音乐疗法对卒中后失语患者干预效果的Meta分析
The effects of music therapy on patients with post-stroke aphasia:a Meta-analysis
杨玲虹 1贾瑞英 1魏慧 1柳妙妙 1高杨琴 1杨红燕1
作者信息
- 1. 310009 杭州市 浙江大学医学院附属第二医院护理部
- 折叠
摘要
目的 评价音乐疗法对卒中后失语患者的干预效果.方法 检索中国知网、万方数据库、PubMed等9个数据库中关于音乐疗法治疗卒中后失语患者的随机对照试验,检索时限为建库至2023年7月.由2名研究者按照纳入和排除标准筛选文献、提取资料,使用Cochrane 5.1.0手册评估文献质量,采用RevMan 5.3软件进行Meta分析.结果 共纳入22篇研究,包括827例患者.Meta分析结果表明:音乐疗法显著改善了卒中后失语患者的自发言语[SMD=0.60,95％CI(0.40,0.80),P＜0.01]、听理解能力[SMD=0.49,95％CI(0.32,0.67),P＜0.01]、复述能力[SMD=0.77,95％CI(0.60,0.94),P＜0.01]、命名能力[SMD=0.54,95％CI(0.29,0.78),P＜0.01]、沟通交流能力[SMD=0.40,95％CI(0.02,0.78),P＜0.01]、抑郁情绪[SMD=-0.75,95％CI(-1.10,-0.40),P＜0.01],在改善失语严重程度方面差异无统计学意义[SMD=0.82,95％CI(-0.26,1.90),P=0.14].结论 音乐疗法有助于改善卒中后失语患者的自发言语、听理解能力、复述能力、命名能力、沟通交流能力及抑郁情绪,但未能改善患者的失语严重程度.
Abstract
Objective To investigate the effectiveness of music therapy on patients with post-stroke aphasia.Methods Randomized controlled trials of music therapy for patients with post-stroke aphasia were systematically searched from 9 databases,such as CNKI,WanFang,PubMed,etc.The search time was from the inception of databases to July 2023.The literature was screened and extracted by 2 researchers according to the inclusion criteria,and the quality of the literature was assessed using Cochrane Manual 5.1.0.Revman 5.3 software was used for meta-analysis.Results We selected 22 studies comprising 827 participants comparing with control conditions.The meta-analysis demonstrated that music therapy significantly improved spontaneous speech[SMD=0.60,95％CI(0.40～0.80),P＜0.01],listening comprehension[SMD=0.49,95％CI(0.32～0.67),P＜0.0 1],repetition[SMD=0.77,95％CI(0.60～0.94),P＜0.01],naming[SMD=0.54,95％CI(0.29～0.78),P＜0.01],communication ability[SMD=0.40,95％CI(0.02～0.78),P＜0.01],depression[SMD=-0.75,95％CI(-1.10～-0.40),P＜0.01],but had no significant effect on the severity of aphasia[SMD=0.82,95％CI(-0.26,1.90),P=0.14].Conclusion Music therapy significantly improved language expres-sion and understanding ability,but there was no clear evidence for the improvement of aphasia severity.
关键词
音乐疗法/卒中/失语/Meta分析/循证护理学Key words
Music Therapy/Stroke/Aphasia/Meta-Analysis/Evidence-Based Nursing引用本文复制引用
出版年
2024
NETL
NSTL
万方数据