The effect of music intervention on patients with cancer-related pain: A systematic review and meta-analysis of randomized controlled trials

J Adv Nurs. 2019 Dec;75(12):3362-3373. doi: 10.1111/jan.14184. Epub 2019 Sep 16.

Abstract

Aim: To synthesize the effect of music intervention on patients with cancer-related pain in randomized controlled trials.

Design: A systematic review and meta-analysis of randomized controlled trials following Cochrane methods.

Data resources: Systematic searches were conducted in Science Direct, Web of Science, Springer Link, Networked Digital Library of Theses & Dissertations, Ovid, CINAHL, Pubmed, Cochrane Library, Proquest, Council of Higher Education National Thesis Center, ULAKBIM Turkish National Databases for studies published in English and Turkish without year limitation. The review period covered 1978-March 2018.

Review methods: The risk of bias of eligible studies was evaluated by two researchers using the Cochrane Collaboration tool.

Results: Six studies with 593 participants met the inclusion criteria. Music intervention was generally applied by the passive listening method, which ranged from 30-60 min and 1-3 sessions. No significant publication bias was found in the main outcomes. As a result of the meta-analysis, it was found that music interventions have a moderate effect on cancer-related pain.

Conclusion: Music intervention can have a positive effect on the management of cancer pain. The studies reported no adverse events. Nurses can use music intervention to manage cancer-related pain.

Impact: The meta-analysis addressed the effect of music intervention on cancer-related pain. The statistical result indicates that music intervention was moderately effective in cancer-related pain. The findings of this study will contribute to the application of effective music intervention by nurses and will provide guidance for the development of studies related to the effect of music intervention on cancer-related pain.

目的: 在于在随机对照试验中综合音乐干预措施对癌性疼痛患者的影响。 设计: 采用Cochrane方法对随机对照试验进行系统综述和荟萃分析。 资料来源: 在 Science Direct、Web of Science、 Springer Link、Networked Digital Library of Theses & Dissertations、Ovid、CINAHL、 Pubmed、Cochrane Library、Proquest、Council of Higher Education National Thesis Center、 ULAKBIM Turkish National Databases中进行了系统搜索,搜索以英语和土耳其语出版且不受年份限制的各项研究。综述期为1978年至2018年3月。 综述方法: 两位研究人员使用了Cochrane Collaboration的工具来评估合格研究的偏倚风险。 结果: 有593名研究对象参与的六项研究符合纳入标准。被动倾听方法通常采用的是音乐干预措施,从30-60分钟到1-3会期不等。在主要结果中没有发现明显的出版偏倚。作为荟萃分析的结果,经证实音乐干预措施对癌性疼痛有缓和效用。 结论:音乐干预措施可以对癌性疼痛的管理产生积极影响。在研究中,并未报告有不良事件。护士可以使用音乐干预措施来管理癌性疼痛。 影响: 荟萃分析探讨了音乐干预措施对癌性疼痛的影响。统计结果表明,音乐干预措施对癌性疼痛有缓和效用。本研究结果将有助于护士采取有效的音乐干预措施,并将为音乐干预措施对癌性疼痛的影响的相关研究进展提供指导。.

Keywords: cancer; cancer pain; music intervention; nursing; systematic review and meta-analysis.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Cancer Pain / therapy*
  • Humans
  • Music Therapy*
  • Pain Management / methods*
  • Randomized Controlled Trials as Topic*