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Lin F, Chen L, Gao Y. Music therapy in hemodialysis patients: Systematic review and meta-analysis. Complement Ther Med 2024; 86:103090. [PMID: 39343151 DOI: 10.1016/j.ctim.2024.103090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2024] [Revised: 08/19/2024] [Accepted: 09/23/2024] [Indexed: 10/01/2024] Open
Abstract
BACKGROUND Patients undergoing hemodialysis (HD) face significant challenges; however, non-pharmaceutical interventions hold potential for enhancing their quality of life. This paper evaluates the effects of music therapy on various mental and physiological outcomes in patients undergoing HD. METHODS This systematic review and meta-analysis followed the PRISMA 2020 guidelines. A comprehensive database search conducted up to May 21, 2024, identified studies for inclusion based on PICOS criteria. The methodological quality of these studies was assessed using the Cochrane risk-of-bias tool and Review Manager 5.4. For the meta-analysis, R and Stata/SE 15.1 were used, applying a random-effects model in cases of significant heterogeneity, and a fixed-effects model when heterogeneity was minimal. RESULTS Twenty-four studies involving 1703 participants were analyzed. Music therapy significantly decreased anxiety (SMD: -0.72, 95 % CI: -0.97 to -0.46, I²: 83 %), pain (SMD: -1.22, 95 % CI: -1.68 to -0.75, I²: 93 %), depression (SMD: -0.85, 95 % CI: -1.31 to -0.39, I²: 77 %), stress (SMD: -0.93, 95 % CI: -1.17 to -0.68, I²: 41 %), and adverse reactions associated with HD (SMD: -0.67, 95 % CI: -0.88 to -0.46, I²: 0 %), all showing strong effect sizes (p < 0.001 for all). However, no significant changes were observed in sleep quality, fatigue, satisfaction with HD, systolic or diastolic blood pressure, heart rate, or finger temperature. A slight reduction in respiration rate (p = 0.0072) and an increase in oxygen saturation (p = 0.0056) were noted. While music therapy showed promising results, the notable heterogeneity in pain and anxiety outcomes suggests careful interpretation, although no significant publication bias was detected. CONCLUSION Music therapy has demonstrated encouraging outcomes in improving the well-being of patients undergoing HD, particularly in reducing anxiety, pain, and stress. However, due to notable heterogeneity and methodological issues such as small sample sizes and inconsistent blinding, further high-quality research is needed to confirm these findings and establish more robust evidence.
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Affiliation(s)
- Feng Lin
- School of Life Sciences, Jilin University, Changchun, China
| | - Long Chen
- School of Music, Herzen University, Moika River Embankment, St. Petersburg, Russia
| | - Yin Gao
- School of Life Sciences, Jilin University, Changchun, China.
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Cheng HY, Xie HX, Tang QL, Yi LT, Zhu JX. Light and classical music therapies attenuate chronic unpredictable mild stress-induced depression via BDNF signaling pathway in mice. Heliyon 2024; 10:e34196. [PMID: 39071672 PMCID: PMC11283034 DOI: 10.1016/j.heliyon.2024.e34196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2024] [Revised: 06/17/2024] [Accepted: 07/04/2024] [Indexed: 07/30/2024] Open
Abstract
Depression, a pervasive mental health issue, often necessitates innovative therapeutic interventions. This study explores the efficacy of music therapy, a non-pharmacological approach, in ameliorating depression symptoms in a murine model. Employing a chronic unpredictable mild stress (CUMS) model to induce depressionlike behaviors in mice, we investigated the therapeutic potential of four distinct music genres: light, classical, atonal composition, and rock music. Behavioral assessments, including sucrose preference and immobility time, were conducted to evaluate the impact of music therapy. Additionally, we measured the levels of brain-derived neurotrophic factor (BDNF), synaptic proteins and neurogenesis to elucidate the underlying biological mechanisms. Our findings indicated that light and classical music significantly alleviated depression-like behaviors in mice, evidenced by increased sucrose preference and reduced immobility time. Conversely, atonal composition and rock music did not yield similar therapeutic benefits. Biochemically, light and classical music were associated with decreased levels of corticosterone and increased levels of glucocorticoid receptor, alongside enhanced BDNF signaling, synaptic proteins and neurogenesis. In conclusion, the study demonstrates that specific genres of music, notably light and classical music, may contribute to alleviating depression-like symptoms, potentially through mechanisms associated with BDNF signaling and neurogenesis. These results highlight the potential of targeted music therapy as a complementary approach in treating depression, with implications for its incorporation into broader therapeutic regimes. Further re-search is warranted to translate these findings into clinical practice.
