Objective: Systematic evaluation of the impact of music therapy on subjects during colonoscopy. Methods: Search PubMed, EMbase, Web of Science, PsycINFO, Cochrane Library, CINAHL, WanFang Data, CBM, CNKI, and VIP databases for randomized controlled trials on the effectiveness of music intervention in patients undergoing colonoscopy. The search was conducted until October 31, 2022. Two researchers independently selected literature and extracted data based on inclusion and exclusion criteria. RevMan 5.4 software was used for meta-analysis, and the bias risk assessment tool of the Cochrane collaborative network was used for inclusion literature quality evaluation and bias risk assessment. Results: A total of 17 randomized controlled studies were included, with a total of 2 969 patients. Meta analysis results showed music therapy can alleviate patients' pain(MD=-1.21, 95%CI -2.04--0.38, P<0.01), anxiety(MD=-3.12, 95%CI -3.34--2.90, P<0.01), shorten the entry time(MD=-2.62, 95%CI -3.43--1.81, P<0.01) and duration(MD=-2.93, 95%CI -5.33--0.54, P<0.05) during colonoscopy, alleviate the fluctuation of the patient's heart rate during the examination process(MD=-7.91, 95%CI -11.25--4.57, P<0.01), improve patient satisfaction(MD=-0.61, 95%CI -0.82--0.41, P<0.01), but have no statistically significant impact on the systolic blood pressure(MD=-0.31, 95%CI -0.85--0.23, P>0.05) and diastolic blood pressure(MD=-0.03, 95%CI -0.30-0.23, P>0.05) of the patients during the examination. Conclusion: Music therapy can effectively alleviate patients' pain and anxiety during colonoscopy, significantly shorten the entry time and duration of colonoscopy, reduce the fluctuation of patients' center rate during the examination process, and improve patient satisfaction. It is recommended to promote clinical application. |
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