{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T03:13:17Z","timestamp":1773371597881,"version":"3.50.1"},"reference-count":27,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the effects of music intervention on pain and anxiety in patients undergoing emergency suturing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      PubMed, Embase, Web of Science, and the Cochrane Library were systematically searched up to September 9, 2025. Randomized controlled trials comparing music intervention with standard care during emergency laceration repair were included. Standardized mean differences (SMDs) with 95% confidence intervals (CIs) were pooled using a random-effects model. Heterogeneity was assessed using the I\n                      <jats:sup>2<\/jats:sup>\n                      statistic, and evidence certainty was evaluated with the GRADE approach.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Four RCTs involving 388 patients were included. Music intervention significantly reduced pain compared with standard care (SMD\u202f=\u202f\u22120.28, 95% CI\u202f\u2212\u202f0.48 to \u22120.08; I\n                      <jats:sup>2<\/jats:sup>\n                      \u202f=\u202f0%). Anxiety scores showed a borderline reduction in the music group (SMD\u202f=\u202f\u22120.40, 95% CI\u202f\u2212\u202f0.80 to 0.00; I\n                      <jats:sup>2<\/jats:sup>\n                      \u202f=\u202f20%). Sensitivity analyses supported the robustness of the results. The certainty of evidence was rated as low to moderate.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Music intervention during emergency suturing significantly reduces pain and may provide modest benefits in alleviating anxiety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1713057","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T06:40:45Z","timestamp":1769496045000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["The impact of music intervention during emergency suturing on patients\u2019 pain and anxiety: a meta-analysis"],"prefix":"10.3389","volume":"14","author":[{"given":"Xiaotian","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Emergency, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University","place":["Nanjing, Jiangsu, China"]},{"name":"School of Nursing, Nanjing University of Chinese Medicine","place":["Nanjing, Jiangsu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zehua","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Emergency, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University","place":["Nanjing, Jiangsu, China"]},{"name":"School of Nursing, Nanjing University of Chinese Medicine","place":["Nanjing, Jiangsu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tianshu","family":"Mei","sequence":"additional","affiliation":[{"name":"Department of Emergency, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University","place":["Nanjing, Jiangsu, China"]},{"name":"School of Nursing, Nanjing University of Chinese Medicine","place":["Nanjing, Jiangsu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meng","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Emergency, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University","place":["Nanjing, Jiangsu, China"]},{"name":"School of Nursing, Nanjing University of Chinese Medicine","place":["Nanjing, Jiangsu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ping","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Emergency, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University","place":["Nanjing, Jiangsu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,27]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1093\/jmt\/43.4.295","article-title":"An experimental investigation of the effects of preferred and relaxing music listening on pain perception","volume":"43","author":"Mitchell","year":"2006","journal-title":"J Music Ther"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"412","DOI":"10.1111\/j.1442-2018.2011.00633.x","article-title":"Music as a nursing intervention: effects of music listening on blood pressure, heart rate, and respiratory rate in abdominal surgery patients","volume":"13","author":"Vaajoki","year":"2011","journal-title":"Nurs Health Sci"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1188\/03.ONF.433-440","article-title":"Music versus distraction for procedural pain and anxiety in patients with cancer","volume":"30","author":"Kwekkeboom","year":"2003","journal-title":"Oncol Nurs Forum"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"2153","DOI":"10.1111\/j.1365-2702.2008.02718.x","article-title":"Soothing music can increase oxytocin levels during bed rest after open-heart surgery: a randomised control 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Emerg Med"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1503\/cmaj.080697","article-title":"Neurobiological mechanisms in major depressive disorder","volume":"180","author":"aan het Rot","year":"2009","journal-title":"Can Med Assoc J"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"1502561","DOI":"10.3389\/fneur.2024.1502561","article-title":"Neurobiological mechanism of music improving gait disorder in patients with Parkinson\u2019s disease: a mini review","volume":"15","author":"Huang","year":"2025","journal-title":"Front Neurol"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1186\/s12245-025-00878-4","article-title":"The effect of music therapy on treating patients pain and anxiety in emergency department: a randomized controlled trial","volume":"18","author":"Angkoontassaneeyarat","year":"2025","journal-title":"Int J Emerg 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