音樂治療於腎臟切片病人成效之系統性文獻回顧暨統合分析

Music Therapy in Renal Biopsy Patients: System Review and Meta-analysis

10.6386/CGN.202409_35(3).0001

湯采儒(Tsai-Ju Tang)；邱珮宣(Pei-Hsuan Chiu)；孫婉娜(Wan-Na Sun)

腎臟切片 ； 音樂治療 ； 系統性文獻回顧 ； 統合分析 ； Renal biopsy ； music therapy ； system review ； meta-analysis

長庚護理

35卷3期（2024 / 09 / 01）

1 - 12

繁體中文;英文

背景：腎臟病分為許多種類及階段，臨床上為了能確切治療或鑑別診斷腎臟病種類，需仰賴腎臟切片檢查，當病人面臨未知的治療時，內心不免產生心理上的變化，進而影響至生理指數變化，音樂治療為透過特定聲波，有計畫性、系統性的恢復與改善情緒，而當改善負向情緒同時增進正向情緒，但對於腎臟切片病人成效並不明確。目的：確認音樂治療於腎臟切片病人成效。方法：使用組織切片、切片、tissues biopsy、biopsy；音樂治療、music therapy；一般照護、usual care；緩解、減少、或改善切片造成的焦慮、疼痛及血壓升高為關鍵字搜尋，依據篩選標準進行篩選。結果：本系統性文獻回顧共納入七篇隨機對照試驗研究，並進行統合分析結果後發現，音樂治療於腎臟切片病人降低血壓達顯著差異（p=.03），而在疼痛（p=.07）及焦慮（p=.19）上無統計上差異，透過此推論音樂治療須每日至少播放一次，每次約20至30分鐘。結論／實務應用：整合文獻結果並應用於臨床案例中發現，腎臟切片病人可於入院當日即開始進行介入，並考量個案喜愛音樂進行聆聽至切片結束，方可有效降低血壓高情況。

Background: Kidney disease encompasses various types and stages, and accurate treatment or differential diagnosis often requires a renal biopsy. However, undergoing a biopsy can trigger psychological changes in patients, potentially impacting their physiological responses. Music therapy, which involves the planned and systematic use of specific sound waves to enhance mood, has been shown to improve both negative and positive emotions. However, its effects on patients undergoing renal biopsy remain unclear. Purpose: To evaluate the efficacy of music therapy in patients undergoing renal biopsy. Methods: A systematic search was conducted using terms such as tissue biopsy, renal biopsy, music therapy, usual care, and the alleviation or improvement of anxiety, pain, and blood pressure in relation to biopsy procedures. Studies were screened and selected based on inclusion criteria. Results: This systematic review included seven randomized controlled trials. Meta-analysis revealed that music therapy significantly reduced blood pressure in renal biopsy patients ( p = .03 ) . However, there was no statistically significant reduction in pain ( p = .07 ) or anxiety ( p = .19 ) . The analysis suggests that music therapy should be administered at least once a day for about 20 to 30 minutes each session. Conclusion/Implication for Practice: Integrating the findings from the literature into clinical practice, it is recommended that music therapy interventions begin on the day of admission for renal biopsy patients. Allowing patients to listen to music they enjoy throughout the biopsy procedure can effectively reduce elevated blood pressure.