Does music reduce anxiety for patients undergoing dermatological surgery? A systematic review.

Does music reduce anxiety for patients undergoing dermatological surgery? A systematic review.
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音乐可以减轻接受皮肤科手术的患者的焦虑吗?

DOI:
10.1111/ced.15264
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发表时间:
2022
影响因子:
4.1
通讯作者:
Stoneham S
Stoneham S
中科院分区:
医学4区
文献类型:
--
作者:
Stoneham S

文献摘要

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背景全球范围内皮肤癌的发病率不断上升,导致皮肤科医生进行皮肤手术的需求增加。然而,由于担心可能的癌症诊断,加上与疼痛和美容结果相关的焦虑,皮肤手术对患者来说可能是一种潜在的压力体验。目的是检查是否有任何证据支持以下假设:在局部麻醉下进行皮肤手术期间听音乐可以帮助减轻患者的焦虑。方法本次系统性综述考虑了截至2020年5月发表的所有原创研究。四个相关的研究确定,共包括381例患者(三个随机对照试验和一个病例对照试验)。ResultsTwo的四项研究表明,在手术过程中听音乐的患者围手术期焦虑显着减少。其他两项研究表明,音乐和没有音乐的患者之间没有统计学上的显着差异,虽然其中一个注意到减少焦虑surgics.ConclusionThere目前是有限的证据,以支持使用围手术期音乐在临床实践中,以减少焦虑的皮肤手术。然而,考虑到这种简单干预的潜在好处和可能有限的成本,我们认为有必要对这一主题进行进一步研究。
BackgroundThe incidence of skin cancer is increasing globally, leading to a greater need for dermatologists to perform skin surgery. However, skin surgery can be a potentially stressful experience for patients due to the fear of a possible cancer diagnosis coupled with anxiety related to pain and cosmetic outcomes.AimTo examine whether there is any evidence to support the hypothesis that listening to music during dermatological surgery under local anaesthesia can help reduce patient anxiety.MethodsThis systematic review considered all original research published until May 2020. Four relevant studies were identified, comprising a total of 381 patients (three randomized control trials and one case–control trial).ResultsTwo of the four studies showed a significant reduction in perioperative anxiety in patients who had listened to music during surgery. Both of the other studies showed no statistically significant difference between music and no music for patients, although one of these noted reduced anxiety in surgeons.ConclusionThere is currently limited evidence to support the use of perioperative music in clinical practice to reduce anxiety in skin surgery. However, given the potential benefits and the likely limited costs of this simple intervention, we believe that further research on this topic is warranted.