音乐疗法在消化内镜检查过程中干预效果的Meta分析

发布时间：2018-06-15 22:53

本文选题：音乐 + 胃镜　；参考：《重庆医学》2017年16期

【摘要】：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EMbase、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。Meta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,P0.01),减轻对疼痛的感知(WMD=-1.27,95%CI:-1.87~-0.66,P0.01),缓解心率、血压及呼吸等生命体征的波动(P0.01),同时也明显缩短了检查的持续时间(WMD=-4.64,95%CI:-6.75~-2.52,P0.01)。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。
[Abstract]:Objective to evaluate the effect and feasibility of music therapy on psychological intervention in gastroenteroscopy. Methods the databases such as EMbase / PubMedus Cochrane Library, CNKIX, Weip, Wanfang and CSCD were searched by computer. The retrieval time was from the time of the establishment of the databases to March 2016. The music therapy was used in the randomized controlled study of gastroenteroscopy. The data were extracted and evaluated by two researchers independently. After extracting and checking the data, the meta-analysis was carried out with Revman 5.3 software. Results A total of 26 randomized controlled trials were conducted. A total of 4593 cases were included. The results of Meta-analysis showed that music therapy could significantly relieve anxiety state of patients during endoscopy and relieve heart rate. The fluctuation of vital signs such as blood pressure and respiration significantly shortened the duration of examination. Conclusion Music therapy can significantly reduce anxiety and pain perception in digestive endoscopy.
【作者单位】：兰州大学第二医院普外二科护理部;
【分类号】：R57

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