音乐干预对维持性血液透析患者心理和生理状态影响的Meta分析

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Abstract Objective To evaluate the effects of music intervention on psychological and physiological responses of patients receiving maintenance hemodialysis. Methods Databases including The Cochrane Library, PubMed, Embase, EBCCO, CBM, CNKI and Wanfang data were searched to collect references about randomized controlled trials related with the effectiveness of music intervention on psychological and physiological responses of patients receiving maintenance hemodialysis. RevMan 5.3 software was used for statistical analysis. Results A total of 17 literatures were included, which involved 1326 patients. The results of Meta-analysis showed that listening to music was able to relieve anxiety (SMD = -1.22, 95%CI: -1.82 - -0.62, P < 0.01) and depression (WMD = -6.73, 95%CI: -8.33 - -5.12, P < 0.01) of MHD patients, and reduce heart rate (WMD = -6.24, 95%CI: -10.42 - -2.05, P = 0.003), systolic pressure (SMD = -0.47, 95%CI: -0.75 - -0.19, P < 0.01), diastolic pressure (SMD = -0.46, 95%CI: -0.71 - -0.20, P < 0.01) and the incidence of complications (RR = 0.41, 95%CI: 0.17-1.01, P = 0.05). Conclusion Music intervention can reduce the anxiety and depression of MHD patients, stabilize the heart rate and blood pressure, decrease the complications rate. However, because of the quality of studies included in the current research is relative low, further research with larger sample and higher quality is needed to confirm our conclusion.

Key words： Meta-analysis Music Maintenance hemodialysis Psychological Physiological

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	LI Wenxia1 WANG Li2 XI Jing2 ZHANG Qianqian2 YIN Qionghua1▲

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LI Wenxia1 WANG Li2 XI Jing2 ZHANG Qianqian2 YIN Qionghua1▲. A Meta-analysis of effects of music intervention on psychological and physiological responses of patients receiving maintenance hemodialysis[J]. 中国医药导报, 2018, 15(28): 164-169.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I28/164

[1] Xhulia D，Gerta J，Dajana Z，et al. Needs of hemodialysis patients and factors affecting them [J]. Glob J Health Sci，2015，8（6）：109-120.
[2] Zhang L，Wang F，Wang L，et al. Prevalence of chronic kidney disease in China：a cross-sectional survey [J]. Lancet，2012，379（9818）：815-822.
[3] Rajan EJ，Subramanian S. The effect of depression and anxiety on the performance status of end-stage renal disease patients undergoing hemodialysis [J]. Saudi J Kidney Dis Transpl，2016，27（2）：331-334.
[4] 王玉英.音乐疗法对缓解肺癌患者术前焦虑及应激状态作用的研究[J].中国实用护理杂志，2006，22（23）：14-15.
[5] 陈晓英.音乐护理的功效及其临床应用[J].实用护理杂志，2001，17（4）：50-51.
[6] Melo GAA，Rodrigues AB，Firmeza MA，et al. Musical intervention on anxiety and vital parameters of chronic renal patients：a randomized clinical trial [J]. Rev Lat Am Enfermagem，2018，26：e2978.
[7] 潘亚婷，王鲁娜.聆听音乐配合放松训练对血液透析患者负性情绪及治疗依从性的影响[J].齐鲁护理杂志，2017，23（19）：92-94.
[8] 唐钦妹，施素华，黄向红，等.五行音乐疗法对MHD初期患者焦虑状况的干预效果[J].承德医学院学报，2016，33（6）：482-484.
[9] 池英习，于风英，王素婷，等.个体化音乐干预在血液透析患者中的应用研究[J].现代中西医结合杂志，2015，24（16）：1811-1812.
[10] 陈运兰.音乐疗法对维持性血透患者的心理干预观察[J].现代临床医学，2014，4（4）：303-306.
[11] 赵艳.个体化音乐干预在血液透析患者中的应用研究[J].当代护士：下旬刊，2014（10）：120-121.
[12] 王勇.放松训练配合聆听音乐对维持性血液透析患者负性情绪的影响[J].社区医学杂志，2014，12（24）：31-32.
[13] Burrai F，Micheluzzi V，Zito MP，et al. Effects of live saxophone music on physiological parameters，pain，mood and itching levels in patients undergoing haemodialysis [J]. J Ren Care，2014，40（4）：249-256.
[14] 高盼，王岚.音乐疗法对血液透析患者抑郁情绪的影响研究[J].天津护理，2013，21（5）：382-383.
[15] 陈少梅，刘倩雯，伍绮剑，等.音乐疗法对血透中高血压的影响效果研究[J].医药前沿，2013（35）：233-234.
[16] 何秀琼，彭风云，李建平，等.音乐疗法对提高维持性血液透析合并抑郁症患者生活质量的疗效观察[J].齐齐哈尔医学院学报，2013，34（6）：882-883.
[17] Cantekin I，Tan M. The influence of music therapy on perceived stressors and anxiety levels of hemodialysis patients [J]. Ren Fail，2013，35（1）：105-109.
[18] Lin YJ，Lu KC，Chen CM，et al. The effects of music as therapy on the overall well-being of elderly patients on maintenance hemodialysis [J]. Biol Res for Nurs，2012， 14（3）：277-285.
[19] 刘蕾.音乐疗法改善血液透析患者焦虑及抑郁情绪的研究[J].沈阳医学院学报，2009，11（3）：169-170.
[20] 吴缅.音乐治疗在维持性血液透析患者血压升高时的作用[J].现代中西医结合杂志，2008，17（4）：536.
[21] Pothoulaki M，Macdonald RA，Flowers P，et al. An investigation of the effects of music on anxiety and pain perception in patients undergoing haemodialysis treatment [J]. J Health Psychol，2008，13（7）：912-920.
[22] 钟海英，冯佩兰，宋晓宇，等.音乐疗法对维持性血液透析患者抑郁情绪的影响[J].护理学杂志，2006，21（7）：58-59.
[23] 华卓君，芮静娟，杨淑洁.维持性血液透析病人真实体验的研究[J].中国护理管理，2008，8（11）：13-16.
[24] 娄岩，常晓敏，田淑侠，等.老年患者血液透析并发症的原因分析与治疗现状[J].中国老年学杂志，2011，31（15）：2987-2989.
[25] 沈靖.音乐治疗及其相关心理学研究述评[J].心理科学，2003，26（1）：176-177.
[26] Koca Kutlu A，Eren AG. Effects of music on complications during hemodialysis for chronic renal failure patients [J]. Hemodial Int，2014，18（4）：777-784.