Abstract
BackgroundMaintaining quality of life is a primary goal of palliative care (PC). Complementary interventions can help meet the needs of patients at the end of life.ObjectivesThis meta-analysis aims to (1) evaluate the feasibility, acceptability and fidelity of music and hypnosis interventions designed for patients in PC and (2) evaluate the impact of these interventions on pain, anxiety, sleep and well-being.MethodsRelevant studies were sourced from major databases. We selected both randomised controlled trials (RCTs) and studies relying on pre–post design with details of the intervention(s).ResultsFour RCT and seven non-randomised pre–post studies met the inclusion criteria. Overall, the feasibility and acceptability of the interventions reached an adequate level of satisfaction. However, only three studies reported using a written protocol. The meta-analysis of RCT indicated a significant decrease in pain with an effect size of −0.42, p=0.003. The small number of RCT studies did not allow us to quantify the effects for other variables. Analyses of data from pre–post designs indicated a favourable outcome for pain, anxiety, sleep and well-being.ConclusionDespite the limited number of studies included in our meta-analysis, hypnosis and music intervention in the context of PC shows promising results in terms of feasibility and acceptability, as well as improvements on pain, anxiety, sleep and well-being. The available studies are insufficient to compare the efficacy across interventions and assess the potential benefits of their combinations. These results underscore the importance of further research on well-described complementary interventions relying on hypnosis and music.PROSPERO registration numberCRD-42021236610.
Subject
Medical–Surgical Nursing,Oncology (nursing),General Medicine,Medicine (miscellaneous)
Reference73 articles.
1. World B . Population âgée de 65 et plus (% Du total) – North America, European Union, 2021. Available: https://donnees.banquemondiale.org/indicateur/SP.POP.65UP.TO.ZS?end=2020&locations=XU-EU&start=1960&view=chart
2. Organization WH . Palliative care, 2020. Available: https://www.who.int/news-room/fact-sheets/detail/palliative-care
3. Quality of life in terminal illness: defining and measuring subjective well-being in the dying;Cohen;J Palliat Care,1992
4. Hypnosis in palliative care: from clinical insights to the science of self-regulation;Landry;Ann Palliat Med,2018
5. Music-based interventions in palliative cancer care: a review of quantitative studies and neurobiological literature
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献