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Affiliation(s)
- Hong-Yu Cheng
- Department of Music Therapy (Musicology), College of Humanities, Jiangxi University of Chinese Medicine, Nanchang, Jiangxi, 330004, PR China
| | - Hao-Xue Xie
- Department of Chemical and Pharmaceutical Engineering, College of Chemical Engineering, Huaqiao University, Xiamen, 361021, Fujian Province, PR China
| | - Qian-Lan Tang
- Department of Music Therapy (Musicology), College of Humanities, Jiangxi University of Chinese Medicine, Nanchang, Jiangxi, 330004, PR China
| | - Li-Tao Yi
- Department of Chemical and Pharmaceutical Engineering, College of Chemical Engineering, Huaqiao University, Xiamen, 361021, Fujian Province, PR China
| | - Ji-Xiao Zhu
- Research Center of Traditional Chinese Medicine Resources and Ethnic Medicine, Jiangxi University of Chinese Medicine, Nanchang, Jiangxi, 330004, PR China
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3
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Nobakht N, Kamgar M, Tavanaei M, Bilder RM, Nobakht E. Music and Medicine: Promoting Harmony for Health. Am J Med 2024; 137:92-98. [PMID: 37871734 DOI: 10.1016/j.amjmed.2023.10.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Revised: 10/04/2023] [Accepted: 10/06/2023] [Indexed: 10/25/2023]
Abstract
A multitude of clinical trials measuring hemodynamic and psychological parameters have shown the beneficial effects of music on health. However, there are no clear instructions on how to utilize the potential benefits of music to improve health outcomes. Moreover, whether the effect of music is transient or enduring has yet to be determined. To address the effect of music on vital parameters and emotional well-being of patients we provide an overview of methods and findings of some studies that have evaluated the physiological or psychological impacts of music. This review puts forward a proposed model for fostering an individualized approach that can examine the therapeutic effects of music.
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Affiliation(s)
- Niloofar Nobakht
- Division of Nephrology, David Geffen School of Medicine, University of California Los Angeles.
| | - Mohammad Kamgar
- Division of Nephrology, David Geffen School of Medicine, University of California Los Angeles
| | - Maryam Tavanaei
- Division of Nephrology, David Geffen School of Medicine, University of California Los Angeles
| | - Robert M Bilder
- Jane & Terry Semel Institute for Neuroscience & Human Behavior, University of California Los Angeles
| | - Ehsan Nobakht
- Division of Renal Diseases and Hypertension, George Washington University School of Medicine & Health Sciences
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Wang L, Liu P, He X. Personalized Music Therapy for Elderly Patients with Chronic Renal Failure to Improve their Quality of Life and Mental Health: A Retrospective Study. Noise Health 2024; 26:8-13. [PMID: 38570304 PMCID: PMC11141698 DOI: 10.4103/nah.nah_94_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 01/30/2024] [Accepted: 01/30/2024] [Indexed: 04/05/2024] Open
Abstract
BACKGROUND Chronic renal failure (CRF) poses significant clinical risks. Therefore, attention should be paid to the daily nursing of such patients, and better clinical nursing programs should be provided. METHODS The data of 120 patients with CRF at Yantai Yuhuangding Hospital from March 2020 to March 2022 were retrospectively analyzed. After 8 patients were excluded, 112 patients were finally included in this study. The included patients were divided into group A (58 patients receiving clinical routine nursing) and group B (54 patients receiving clinical routine nursing and personalized music) according to different nursing schemes. The anxiety level, depression level, quality of life (QOL), and clinical satisfaction of the patients in both groups were compared before and after nursing. RESULTS Before the implementation of nursing, no significant difference existed in the levels of anxiety, depression, and QOL between the two groups (P > 0.05). After nursing, group B had significantly lower levels of anxiety and depression and significantly higher QOL than group A (P < 0.001). No significant difference in clinical nursing satisfaction was found between the two groups (P > 0.05). CONCLUSION The implementation of personalized music can improve the QOL and psychological states of patients, with clinical application value.
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Affiliation(s)
- Ling Wang
- Health Care Department, Yantai Yuhuangding Hospital, Yantai 264000, Shandong, China
| | - Panpan Liu
- Nephrology Department, Yantai Yuhuangding Hospital, Yantai 264000, Shandong, China
| | - Xin He
- Neurology Nursing, Jinan Municipal Central Hospital, Jinan 250013, Shandong, China
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Aghakhani N, Metin ZG, Akbari M. Selected Music Serves as a Non-Pharmacologic Approach for Anxiety and Depression Relief in Patients Receiving Hemodialysis. IRANIAN JOURNAL OF PUBLIC HEALTH 2023; 52:2474-2475. [PMID: 38106835 PMCID: PMC10719704 DOI: 10.18502/ijph.v52i11.14047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 02/24/2023] [Indexed: 12/19/2023]
Abstract
The Article Abstract is not available.
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Affiliation(s)
- Nader Aghakhani
- Food and Beverages Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran
| | - Zehra Gok Metin
- Internal Medicine Nursing Department, Faculty of Nursing, Hacettepe University, Ankara, Turkey
| | - Masoumeh Akbari
- Spiritual Health Research Center, Faculty of Paramedical, Qom University of Medical Sciences, Qom, Iran
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Li Y, Zhu B, Shen J, Miao L. Depression in maintenance hemodialysis patients: What do we need to know? Heliyon 2023; 9:e19383. [PMID: 37662812 PMCID: PMC10472011 DOI: 10.1016/j.heliyon.2023.e19383] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 08/10/2023] [Accepted: 08/21/2023] [Indexed: 09/05/2023] Open
Abstract
Chronic kidney disease (CKD) is now recognized as a major public health problem in the world. The global prevalence of CKD is estimated at 13.4% (11.7-15.1%), with an estimated 490.2 to 7.083 million patients with End stage renal disease requiring renal replacement therapy. Hemodialysis is the main treatment for End stage renal disease patients because of its high safety and efficiency. The survival time of these patients was significantly prolonged, but many psychological problems followed. Depression is a type of mood disorder caused by a variety of causes, often manifested as disproportionate depression and loss of interest, sometimes accompanied by anxiety, agitation, even hallucinations, delusions and other psychotic symptoms. Depression has become the most common mental disorder in maintenance hemodialysis (MHD) patients according to the meta-analysis. In recent years, depression has seriously affected the quality of life and prognosis of MHD patients from dietary, sleep, treatment adherence, energy and other dimensions. This article reviews the epidemiology, etiology, diagnosis and treatment of depression in MHD patients.
