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Volume 38 Issue 11
Nov.  2022
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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2022  >  38(11): 1079-1084
Li Y,Liu FL,Yuan J,et al.Meta-analysis of the interventional effects of music therapy on pain and anxiety of burn patients in wound dressing change[J].Chin J Burns Wounds,2022,38(11):1079-1084.DOI: 10.3760/cma.j.cn501120-20210716-00252.
Citation: Li Y,Liu FL,Yuan J,et al.Meta-analysis of the interventional effects of music therapy on pain and anxiety of burn patients in wound dressing change[J].Chin J Burns Wounds,2022,38(11):1079-1084.DOI: 10.3760/cma.j.cn501120-20210716-00252.
shu

Meta-analysis of the interventional effects of music therapy on pain and anxiety of burn patients in wound dressing change

doi: 10.3760/cma.j.cn501120-20210716-00252
  • 1.

    School of Nursing and Health, Henan University, Kaifeng 475000, China

  • 2.

    Department of Endocrinology, Henan Provincial People's Hospital, Zhengzhou 450000, China

  • 3.

    Department of Gastrointestinal Surgery, Henan Provincial People's Hospital, Zhengzhou 450000, China

Funds:

Key Research and Development Project of Science and Technology Department of Henan Province of China 202102310455

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    Abstract
  •   Objective  To evaluate the interventional effects of music therapy on pain and anxiety of burn patients in wound dressing change.  Methods  The meta-analysis method was adopted. Databases including China National Knowledge Internet, Wanfang Database, and VIP database were retrieved with the search terms in Chinese version of "音乐, 烧伤, 创面换药/伤口换药, 疼痛/操作性疼痛", and PubMed, Embase, and Cochrane Library were retrieved with the search terms in English version of "music, burn, dressing change/wound dressing, pain/ache/sore" to obtain the publicly published randomized controlled trials on the application of music therapy for wound dressing change in burn patients from the establishment of each database to May 2021. The outcome indexes included pain score/percentage and anxiety score after dressing change. Rev Man 5.4 and Stata 14.0 statistical software were used to conduct a meta-analysis of eligible studies.  Results  A total of 520 burn patients from 7 studies were included, including 260 patients in music therapy group who received music therapy and 260 patients in routine dressing change group who received routine dressing change. The bias risk of all the 7 included studies was uncertain. Compared with those in routine dressing change group, the pain percentages (relative risk=0.06, 95% confidence interval=0.01-0.41, P<0.01) and pain scores after dressing change (standardized mean difference (SMD)=-0.91, 95% confidence interval=-1.61--0.22, P<0.05) of patients in music therapy group were significantly lower. Subgroup analysis showed that music type and timing of intervention might be the source of heterogeneity in pain scores after dressing change. The anxiety scores of patients in music therapy group were significantly lower than those in routine dressing change group (SMD=-0.64, 95% confidence interval=-1.09--0.19, P<0.01). There was no publication bias in pain or anxiety scores after dressing change.  Conclusions  Music therapy can relieve the pain and anxiety of burn patients during dressing change.

     

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