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Meta-Analysis
. 2023 Apr 6;23(1):110.
doi: 10.1186/s12906-023-03929-6.

Adjuvant music therapy for patients with hypertension: a meta-analysis and systematic review

Min Cao  1 , Zhiyuan Zhang  1   2
Affiliations
Meta-Analysis

Adjuvant music therapy for patients with hypertension: a meta-analysis and systematic review

Min Cao et al. BMC Complement Med Ther. .

Abstract

Background: High blood pressure, anxiety, depression and sleep disorder is very common in patients with hypertension. We aimed to perform a meta-analysis to evaluate the effects of adjuvant music therapy for patients with hypertension, to provide insights to the clinical management of hypertension.

Methods: Two authors searched PubMed, Embase, Web of Science, the Cochrane Library, Chinese National Knowledge Infrastructure, China Biomedical Literature Database, Wanfang Databases for randomized controlled trials (RCTs) on the role of music therapy in hypertension up to Oct 15, 2022. RevMan 5.3 software was used for meta-analysis.

Results: A total of 20 RCTs including 2306 patients were finally included. 1154 patients received music therapy. Meta-analysis showed that music therapy can effectively reduce the systolic blood pressure(MD = - 9.00, 95%CI: - 11.99~- 6.00), diastolic blood pressure(MD = -6.53, 95%CI: -9.12~- 3.93), heart rate (MD = -3.76, 95%CI: -7.32~- 0.20), self-rating anxiety scale (SAS) score(MD =-8.55, 95%CI: -12.04~-4.12), self-rating depression scale (SDS) score(MD = -9.17, 95%CI: -13.85~-5.18), Hamilton anxiety scale (HAMA), score(MD = -3.37, 95%CI: - 5.38~- 1.36), PSQI score(MD =-1.61, 95%CI:-2.30~- 0.93) compared with routine therapy in patients with hypertension(all P < 0.05). No publication bias in the synthesized outcomes were found (all P > 0.05).

Conclusion: Music therapy can effectively control blood pressure and heart rate, reduce anxiety and depression levels, and improve sleep quality in hypertensive patients. Limited by the quantity and quality of included studies, the above conclusions need to be verified by more high-quality studies.

Keywords: Blood pressure; Care; Hypertension; Music therapy; Treatment.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
PRISMA flow diagram of RCT selection
Fig. 2
Fig. 2
Risk of bias graph
Fig. 3
Fig. 3
Risk of bias summary
Fig. 4
Fig. 4
Forest plot for systolic blood pressure change
Fig. 5
Fig. 5
Forest plot for diastolic blood pressure change
Fig. 6
Fig. 6
Forest plot for heart rate change
Fig. 7
Fig. 7
Funnel plots for systolic and diastolic blood pressure changes
See this image and copyright information in PMC

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