呼吸等生命体征的波动(P＜0.01),同时也明显缩短了检查的持续时间(WMD=-4.64,95％CI:-6.75～-2.52,P＜0.01).结论 音乐疗法应用于消化内镜检查过程,能明显地降低患者焦虑状态及对疼痛的感知.