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Affiliation(s)
- Yulu Li
- Department of Nephrology, The Third Affiliated Hospital of Soochow University, Changzhou, China
| | - Bin Zhu
- Department of Critical Care Medicine, The Third Affiliated Hospital of Soochow University, Changzhou, China
| | - Jianqin Shen
- Blood Purification Centre, The Third Affiliated Hospital of Soochow University, Changzhou, China
| | - Liying Miao
- Department of Nephrology, The Third Affiliated Hospital of Soochow University, Changzhou, China
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Kassim MAK, Pantazi AC, Nori W, Tuta LA, Balasa AL, Mihai CM, Mihai L, Frecus CE, Lupu VV, Lupu A, Andrusca A, Iorga AM, Litrin RM, Ion I, Ciciu E, Chirila SI, Chisnoiu T. Non-Pharmacological Interventions for Pain Management in Hemodialysis: A Narrative Review. J Clin Med 2023; 12:5390. [PMID: 37629432 PMCID: PMC10455227 DOI: 10.3390/jcm12165390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Revised: 08/15/2023] [Accepted: 08/17/2023] [Indexed: 08/27/2023] Open
Abstract
This narrative review aims to summarize non-pharmacological interventions for pain management in hemodialysis patients, assessing their potential benefits and limitations in enhancing patient well-being and quality of life. We reviewed the current literature on five primary non-pharmacological interventions: acupuncture, cognitive behavioral therapy, relaxation techniques, virtual reality, and alternative methods such as transcutaneous electrical nerve stimulation, music therapy, and aromatherapy. We analyzed the evidence regarding their effectiveness, feasibility, and optimal implementation strategies. The existing evidence supports the potential benefits of these interventions in managing pain and improving the well-being of hemodialysis patients. However, further high-quality research is needed to confirm their effectiveness, establish implementation best practices, and assess their long-term impact on patient outcomes. Non-pharmacological interventions hold promise for pain management in hemodialysis patients. Additional research is required to optimize these interventions and validate their effectiveness, contributing to comprehensive pain management strategies for this vulnerable patient population.
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Affiliation(s)
| | | | - Wassan Nori
- College of Medicine, Mustansiriyah University, Baghdad 10052, Iraq
| | - Liliana Ana Tuta
- Faculty of Medicine, “Ovidius” University of Constanta, 900470 Constanta, Romania
- Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania
| | - Adriana Luminita Balasa
- Faculty of Medicine, “Ovidius” University of Constanta, 900470 Constanta, Romania
- Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania
| | | | - Larisia Mihai
- Faculty of Medicine, “Ovidius” University of Constanta, 900470 Constanta, Romania
- Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania
| | - Corina Elena Frecus
- Faculty of Medicine, “Ovidius” University of Constanta, 900470 Constanta, Romania
- Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania
| | - Vasile Valeriu Lupu
- Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania
| | - Ancuta Lupu
- Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania
| | - Antonio Andrusca
- Faculty of Medicine, “Ovidius” University of Constanta, 900470 Constanta, Romania
- Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania
| | - Andra Maria Iorga
- Faculty of Medicine, “Ovidius” University of Constanta, 900470 Constanta, Romania
- Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania
| | - Radu Mihai Litrin
- Faculty of Medicine, “Ovidius” University of Constanta, 900470 Constanta, Romania
- Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania
| | - Irina Ion
- Faculty of Medicine, “Ovidius” University of Constanta, 900470 Constanta, Romania
- Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania
| | - Elena Ciciu
- Faculty of Medicine, “Ovidius” University of Constanta, 900470 Constanta, Romania
- Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania
| | | | - Tatiana Chisnoiu
- Faculty of Medicine, “Ovidius” University of Constanta, 900470 Constanta, Romania
- Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania
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8
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Santos JOD, Lins SMDSB, Nóbrega MMLD, Tavares JMAB, Menezes HFD, Silva HCDDAE. Specialized nursing terminology for chronic kidney patients on hemodialysis. ESCOLA ANNA NERY 2023. [DOI: 10.1590/2177-9465-ean-2022-0274en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/19/2023] Open
Abstract
Abstract Objectives to identify the terms that represent the human needs affected in chronic renal failure patients on hemodialysis; and to cross-map these terms with those already existing in the International Classification for Nursing Practice. Method a descriptive study with a quantitative approach, conducted between February and December 2021, a period in which an integrative literature review was prepared to survey the terms that represent the human needs affected in chronic renal failure patients on hemodialysis; then, we proceeded to the cross-mapping of these terms identified with the ICNP® terms 2019/2020 version. Results 1,946 terms were identified extracted from the articles that were part of the integrative review. After the normalization and standardization process, 689 terms were excluded, resulting in the subsequent composition of 1,257 terms, which were mapped with the terms of the International Classification for Nursing Practice 2019/2020 version. In the end, the term bank consisted of 626 constant terms and 631 non-constant terms. Conclusion and implications for practice relevant terms were identified for nursing practice in the care of chronic kidney disease patients on hemodialysis. The terms will help nurses to promote a systematized care, using an evidence-based practice.
