摘要
目的:通过Meta分析评估音乐疗法对围绝经期失眠病人的干预效果。方法:检索中国知网、万方数据库、维普数据库、中国生物医学文献服务系统、PubMed、the Cochrane Library、Web of Science、EMbase建库至2024年1月10日公开发表的关于音乐治疗围绝经期失眠病人的随机对照试验研究文献。2位研究员独立进行文献筛选和数据提取,并对所选文献进行了严格的质量评价。采用RevMan 5.4软件进行数据分析。结果:最终筛选出符合标准的11篇文献,共涉及869例病人。Meta分析结果显示,试验组音乐疗法总有效率优于对照组[OR=3.05,95%CI(1.79,5.21),Z=4.10,P<0.001],试验组匹兹堡睡眠指数(PSQI)总分明显低于对照组[MD=-3.55,95%CI(-4.08,-3.02),Z=13.04,P<0.001];试验组病人失眠临床痊愈率高于对照组[OR=2.34,95%CI(1.32,4.16),Z=2.91,P=0.004];试验组干预后Kupperman评分低于对照组[MD=-4.75,95%CI(-6.76,-2.74),Z=4.64,P<0.001],差异均有统计学意义。结论:现有证据显示,音乐疗法对改善围绝经期病人睡眠障碍有一定效果,同时可提高病人的生活质量。但由于纳入文献的数量和质量存在一定局限性,上述结论仍需进一步开展大样本、多中心研究加以验证。
Objective:To evaluate the intervention effect of music therapy on patients with perimenopausal insomnia through Meta⁃analysis.Methods:The randomized controlled trials(RCTs)of music therapy for patients with perimenopausal insomnia were retrieved from CNKI,WanFang Database,VIP,SinoMed,PubMed,the Cochrane Library,Web of Science,and EMbase from the establishment of databases to January 10,2024.Two researchers independently screened the literature,extracted data,and conducted a strict quality evaluation of the selected literature.RevMan 5.4 software was used for data analysis.Results:A total of 11 articles that met the criteria were screened,involving 869 patients.Meta⁃analysis results showed that the total effective rate of music therapy in the experimental group was better than control group(OR=3.05,95%CI 1.79⁃5.21,Z=4.10,P<0.001),the total score of Pittsburgh Sleep Quality Index(PSQI)in the experimental group was significantly lower than that in the control group(MD=-3.55,95%CI-4.08⁃-3.02,Z=13.04,P<0.001);the clinical cure rate of insomnia in the experimental group was higher than that in the control group(OR=2.34,95%CI 1.32⁃4.16,Z=2.91,P=0.004);the Kupperman score in the experimental group after intervention was lower than that in the control group(MD=-4.75,95%CI-6.76⁃2.74,Z=4.64,P<0.001),and the differences were statistically significant.Conclusions:The existing evidence shows that music therapy has a certain effect on improving sleep disorders in perimenopausal patients,which could improve the quality of life of patients.However,due to the limitations of the quantity and quality of the included literature,the above conclusions still need to be further verified by large⁃sample and multicenter studies.
作者
余清
李响玲
YU Qing;LI Xiangling(Hubei University of Chinese Medicine,Hubei 430065 China;Ezhou Traditional Chinese Medicine Hospital)
出处
《循证护理》
2025年第1期1-6,共6页
Chinese Evidence-Based Nursing
基金
2024年鄂州市科技创新智库研究立项课题,编号:EZZK-2024036。
关键词
音乐疗法
围绝经期
失眠
META分析
循证护理
music therapy
perimenopause
insomnia
Meta⁃analysis
evidence⁃based nursing
作者简介
余清,护师,硕士研究生在读;通讯作者:李响玲,E-mail:252975086@qq.com。
