Beneficial Effects of Listening to Classical Music in Patients With Heart Failure: A Randomized Controlled Trial

Beneficial Effects of Listening to Classical Music in Patients With Heart Failure: A Randomized Controlled Trial
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DOI:
10.1016/j.cardfail.2019.12.005
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发表时间:
2020-07-01
影响因子:
6
通讯作者:
Parodi, Guido
Parodi, Guido
中科院分区:
医学2区
文献类型:
--
作者:
Burrai, Francesco;Sanna, Giuseppe D.;Parodi, Guido

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背景:心力衰竭(HF)患者非药物非器械/手术干预的实用建议众所周知。虽然补充治疗可能有有益的效果,但没有证据表明这些治疗本身可以改善死亡率,发病率或生活质量。我们研究了听录制的古典音乐对HF特定生活质量(QOL),一般生活质量,睡眠质量,焦虑,抑郁和认知状态的HF患者在家庭护理setting.Methods和结果:多中心随机对照试验。159例HF患者按1:1的比例随机分为2组:实验组(音乐)和对照组。在30、60、90天(实验期)和6个月后对患者进行评价。随机分配到音乐组的患者在MP3播放器上听大型预选播放列表中的音乐,每天至少30分钟,持续3个月。对照组患者接受标准护理。HF特异性QOL、一般QOL、自我护理、HF症状的躯体感知、睡眠质量、焦虑和抑郁以及认知能力在整个使用特定量表的过程中进行评估。平均而言,音乐组的患者在HF特异性QOL方面表现出更大的改善(P
Background: Practical recommendations on nonpharmacologic non-device/surgical interventions in patients with heart failure (HF) are well known. Although complementary treatments may have beneficial effects, there is no evidence that these on their own improve mortality, morbidity, or quality of life. We examined the effects of listening to recorded classical music on HF-specific quality of life (QOL), generic QOL, sleep quality, anxiety, depression, and cognitive state in patients with HF in the home-care setting.Methods and Results: Multicenter randomized controlled trial. One hundred fifty-nine patients with HF were randomized on a 1:1 basis in 2 groups: experimental (music) and control. Patients were evaluated after 30, 60, 90 days (experimental period) and at 6 months. Patients randomized to the music group listened to music from a large preselected playlist, at least 30 minutes per day, for 3 months on an MP3 player. Patients in the control group received standard care. HF-specific QOL, generic QOL, self-care, somatic perception of HF symptoms, sleep quality, anxiety and depression, and cognitive abilities were assessed throughout the use of specific scales. On average, patients in the music group showed greater improvements in terms of HF-specific QOL (P