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Santos JOD, Lins SMDSB, Nóbrega MMLD, Tavares JMAB, Menezes HFD, Silva HCDDAE. Terminologia especializada de enfermagem para pacientes renais crônicos em hemodiálise. ESCOLA ANNA NERY 2023. [DOI: 10.1590/2177-9465-ean-2022-0274pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/19/2023] Open
Abstract
Resumo Objetivos identificar os termos que representam as necessidades humanas afetadas no paciente renal crônico em hemodiálise; e realizar o mapeamento cruzado destes termos com os já existentes na Classificação Internacional para a Prática de Enfermagem. Método estudo descritivo com abordagem quantitativa, realizado entre os meses de fevereiro a dezembro de 2021, período no qual foi elaborada uma revisão integrativa da literatura para levantamento dos termos que representam as necessidades humanas afetadas no paciente renal crônico em hemodiálise; em seguida, procedeu-se ao mapeamento cruzado destes termos identificados com os termos da CIPE® versão 2019/2020. Resultados foram identificados 1.946 termos extraídos dos artigos que fizeram parte da revisão integrativa. Depois do processo de normalização e uniformização, foram excluídos 689 termos, resultando na subsequente composição de 1.257 termos, os quais foram mapeados com os termos da Classificação Internacional para a Prática de Enfermagem versão 2019/2020. Ao final, o banco de termos ficou constituído por 626 termos constantes e 631 termos não constantes. Conclusão e implicação para a prática foram identificados os termos relevantes para a prática de enfermagem na assistência aos pacientes renais crônicos em hemodiálise. Os termos serão subsídios para auxiliar o enfermeiro na promoção de uma assistência sistematizada, utilizando-se de uma prática baseada em evidências.
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Nobakht N, Kamgar M, Bilder RM, Nobakht E. Music for Health: From Ear to Kidney. Clin J Am Soc Nephrol 2022; 17:1410-1412. [PMID: 35705509 PMCID: PMC9625101 DOI: 10.2215/cjn.04320422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Affiliation(s)
- Niloofar Nobakht
- Division of Nephrology, David Geffen School of Medicine, University of California Los Angeles Health System, Los Angeles, California
| | - Mohammad Kamgar
- Division of Nephrology, David Geffen School of Medicine, University of California Los Angeles Health System, Los Angeles, California
| | - Robert M. Bilder
- Jane and Terry Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, California
| | - Ehsan Nobakht
- Division of Renal Diseases and Hypertension, George Washington University School of Medicine and Health Sciences, Washington, DC
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Karpaviciute S, Sweeney A, O‘Neill A, McNulty S, Kroll T, Somanadhan S. The use of music for children and adolescents living with rare diseases in the healthcare setting: a scoping review study protocol. HRB Open Res 2022; 4:52. [PMID: 36330535 PMCID: PMC9607902 DOI: 10.12688/hrbopenres.13280.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/26/2022] [Indexed: 09/19/2023] Open
Abstract
Background: Interest in the application of music in the health, social care and community contexts is growing worldwide. There is an emerging body of literature about the positive effects of music on the well-being and social relationships of children and adult populations. Music has also been found to promote social interaction, communication skills, and social-emotional behaviours of children with medically complex care needs. Despite significant advancements in the area, to the authors' knowledge, this is the first scoping review to investigate the evidence for using music therapy and music-based interventions for children living with rare diseases in the healthcare setting. Therefore, the purpose of this study is to conduct a scoping review of the literature to map out the existing studies about the use of music therapy and music-based interventions with children who have rare diseases in the healthcare setting. This review will also identify gaps in current knowledge and use of these interventions. Method: This study follows the Joanna Briggs Institute's methodology for scoping reviews, utilising Arksey and O'Malley's six-stage scoping review framework: 1) identifying the research question; 2) identifying relevant studies; 3) study selection; 4) charting the data; 5) collating, summarising and reporting results; and 6) consulting with relevant stakeholders step. A comprehensive search will be conducted in CINAHL Complete; MEDLINE Complete; Psychology and Behavioral Sciences Collection; and PubMed Central databases. A search strategy with selected inclusion and exclusion criteria will be used to reveal a wide range of evidence. This study will include quantitative, qualitative and mixed research methods studies published in English from 2010 to 2020.
