护理SCI晨读:音乐干预对母乳喂养母亲产奶的影响:随机对照试验的系统评价和荟萃分析
音乐干预对母乳喂养母亲产奶的影响:随机对照试验的系统评价和荟萃分析
摘要
目的
调查音乐干预对母乳喂养母亲产奶的影响。
设计
根据Cochrane方法进行随机对照试验的系统评价和荟萃分析。
数据源
在Web of Science,Science Direct,PubMed,MEDLINE,Cochrane图书馆,CINAHL,Ovid和ProQuest中进行文献检索,没有年份限制。检索时限为1978年1月至2020年3月。
审查方法
两名独立研究人员使用特定关键字筛选文献,并根据PICOS标准制定的纳入和排除标准,纳入随机对照试验。
结果
在2,081项随机对照试验中,有5项纳入系统评价和荟萃分析。五项试验的总样本为554。包括主动和被动音乐干预,持续11–60分钟, 1-14节播放。没有发现出版偏倚。Cochran的Q检验结果表明,在随机对照试验中异质性水平较低。总体的结果表明,音乐干预对母乳喂养母亲的乳汁生产影响较低而积极。
结论
对五个试验进行的系统评价和荟萃分析表明,音乐可以是增加母乳产量的有效方法。
影响力
这项系统的回顾和荟萃分析调查了音乐对母乳喂养的母亲母乳生产的影响,并找到了支持其积极影响的可靠证据。护士,学者,母亲及其子女和社会可以从这些结果中受益。向母乳喂养母亲提供咨询的护士可以使用音乐干预来帮助他们提高母乳产量。
英文摘要
Aims
The aim of this study was to investigate the effect of music intervention on breast milk production in breastfeeding mothers.
Design
A systematic review and meta‐analysis of randomized controlled trials following Cochrane methods were conducted.
Data Sources
We performed a literature search in Web of Science, Science Direct, PubMed, MEDLINE, Cochrane Library, CINAHL, the Networked Digital Library of Theses & Dissertations, Ovid and ProQuest without year limitation. The review period covered January 1978–March 2020.
Review Methods
Two independent researchers screened the literature using specific keywords and selected randomized controlled trials based on the inclusion and exclusion criteria according to the PICOS criteria.
Result
Of 2,081 randomized controlled trials, 5 were included in this systematic review and meta‐analysis. The total sample of the five trials was 554 participants. Active and passive music lasting 11–60 min was played in 1–14 sessions. No publication bias was noted. Cochran's Q test results pointed to a low level of heterogeneity among the randomized controlled trials. Overall, the results showed that music intervention had a low and positive effect on breast milk production in breastfeeding mothers.
Conclusion
A systematic review and meta‐analysis conducted on five trials showed that music can be an effective way to increase breast milk production.
Impact
This systematic review and meta‐analysis investigated the effect of music on breast milk production in breastfeeding mothers and found sound evidence supporting its positive effects. Nurses, academics, mothers, and their children and society can benefit from these results. Nurses who give counselling to breastfeeding mothers can use music intervention to help them increase breast milk production.
原文链接:https://onlinelibrary.wiley.com/doi/10.1111/jan.14589
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