Effect of Music in Endoscopy Procedures: Systematic Review and Meta-Analysis of Randomized Controlled Trials

Wang, Mancai; Zhang, Ling Yi; Zhang, Yongfeng; Zhang, Ya Wu; Xu, Xiao Dong; Zhang, You Cheng

doi:10.1111/pme.12514

Cited by 52 publications

(35 citation statements)

References 60 publications

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“…The STAI scores at the time of admission were similar in the two groups, whereas a significant difference in the STAI-State score [median (interquartile range, IQR) 35 (18) vs. 43 (25); p =0.03, r =−0.18] was observed between the music and the control group before bronchoscopy, with lower scores in the music group. These differences were no longer seen before discharge, although the scores in both groups were found to be at a lower level [median (IQR) 40 (19) vs. 31 (17), p< 0.0001 and 37 (19) vs. 30 (13); p< 0.0001] (Table 1).…”

Section: Resultsmentioning

confidence: 85%

“…The authors concluded that music decreases anxiety and heart rate overall, but in a subanalysis found that it had no significant effect regarding bronchoscopy (18). Moreover, a review including just one of the bronchoscopy studies investigating the effect of music on state anxiety scores concluded that music reduces anxiety in normal care delivery but not in unpleasant procedures, such as bronchoscopy (19).…”

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confidence: 99%

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Music does not alter anxiety in patients with suspected lung cancer undergoing bronchoscopy: a randomised controlled trial

Jeppesen

Pedersen

Larsen

et al. 2016

European Clinical Respiratory Journal

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BackgroundThe use of music to relieve anxiety has been examined in various studies, but the results are inconclusive.MethodsFrom April to October 2015, 160 patients undergoing examination of pulmonary nodules were randomly assigned to MusiCure or no music. MusiCure was administered through earplugs to ensure blinding of the staff and was played from admission to the operating theatre to the end of the bronchoscopy. Spielberger’s State-Trait Anxiety Inventory (STAI) was administered on admission, immediately before bronchoscopy, and on discharge. Secondary outcomes were p-cortisol, physiological variables, dosage of sedatives, movements measured by Actigraph, bronchoscopy duration, number of re-examinations, and overall perception of the sounds in the operating theatre measured by Visual analogue scale.ResultsThe STAI scores were similar on admission, but after a 10-min wait in the operating theatre, scores varied significantly between patients with and without music, with lower scores in the music group [median (interquartile range, IQR) 35 (18) vs. 43 (25); p=0.03]. Post hoc multiple regression revealed treatment group as insignificant when adjusting for sex and baseline anxiety. However, there was a significantly more positive perception of the sounds in the operating theatre in the music group (median (IQR) 8.2 (1.8) vs. 5.4 (6.8); p<0.0001) and fewer re-examinations in the music group (19.2% vs. 7.7%, p<0.032).ConclusionsTen minutes with MusiCure does not alter anxiety when adjusting for baseline anxiety and sex. The current study indicates that this field of research has many confounders.

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Section: Resultsmentioning

confidence: 85%

mentioning

confidence: 99%

Music does not alter anxiety in patients with suspected lung cancer undergoing bronchoscopy: a randomised controlled trial

Jeppesen

Pedersen

Larsen

et al. 2016

European Clinical Respiratory Journal

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“…Other authors have also demonstrated anxiety reduction in mechanically ventilated ICU patients through music interventions [15–17]. Wang et al [18] has indicated that the use of music interventions can significantly improve pain score, anxiety, heart rate, arterial pressure, and satisfaction score for patients undergoing a variety of endoscopic procedures. Notably, Hole et al [19] demonstrated that music can help alleviate postoperative pain, anxiety, and analgesia needs in addition to improving patient satisfaction during recovery.…”

Section: Introductionmentioning

confidence: 99%

The effects of music intervention on burn patients during treatment procedures: a systematic review and meta-analysis of randomized controlled trials

Zhou

Wang

2017

BMC Complement Altern Med

113

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BackgroundThe treatment of burn patients is very challenging because burn injuries are one of the most severe traumas that can be experienced. The effect of music therapy on burn patients has been widely reported, but the results have been inconsistent. Thus, we performed a systematic review and meta-analysis of randomized controlled trials in burn patients to determine the effect of music during treatments.MethodsWe searched a variety of electronic databases, including MEDLINE (via PubMed), EMBASE, Cochrane Library, Psychinfo, VIP Database for Chinese Technical Periodicals (VIP) and China National Knowledge Infrastructure (CNKI) for relevant trials on the basis of predetermined eligibility criteria. from their first available date through February 2016. Our search focused on two key concepts: music interventions (including music, music therapy and music medicine) and physical activity outcomes (including pain, anxiety, burn characteristics, dressing changes, wound care, debridement and rehabilitation). Two reviewers independently screened records and extracted data from all eligible studies. Statistical heterogeneity was determined using Q-test and the I 2 statistic. The endpoints included standardized mean differences (SMDs) and 95% confidence intervals (CIs). Publication bias was tested by Begg’s funnel plot and Egger’s test.ResultsA total of 17 studies met the inclusion criteria, for a total of 804 patients. A statistically significant difference in pain relief was demonstrated between music and non-music interventions (SMD = −1.26, 95% CI [−1.83, −0.68]), indicating that music intervention has a positive effect on pain alleviation for burn patients. The results indicated that music interventions markedly reduced anxiety in individuals compared to non-music interventions (SMD = −1.22, 95% CI [−1.75, −0.69]). Correspondingly, heart rate decreases were found after treatments that included music interventions (SMD = −0.60, 95% CI [−0.84, −0.36]).ConclusionIn summary, a positive correlation was found between treatments including music interventions and pain alleviation, anxiety relief, and heart rate reduction in burn patients. However, additional high-quality studies with carefully considered music interventions for burn patients are still needed.Electronic supplementary materialThe online version of this article (doi:10.1186/s12906-017-1669-4) contains supplementary material, which is available to authorized users.

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“…Music has been acknowledged as a safe and effective non‐pharmacological anxiolytic agent due to its effect on the perception of pain and anxiety reducing the regular pharmacological sedative doses . A recent meta‐analysis on the effect of music during endoscopy procedures has shown a beneficial effect of reducing anxiety and pain in patients undergoing endoscopy procedures, with a possible exception of patients undergoing colposcopy and bronchoscopy . Yet within the realm of pleural procedures, patients’ listening to music as an intervention to reduce pain and anxiety has not been examined.…”

Section: Introductionmentioning

confidence: 99%

Music reduces state anxiety scores in patients undergoing pleural procedures: a randomised controlled trial

Mackintosh

Cone

Harland

et al. 2018

Internal Medicine Journal

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Effect of Music in Endoscopy Procedures: Systematic Review and Meta-Analysis of Randomized Controlled Trials

Abstract: Our meta-analysis suggested that music may offer benefits for patients undergoing endoscopy, except in colposcopy and bronchoscopy.

Cited by 52 publications

References 60 publications

Music does not alter anxiety in patients with suspected lung cancer undergoing bronchoscopy: a randomised controlled trial

Music does not alter anxiety in patients with suspected lung cancer undergoing bronchoscopy: a randomised controlled trial

The effects of music intervention on burn patients during treatment procedures: a systematic review and meta-analysis of randomized controlled trials

Music reduces state anxiety scores in patients undergoing pleural procedures: a randomised controlled trial

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