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Affiliation(s)
- Simona Karpaviciute
- Children’s Health Ireland at Temple Street Children’s University Hospital, Temple St, Dublin 1, D01 XD99, Ireland
| | - Alison Sweeney
- Children’s Health Ireland at Temple Street Children’s University Hospital, Temple St, Dublin 1, D01 XD99, Ireland
| | - Aimee O‘Neill
- School of Psychology, Trinity College Dublin, the University of Dublin College Green, Dublin 2, D02 PN40, Ireland
| | - Sandra McNulty
- Children’s Health Ireland at Temple Street Children’s University Hospital, Temple St, Dublin 1, D01 XD99, Ireland
| | - Thilo Kroll
- UCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems, UCD School of Nursing, Midwifery and Health Systems, University College Dublin, UCD Health Sciences Centre, Belfield, Dublin-4, B113A, Ireland
| | - Suja Somanadhan
- UCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems, UCD School of Nursing, Midwifery and Health Systems, University College Dublin, UCD Health Sciences Centre, Belfield, Dublin-4, B113A, Ireland
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McCrary JM, Altenmüller E, Kretschmer C, Scholz DS. Association of Music Interventions With Health-Related Quality of Life: A Systematic Review and Meta-analysis. JAMA Netw Open 2022; 5:e223236. [PMID: 35315920 PMCID: PMC8941357 DOI: 10.1001/jamanetworkopen.2022.3236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
IMPORTANCE Increasing evidence supports the ability of music to broadly promote well-being and health-related quality of life (HRQOL). However, the magnitude of music's positive association with HRQOL is still unclear, particularly relative to established interventions, limiting inclusion of music interventions in health policy and care. OBJECTIVE To synthesize results of studies investigating outcomes of music interventions in terms of HRQOL, as assessed by the 36- and 12-Item Health Survey Short Forms (SF-36 and SF-12). DATA SOURCES MEDLINE, Embase, Web of Science, PsycINFO, ClinicalTrials.gov, and International Clinical Trials Registry Platform (searched July 30, 2021, with no restrictions). STUDY SELECTION Inclusion criteria were randomized and single-group studies of music interventions reporting SF-36 data at time points before and after the intervention. Observational studies were excluded. Studies were reviewed independently by 2 authors. DATA EXTRACTION AND SYNTHESIS Data were independently extracted and appraised using GRADE criteria (Grading of Recommendations, Assessment, Development, and Evaluations) by multiple authors. Inverse-variance random-effects meta-analyses quantified changes in SF-36 mental and physical component summary (respectively, MCS and PCS) scores from preintervention to postintervention and vs common control groups. MAIN OUTCOMES AND MEASURES SF-36 or SF-12 MCS and PCS scores, defined a priori. RESULTS Analyses included 779 participants from 26 studies (mean [SD] age, 60 [11] years). Music interventions (music listening, 10 studies; music therapy, 7 studies; singing, 8 studies; gospel music, 1 study) were associated with significant improvements in MCS scores (total mean difference, 2.95 points; 95% CI, 1.39-4.51 points; P < .001) and PCS scores (total mean difference, 1.09 points; 95% CI, 0.15-2.03 points; P = .02). In subgroup analysis (8 studies), the addition of music to standard treatment for a range of conditions was associated with significant improvements in MCS scores vs standard treatment alone (mean difference, 3.72 points; 95% CI, 0.40-7.05 points; P = .03). Effect sizes did not vary between music intervention types or doses; no evidence of small study or publication biases was present in any analysis. Mean difference in MCS scores met SF-36 minimum important difference thresholds (mean difference 3 or greater). CONCLUSIONS AND RELEVANCE In this systematic review and meta-analysis, music interventions were associated with clinically meaningful improvements in HRQOL; however, substantial individual variation in intervention outcomes precluded conclusions regarding optimal music interventions and doses for distinct clinical and public health scenarios.
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Affiliation(s)
- J. Matt McCrary
- Institute of Music Physiology and Musicians’ Medicine, Hannover University of Music, Drama and Media, Hannover, Germany
- Prince of Wales Clinical School, University of New South Wales, Sydney, New South Wales, Australia
| | - Eckart Altenmüller
- Institute of Music Physiology and Musicians’ Medicine, Hannover University of Music, Drama and Media, Hannover, Germany
| | - Clara Kretschmer
- Institute of Music Physiology and Musicians’ Medicine, Hannover University of Music, Drama and Media, Hannover, Germany
| | - Daniel S. Scholz
- Institute of Music Physiology and Musicians’ Medicine, Hannover University of Music, Drama and Media, Hannover, Germany
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Abstract
PURPOSE OF REVIEW The aim of this study was to examine updated prevalence rates, risk factors and the prognosis, diagnosis and treatments for depression among dialysis patients. RECENT FINDINGS Depression influences prognosis, complications, quality of life (QOL), treatment and costs for dialysis patients worldwide. Reported prevalence of depression is 13.1-76.3%; it is higher for dialysis than transplant and higher post than predialysis. Reported depression rates with peritoneal dialysis (PD) compared with in-centre haemodialysis (HD) are inconsistent. Related medical factors are known, but suspected associated patient characteristics including gender and race remain unexplored. Associations between depression in dialysis and QOL, mortality, pathophysiological mechanisms of increased mortality, infection and pathways of inflammation-mediated and psychosocial factors require clarification. Several depression screening instruments are validated for dialysis patients - the Structured Clinical Interview for DSM disorders (SCID) remains the gold standard - but authors suggest the diagnostic standard should be higher than for the general population. Short-term studies indicate nonpharmacological therapy achieves clinical effects for depression in dialysis patients, but research on long-term effects is needed. SUMMARY Depression management through early screening and continuous care models emphasizing dynamic relationships between healthcare teams, patients and families should be encouraged. Large-scale studies of short-term and long-term benefits of pharmacological and nonpharmacological depression management are warranted.
