音乐干预对住院早产儿生理指标作用的系统评价和Meta分析

发布时间：2018-05-30 17:21

本文选题：音乐 + 早产儿　；参考：《中国循证儿科杂志》2017年02期

【摘要】：目的评价音乐干预对早产儿住院期间生理指标的调节作用。方法系统检索中国知网、万方数据库、Pub Med、CINAHL、Embase和Cochrane Library数据库从建库至2017年4月18日的文献中关于音乐干预对住院早产儿(病情稳定、听力正常)生理指标作用的RCT,干预期间早产儿不接受侵入性刺激、处于平静状态,试验组给予音乐干预(音乐类型、干预时机、次数和时间不限),对照组不予音乐干预。结局指标为氧饱和度、心率和呼吸频率。采用JBI文献质量评价工具对纳入的RCT进行方法学质量评价。采用Rev Man 5.3软件进行Meta分析。结果 9篇文献符合本文的纳入标准和排除标准,质量评价后纳入5篇质量为A或B的文献(均为英文)。5篇文献均报道了氧饱和度,4篇文献报道了心率和呼吸频率。Meta分析显示,试验组和对照组氧饱和度、心率和呼吸频率差异均无统计学意义。进一步行亚组分析,根据音乐干预类型提取摇篮曲干预亚组,根据音乐实施形式的不同提取录播音乐亚组和现场演奏音乐亚组,结果显示,仅录播音乐干预组氧饱和度高于对照组[MD=0.81,95%CI:0.03~1.59),Z=2.05,P=0.04]。结论音乐干预对调节早产儿生理指标的作用不明确,鉴于该领域高质量RCT文献少,需开展更多大样本高质量的RCT进一步探讨。
[Abstract]:Objective to evaluate the effect of music intervention on physiological indexes of preterm infants. Methods A systematic search was conducted on the literature on music intervention in the database of Pub MedCINAHL Embase and Cochrane Library from the establishment of the database to April 18, 2017. During the intervention period, premature infants were not subjected to invasive stimulation and were in a calm state. The experimental group was given music intervention (music type, time, times and time), while the control group did not receive music intervention. The outcome indicators were oxygen saturation, heart rate and respiratory rate. The JBI literature quality evaluation tool was used to evaluate the methodological quality of the included RCT. Meta analysis was carried out with Rev Man 5.3 software. Results 9 articles were in accordance with the inclusion and exclusion criteria of this article, and 5 articles with quality A or B were included after quality evaluation (all 5 articles in English) reported oxygen saturation and 4 articles reported heart rate and respiratory frequency. Meta-analysis showed that: 1. There was no significant difference in oxygen saturation, heart rate and respiratory rate between the experimental group and the control group. Further subgroup analysis was carried out to extract the lullaby intervention subgroup according to the type of music intervention, and to extract the music recording subgroup and live music subgroup according to the different forms of music implementation. The results showed that, The oxygen saturation in the music recording intervention group was higher than that in the control group. Conclusion the effect of music intervention on regulating physiological indexes of premature infants is not clear. In view of the lack of high quality RCT literature in this field, it is necessary to further explore the high quality RCT with more large samples.
【作者单位】：北京大学护理学院;北京大学第一医院儿科;
【分类号】：R473.72

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