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The effectiveness of music as an intervention for hospital patients: a systematic review
Abstract
The effectiveness of music as an intervention for hospital patients: a systematic review Introduction. Over the past few decades there has been a growing interest in the use of music, which has seen it used to achieve a diverse range of outcomes. While music as an intervention for hospital patients has subject to considerable evaluation, many of these studies are small and findings are therefore often contradictory. This systematic review was conducted to investigate the effectiveness of music as an intervention for hospital patients. Method. A comprehensive search was undertaken involving all major health care databases. For studies to be included in the review they must have investigated the effect of music, involved adult hospital patients and used a randomized controlled trial design. These studies must also have used outcome measures such as anxiety, satisfaction, pain, mood and vital signs. Identified studies were critically appraised, and then categorized according to whether music was evaluated during normal care delivery or during invasive and unpleasant procedures. When appropriate, studies were combined in a meta‐analysis. Results. A total of 29 studies were identified that fulfilled the inclusion criteria, of which 10 were subsequently excluded following critical appraisal. Music played via headphones reduces anxiety of patients during normal care deliver, but it has no impact on the anxiety of patients undergoing procedures such as bronchoscopy, sigmoidoscopy or surgery with a spinal anaesthetic. Music produces a small reduction in respiratory rate during normal care delivery, but appears to have little effect on other vital sign parameters. It has no impact on the vital signs of patients undergoing procedures. Although the evidence is limited, music also appears improve the mood and tolerance of patients. Conclusion. This review demonstrates the effectiveness of music for the reduction of anxiety during normal care deliver. Given the inexpensive nature of this intervention, and the lack of adverse events, it is recommended as an adjunct to normal care practices. This review also highlights the need for further research into many aspect of this intervention.
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“Nevertheless, not all investigations found anxiety reductions through music listening [40–42].”
From The Effect of Music on the Human Stress Response (2013) · cites this paper as [40]
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“It might be the case that the stressor in our study (i.e. the TSST) was too strong.”
From The Effect of Music on the Human Stress Response (2013) · cites this paper as [40]
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Metadata
- Authors
- Evans, D.
- Affiliations
- Royal Adelaide Hospital (AU)
- Corresponding author
- Evans, David
- ORCID
- Evans, David
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 2002-01
- Volume
- 37
- Issue
- 1
- Pages
- 8-18
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W2045498534
- Cited by
- 355
- References
- 45
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 9 · 2023: 7 · 2022: 9 · 2021: 11 · 2020: 14 · 2019: 18 · 2018: 18 · 2017: 7 · 2016: 16 · 2015: 14 · 2014: 23 · 2013: 17 · 2012: 21
- FWCI
- 3.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Music Therapy and Health
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neuroscience and Music Perception
- Social Sciences › Psychology › Clinical Psychology › Art Therapy and Mental Health
- Keywords
- music intervention, hospitalized patients, anxiety reduction, pain tolerance, mood, vital signs, respiratory rate, invasive procedures, bronchoscopy, sigmoidoscopy, spinal anesthesia, patient satisfaction
- MeSH terms
- Adult, Anxiety, Hemodynamics, Humans, Inpatients, Music Therapy, Pain, Patient Satisfaction
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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