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Affiliation(s)
- Na Tian
- Department of Nephrology, General Hospital of Ningxia Medical University, Yinchuan, Ningxia
| | - Na Chen
- Department of Nephrology, General Hospital of Ningxia Medical University, Yinchuan, Ningxia
| | - Philip Kam-Tao Li
- Department of Medicine and Therapeutics, Carol and Richard Yu Peritoneal Dialysis Research Centre, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, SAR, China
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Shokrpour N, Sheidaie S, Amirkhani M, Bazrafkan L, Modreki A. Effect of positive thinking training on stress, anxiety, depression, and quality of life among hemodialysis patients: A randomized controlled clinical trial. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2021; 10:225. [PMID: 34395662 PMCID: PMC8318152 DOI: 10.4103/jehp.jehp_1120_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/30/2020] [Accepted: 10/10/2020] [Indexed: 06/13/2023]
Abstract
BACKGROUND Given the relationship between positivity interventions and psychological problems, this study aimed to investigate the effect of positive thinking training on stress, anxiety, depression, and quality of life of hemodialysis patients. MATERIALS AND METHODS This is a quasi-experimental and interventional study conducted on 70 hemodialysis patients referred to Fasa hemodialysis centers, Iran, between April 2019 and October 2019. Patients were selected using a simple sampling method and randomly divided into control (n = 35) and intervention (n = 35) groups. The intervention group was trained on positive thinking skills in eight sessions of a workshop. Before and after the intervention, stress, anxiety, depression, and quality of life in both the groups were measured using the Depression, Anxiety, and Stress Scale-21 and Short Form-36 Questionnaire. Data were analyzed using paired t-test, independent t-test, Kolmogorov-Smirnov, and Chi-square tests. RESULTS There was no significant difference in the mean scores of stress, anxiety, depression, and quality of life in the two groups before the intervention.(P > 0.05), and in the control group, there was no statistically significant difference before and after the intervention (P = 0.092, P = 0.228, 0.280, respectively). In the intervention group, the mean score of stress and anxiety decreased from 23.65 ± 4.12 to 16.68 ± 4.41 (P < 0.001) and from 17.77 ± 5.15 to 14.57 ± 4.18 (P = 0.002), respectively, and that of the patients' quality of life also increased from 35.19 ± 10.07 to 55.98 ± 11.71 (P < 0.001). However, the mean score of depression did not change significantly after the intervention (P = 0.689). CONCLUSION According to the results of this study, the use of positive thinking intervention programs with other methods for hemodialysis patients' care and treatment is recommended as a nonpharmacological, cost-effective, and uncomplicated method.
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Affiliation(s)
- Nasrin Shokrpour
- Department of English, School of Paramedical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
- IJCBNM research Center, Nursing School, Shiraz University of Medical Sciences, Shiraz, Iran
- Center for Interdisciplinary Research in Islamic Education and Health Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Shima Sheidaie
- Department of Education, Fasa University of Medical Sciences, Fasa, Iran
| | - Mehdi Amirkhani
- Department of Health in Disasters and Emergencies, Health Human Resources Research Center, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Leila Bazrafkan
- Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Ameneh Modreki
- Department of Clinical Psychology, Fasa University of Medical Sciences, Fasa, Iran
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Chen X, Pan Z. A Convenient and Low-Cost Model of Depression Screening and Early Warning Based on Voice Data Using for Public Mental Health. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:6441. [PMID: 34198659 PMCID: PMC8296267 DOI: 10.3390/ijerph18126441] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 06/10/2021] [Accepted: 06/10/2021] [Indexed: 12/12/2022]
Abstract
Depression is a common mental health disease, which has great harm to public health. At present, the diagnosis of depression mainly depends on the interviews between doctors and patients, which is subjective, slow and expensive. Voice data are a kind of data that are easy to obtain and have the advantage of low cost. It has been proved that it can be used in the diagnosis of depression. The voice data used for modeling in this study adopted the authoritative public data set, which had passed the ethical review. The features of voice data were extracted by Python programming, and the voice features were stored in the format of CSV files. Through data processing, a big database, containing 1479 voice feature samples, was generated for modeling. Then, the decision tree screening model of depression was established by 10-fold cross validation and algorithm selection. The experiment achieved 83.4% prediction accuracy on voice data set. According to the prediction results of the model, the patients can be given early warning and intervention in time, so as to realize the health management of personal depression.
