{"title":"The Effectiveness of Music Therapy in Reducing Perioperative Pain and Anxiety: A Systematic Review of Randomized Controlled Trials","authors":"Samer H. Sharkiya","doi":"10.1016/j.pcorm.2023.100360","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>There is a high prevalence of perioperative anxiety and pain in patients<span> undergoing various types of surgical procedures. Preoperative anxiety can worsen postoperative pain and lead to poor postoperative outcomes, including mortality and morbidity.</span></p></div><div><h3>Aim</h3><p>The purpose of this systematic review<span> was to investigate the effectiveness of music therapy in reducing perioperative anxiety and pain.</span></p></div><div><h3>Methods</h3><p>Randomized controlled trials (RCTs) published between 2010 and 2023 were searched on CINHAL, Medline, PubMed, Cochrane, Science Direct, and Google Scholar. The RCTs were synthesized by combining a narrative synthesis approach and evidence levels approach. The quality assessment of the studies was performed using the CASP Checklist for RCTs.</p></div><div><h3>Results</h3><p>It was found that there is moderate evidence supporting the effectiveness of music therapy in reducing preoperative anxiety, as supported by multiple RCTs of moderate methodological quality. However, there was inconclusive evidence regarding the effectiveness of music therapy in reducing postoperative pain because of inconsistent findings between moderate-quality RCTs.</p></div><div><h3>Conclusion and Implications</h3><p>The findings of this systematic review support previous reviews that have demonstrated the effectiveness of music therapy in reducing preoperative anxiety. However, the unique evidence synthesis approach undertaken in this systematic review yielded findings inconsistent with previous reviews that have supported the effectiveness of music therapy in reducing postoperative pain. Therefore, music therapy can be used as an intervention to reduce preoperative anxiety. However, it should be used cautiously for postoperative pain treatment in the absence of preoperative anxiety. Future RCTs should address the high risk of bias noted in the reviewed RCTs due to the non-blinding of participants and investigators.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"34 ","pages":"Article 100360"},"PeriodicalIF":0.0000,"publicationDate":"2023-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Perioperative Care and Operating Room Management","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2405603023000559","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Nursing","Score":null,"Total":0}
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Abstract
Background
There is a high prevalence of perioperative anxiety and pain in patients undergoing various types of surgical procedures. Preoperative anxiety can worsen postoperative pain and lead to poor postoperative outcomes, including mortality and morbidity.
Aim
The purpose of this systematic review was to investigate the effectiveness of music therapy in reducing perioperative anxiety and pain.
Methods
Randomized controlled trials (RCTs) published between 2010 and 2023 were searched on CINHAL, Medline, PubMed, Cochrane, Science Direct, and Google Scholar. The RCTs were synthesized by combining a narrative synthesis approach and evidence levels approach. The quality assessment of the studies was performed using the CASP Checklist for RCTs.
Results
It was found that there is moderate evidence supporting the effectiveness of music therapy in reducing preoperative anxiety, as supported by multiple RCTs of moderate methodological quality. However, there was inconclusive evidence regarding the effectiveness of music therapy in reducing postoperative pain because of inconsistent findings between moderate-quality RCTs.
Conclusion and Implications
The findings of this systematic review support previous reviews that have demonstrated the effectiveness of music therapy in reducing preoperative anxiety. However, the unique evidence synthesis approach undertaken in this systematic review yielded findings inconsistent with previous reviews that have supported the effectiveness of music therapy in reducing postoperative pain. Therefore, music therapy can be used as an intervention to reduce preoperative anxiety. However, it should be used cautiously for postoperative pain treatment in the absence of preoperative anxiety. Future RCTs should address the high risk of bias noted in the reviewed RCTs due to the non-blinding of participants and investigators.
期刊介绍：
The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.
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