Effectiveness of music on anxiety and pain among cardiac surgery patients: A quantitative systematic review and meta‐analysis of randomized controlled trials

Abstract

Aim: The aim of this study is to evaluate the effectiveness of music on anxiety and pain among patients following cardiac surgery.Background: Cardiac surgery affects patients physically, psychologically and socially.Anxiety and pain are the usual problems among patients following cardiac surgery. Design:The study design is a systematic review and meta-analysis. Data sources: The Medical Literature Analysis and Retrieval System Online (MEDLINE), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Central Register of Controlled Trials (CENTRAL), Excerpta Medica database (EMBASE) and Web of Science databases were searched for randomized controlled trials from January 2000 to December 2017.Review methods: The Cochrane collaboration guidelines were followed and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach was used to summarize the quality of evidence.Results: Fourteen studies were included in systematic review and 13 in metaanalysis. The meta-analysis revealed that there was a significant reduction in anxiety and pain among patients who received musical intervention compared with those who did not. Conclusion:Music has positive benefits on anxiety and pain. However, well-designed and high-quality trials are needed to generate higher quality evidence.

Efficacy of non‐pharmacological interventions in pain relief and opioid consumption after cardiac surgery: A systematic review and Bayesian network meta‐analysis

“…Many randomised controlled trials of non‐pharmacological interventions for the adjuvant treatment of cardiac pain after surgery have been published, but the findings are controversial. To date, one meta‐analysis and review on the effects of aromatherapy (Abdelhakim et al, 2020) and two meta‐analyses and reviews on the effects of music therapy after cardiac surgery (Chandrababu et al, 2021; Kakar et al, 2021) have been published. The meta‐analysis of aromatherapy showed that it was beneficial to pain and anxiety, which was inconsistent with the results of this study because the inclusion and exclusion criteria were different.…”

The effect of music on the operating surgeon: a pilot randomized crossover trial (the MOSART study)

“…A recent interventional study of 600 non‐metastatic breast cancer operations found similar patient complication rates, though quicker surgical times in the music arms 46 . Finally, while not considered in this study, there is evidence of a reduction in peri‐operative anxiety and pain with music therapy for surgical patients 47–50 …”

“…46 Finally, while not considered in this study, there is evidence of a reduction in peri-operative anxiety and pain with music therapy for surgical patients. [47][48][49][50] The negative effect of music Noise and music are two separate yet related entities. High levels of noise volume in the OT have been associated with increased risk of surgical site infection.…”

Efektivitas Terapi Musik terhadap Kecemasan dan Nyeri Pasien Coronary Artery Bypass Graft

“…Bukti penelitian yang rendah, sulit untuk menyimpulkan efek terapi musik pada pasien dengan operasi jantung dan implikasi pada praktek klinis. Terapi musik merupakan intervensi yang bermakna, aman, dan dengan biaya yang rendah sehingga dibutuhkan penelitian RCT yang berkualitas, dirancang dengan baik dan ketat untuk menghasilkan bukti yang lebih kuat (Chandrababu et al, 2021).…”