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Affiliation(s)
- Xin Chen
- School of Medicine, Hangzhou Normal University, Hangzhou 311121, China;
- Engineering Research Center of Mobile Health Management System, Ministry of Education, Hangzhou Normal University, Hangzhou 311121, China
- Institute of VR and Intelligent System, Hangzhou Normal University, Hangzhou 311121, China
| | - Zhigeng Pan
- School of Medicine, Hangzhou Normal University, Hangzhou 311121, China;
- Engineering Research Center of Mobile Health Management System, Ministry of Education, Hangzhou Normal University, Hangzhou 311121, China
- Institute of VR and Intelligent System, Hangzhou Normal University, Hangzhou 311121, China
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Karpaviciute S, Sweeney A, O‘Neill A, McNulty S, Kroll T, Somanadhan S. The use of music for children and adolescents living with rare diseases in the healthcare setting: a scoping review study protocol. HRB Open Res 2021; 4:52. [PMID: 36330535 PMCID: PMC9607902 DOI: 10.12688/hrbopenres.13280.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/27/2021] [Indexed: 09/19/2023] Open
Abstract
Background: Interest in the application of music in the health, social care and community contexts is growing worldwide. There is an emerging body of literature about the positive effects of music on the well-being and social relationships of children and adult populations. Music has also been found to promote social interaction, communication skills, and social-emotional behaviours of children with medically complex care needs. Despite significant advancements in the area, to the authors' knowledge, this is the first scoping review to investigate the evidence for using music therapy and music-based interventions for children living with rare diseases in the healthcare setting. Therefore, the purpose of this study is to conduct a scoping review of the literature to map out the existing studies about the use of music therapy and music-based interventions with children who have rare diseases in the healthcare setting. This review will also identify gaps in current knowledge and use of these interventions. Method: This study follows the Joanna Briggs Institute's methodology for scoping reviews, utilising Arksey and O'Malley's six-stage scoping review framework: 1) identifying the research question; 2) identifying relevant studies; 3) study selection; 4) charting the data; 5) collating, summarising and reporting results; and 6) consulting with relevant stakeholders step. A comprehensive search will be conducted in CINAHL Complete; MEDLINE Complete; Psychology and Behavioral Sciences Collection; and PubMed Central databases. A search strategy with selected inclusion and exclusion criteria will be used to reveal a wide range of evidence. This study will include quantitative, qualitative and mixed research methods studies published in English from 2010 to 2020.
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Affiliation(s)
- Simona Karpaviciute
- Children’s Health Ireland at Temple Street Children’s University Hospital, Temple St, Dublin 1, D01 XD99, Ireland
| | - Alison Sweeney
- Children’s Health Ireland at Temple Street Children’s University Hospital, Temple St, Dublin 1, D01 XD99, Ireland
| | - Aimee O‘Neill
- School of Psychology, Trinity College Dublin, the University of Dublin College Green, Dublin 2, D02 PN40, Ireland
| | - Sandra McNulty
- Children’s Health Ireland at Temple Street Children’s University Hospital, Temple St, Dublin 1, D01 XD99, Ireland
| | - Thilo Kroll
- UCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems, UCD School of Nursing, Midwifery and Health Systems, University College Dublin, UCD Health Sciences Centre, Belfield, Dublin-4, B113A, Ireland
| | - Suja Somanadhan
- UCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems, UCD School of Nursing, Midwifery and Health Systems, University College Dublin, UCD Health Sciences Centre, Belfield, Dublin-4, B113A, Ireland
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March-Luján VA, Prado-Gascó V, Huguet JM, Cortés X, Arquiola JMP, Capilla-Igual M, Josefa-Rodríguez-Morales M, Monzó-Gallego A, Armero JLP, Ortí JEDLR. Impact of BMGIM Music Therapy on Emotional State in Patients with Inflammatory Bowel Disease: A Randomized Controlled Trial. J Clin Med 2021; 10:1591. [PMID: 33918724 PMCID: PMC8069074 DOI: 10.3390/jcm10081591] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Revised: 04/05/2021] [Accepted: 04/07/2021] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Patients with inflammatory bowel disease (IBD) have a high prevalence of emotional disturbances which worsen the symptoms of the disease. As a therapeutic alternative that is part of a comprehensive care alongside medication, the Bonny Method of Guided Imagery and Music (BMGIM) music-assisted therapy has achieved promising emotional improvements in patients with chronic diseases. The objective of the study was to determine the impact of a treatment based on a BMGIM group adaptation on patients with inflammatory bowel disease (IBD) and their emotional state, therefore analyzing state of mind, quality of life, anxiety, depression, immunocompetence as a marker of well-being, and levels of acute and chronic stress. METHODS Longitudinal, prospective, quantitative, and experimental study including 43 patients with IBD divided into an intervention group (22 patients), who received eight sessions over eight weeks, and a control group (21 patients). A saliva sample was taken from each patient before and after each session in order to determine cortisol and IgA levels. Similarly, a hair sample was taken before the first and after the last session to determine the cumulative cortisol level. All molecules were quantified using the ELISA immunoassay technique. In addition, patients completed several emotional state questionnaires: HADS, MOOD, and CCVEII. RESULTS An improvement was observed in the following states of mind: sadness, fear, anger, and depression. No significant effect was observed in state of mind in terms of happiness or anxiety, in the levels of cortisol in hair, and in patients' perceived quality of life. A reduction in cortisol was observed in saliva, although this did not significantly affect the IgA titer. CONCLUSIONS BMGIM seems to improve the emotional state of patients with IBD.
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Affiliation(s)
- Vicente Alejandro March-Luján
- Department of Teaching and Learning of Physical, Plastic and Musical Education, Catholic University San Vicente Martir, 46110 Valencia, Spain
| | - Vicente Prado-Gascó
- Department of Social Psychology, University of Valencia, 46010 Valencia, Spain;
| | - José María Huguet
- Digestive Disease Department, General University Hospital of Valencia, 46014 Valencia, Spain; (J.M.H.); (A.M.-G.)
| | - Xavier Cortés
- Digestive Disease Department, Hospital of Sagunto, 46520 Valencia, Spain; (X.C.); (M.J.-R.-M.)
