声音和音乐干预对重症监护病房患者预后的比较效果的系统回顾。

IF 2.6 3区医学 Q2 CRITICAL CARE MEDICINE Australian Critical Care Pub Date : 2024-12-27 DOI:10.1016/j.aucc.2024.101148

Elizabeth Papathanassoglou RN, PhD , Usha Pant RN, MN , Shaista Meghani RN, PhD , Neelam Saleem Punjani RN, PhD , Yuluan Wang MSc Rehabilitation Science, MLT, CCW , Tiffany Brulotte MTA, MA , Krooti Vyas RN, BScN (Hons) , Liz Dennett MLIS , Lucinda Johnston MTA, MLIS , Demetrios James Kutsogiannis MD, PhD , Stephanie Plamondon MD FRCPC , Michael Frishkopf PhD

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引用次数: 0

摘要

背景：尽管综合证据表明音乐干预对改善危重患者心理和生理结果的有效性，但包括非音乐声音在内的干预措施尚未在证据综述中得到解决。目前尚不清楚重症监护病房（ICU）的非音乐声音是否能带来与音乐类似的好处。目的：本研究的目的是总结和对比基于随机对照试验结果的音乐和非音乐声音干预对ICU患者生理和心理结局的影响的现有证据。方法：本系统评价采用基于Cochrane干预评价方法学期望的方案。采用Cochrane偏倚风险评估工具评估研究质量。在以下数据库中进行检索：MEDLINE， Embase, APA PsycInfo, CINAHL Plus with Full Text, Academic Search Complete, RILM Abstracts of Music Literature， Web of Science和Scopus。结果：我们确定了59篇符合纳入标准的文章，其中37篇涉及音乐，22篇涉及非音乐声音干预，其中一项研究比较了音乐和声音。所确定的研究代表了普通ICU人群，而不考虑患者的沟通能力。我们的回顾表明，慢节奏音乐和声音干预都可以显著地(1)减轻疼痛；（ii）改善睡眠；（iii）调节皮质醇水平；（iv）减少镇静和镇痛的需要；(v)与标准护理和降噪相比，减少压力/焦虑，改善放松。此外，与非音乐声音干预相比，有更多证据表明音乐干预对压力生物标志物、生命体征和血流动力学指标有影响。结论：这些结果提出了不同的听觉干预可能对ICU特定患者结局有不同程度的有效性的可能性。需要更多的研究来澄清非音乐声音干预是否等同于音乐干预对ICU患者离散症状的管理。审查注册：该方案于2023年11月6日在开放科学框架（https://doi.org/10.17605/OSF.IO/45F6E）上注册。

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A systematic review of the comparative effects of sound and music interventions for intensive care unit patients’ outcomes

Background

Despite syntheses of evidence showing efficacy of music intervention for improving psychological and physiological outcomes in critically ill patients, interventions that include nonmusic sounds have not been addressed in reviews of evidence. It is unclear if nonmusic sounds in the intensive care unit (ICU) can confer benefits similar to those of music.

Objective

The aim of this study was to summarise and contrast available evidence on the effect of music and nonmusic sound interventions for the physiological and psychological outcomes of ICU patients based on the results of randomised controlled trials.

Methods

This systematic review was directed by a protocol based on the Methodological Expectations of Cochrane Intervention Reviews. Quality of studies was assessed with the Cochrane risk of bias assessment tool. Searches were performed in the following databases: MEDLINE, Embase, APA PsycInfo, CINAHL Plus with Full Text, Academic Search Complete, RILM Abstracts of Music Literature, Web of Science, and Scopus.

Results

We identified 59 articles meeting the inclusion criteria, 37 involving music and 22 involving nonmusic sound interventions, with one study comparing music and sound. The identified studies were representative of a general ICU population, regardless of patients’ ability to communicate. Our review demonstrated that both slow-tempo music and sound interventions can significantly (i) decrease pain; (ii) improve sleep; (iii) regulate cortisol levels; (iv) reduce sedative and analgesic need; and (v) reduce stress/anxiety and improve relaxation when compared with standard care and noise reduction. Moreover, compared to nonmusic sound interventions, there is more evidence that music interventions have an effect on stress biomarkers, vital signs, and haemodynamic measures.

Conclusion

These results raise the possibility that different auditory interventions may have varying degrees of effectiveness for specific patient outcomes in the ICU. More investigation is needed to clarify if nonmusic sound interventions may be equivalent or not to music interventions for the management of discrete symptoms in ICU patients.

Registration of reviews

The protocol was registered on Open Science Framework in November 6 2023 (https://doi.org/10.17605/OSF.IO/45F6E).

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来源期刊

Australian Critical Care NURSING-NURSING

CiteScore

4.90

自引率

9.10%

发文量

148

审稿时长

>12 weeks

期刊介绍： Australian Critical Care is the official journal of the Australian College of Critical Care Nurses (ACCCN). It is a bi-monthly peer-reviewed journal, providing clinically relevant research, reviews and articles of interest to the critical care community. Australian Critical Care publishes peer-reviewed scholarly papers that report research findings, research-based reviews, discussion papers and commentaries which are of interest to an international readership of critical care practitioners, educators, administrators and researchers. Interprofessional articles are welcomed.