- Universidad Cardenal Herrera-CEU, CEU Universities, 46113 Valencia, Spain
| | | | - María Capilla-Igual
- Research Foundation of the General Hospital of Valencia, 46014 Valencia, Spain;
| | | | - Ana Monzó-Gallego
- Digestive Disease Department, General University Hospital of Valencia, 46014 Valencia, Spain; (J.M.H.); (A.M.-G.)
| | - José Luis Platero Armero
- Department of Nursing, Catholic University San Vicente Martir, 46001 Valencia, Spain; (J.L.P.A.); (J.E.d.l.R.O.)
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Huang SY, Koo M, Hsieh TC, Lee RP, Sung HC. Effect of Bright Light Therapy on Depressive Symptoms in Middle-Aged and Older Patients Receiving Long-Term Hemodialysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17217763. [PMID: 33114131 PMCID: PMC7660326 DOI: 10.3390/ijerph17217763] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/27/2020] [Revised: 10/18/2020] [Accepted: 10/20/2020] [Indexed: 06/11/2023]
Abstract
Depressive symptoms are common psychiatric comorbidities among individuals receiving long-term hemodialysis. The aim of this two-arm parallel design study is to assess the effects of bright light therapy (BLT) on depressive symptoms among middle-aged and older adults receiving long-term hemodialysis. Study participants are recruited using convenient sampling from four dialysis clinics in eastern Taiwan. The eligible participants are block-randomized to either the BLT group (n = 30), with 30 min sessions of BLT five times a week for six weeks at their own home, or to the routine care control group (n = 30). The Beck Depression Inventory-II (BDI-II) scores and the salivary cortisol levels are obtained from the participants at three time points: baseline (T0), week 3 (T1), and week 6 (T2). The results, from the generalized estimating equations, indicate that the decline in the BDI-II scores over time is significant in the BLT group at T1 (β = -7.57, p < 0.001) and at T2 (β = -6.20, p = 0.002) compared to the control group. The decrease in salivary cortisol levels at each visit is also significant in the BLT group at T1 (β = -7.37, p = 0.017) and at T2 (β = -12.22, p = 0.005) compared to the control group. Our findings support the hypothesis that a six-week program of BLT is able to alleviate depressive symptoms in middle-aged and older patients who receive long-term hemodialysis.
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Affiliation(s)
- Shu-Yi Huang
- Institute of Medical Sciences, Tzu Chi University, Hualien City, Hualien 970301, Taiwan; (S.-Y.H.); (T.-C.H.); (R.-P.L.)
- Department of Nursing, Graduate Institute of Long-Term Care, Tzu Chi University of Science and Technology, Hualien City, Hualien 973046, Taiwan
| | - Malcolm Koo
- Graduate Institute of Long-term Care, Tzu Chi University of Science and Technology, Hualien City, Hualien 973046, Taiwan;
| | - Tsung-Cheng Hsieh
- Institute of Medical Sciences, Tzu Chi University, Hualien City, Hualien 970301, Taiwan; (S.-Y.H.); (T.-C.H.); (R.-P.L.)
| | - Ru-Ping Lee
- Institute of Medical Sciences, Tzu Chi University, Hualien City, Hualien 970301, Taiwan; (S.-Y.H.); (T.-C.H.); (R.-P.L.)
| | - Huei-Chuan Sung
- Institute of Medical Sciences, Tzu Chi University, Hualien City, Hualien 970301, Taiwan; (S.-Y.H.); (T.-C.H.); (R.-P.L.)
- Graduate Institute of Long-term Care, Tzu Chi University of Science and Technology, Hualien City, Hualien 973046, Taiwan;
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Sariati S, Sholikhah DU, Narendri CM, Sari GM, Yahya QNQ. Music Therapy and Aromatherapy Interventions in Patients undergoing Hemodialysis: A Systematic Review. JURNAL NERS 2019. [DOI: 10.20473/jn.v14i3.16990] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Introduction: The number of patients with chronic kidney disease (CKD) who undergo hemodialysis is increasing every year. Various attempts have been made to maximize the process of hemodialysis, one of which is by providing complementary therapy with music as therapy and through the administration of aromatherapy. The aim of this study was to identify the effectiveness of the use of music therapy and aromatherapy in a patient diagnosed with chronic kidney disease undergoing hemodialysis.Methods: The literature review followed on from the identification of the interventions then the studies were identified by keyword according to the topic and title. There were 15 articles that discussed the effect of music therapy and aromatherapy on patients undergoing hemodialysis. The design RCT was 7 articles, 3 quasi-experimental articles, and 5 clinical trial articles.Results: Music can raise the endorphin and serotonin levels and reduce the catecholamine levels, so it can change the respiratory rate and oxygen saturation, improve their quality of sleep and reduce fatigue.Conclusion: Our findings indicate that music therapy and aromatherapy have a positive effect on patients with chronic kidney disease undergoing hemodialysis.
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Schmidt DB. Quality of life and mental health in hemodialysis patients: a challenge for multiprofessional practices. J Bras Nefrol 2019; 41:10-11. [PMID: 31063179 PMCID: PMC6534032 DOI: 10.1590/2175-8239-jbn-2018-0227] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2018] [Accepted: 11/22/2018] [Indexed: 11/30/2022] Open
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