SynthesisFrontiers in psychiatry2026
Effects of traditional Chinese medicine nursing techniques combined with music-based interventions on sleep in older adults: a systematic review and meta-analysis.
Synthesis in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
Objective: The aims of this study were to systematically evaluate the effects of traditional Chinese medicine nursing techniques combined with music-based interventions on sleep quality in older adults and to explore their effects on anxiety and pain. Methods: Randomized controlled trials (RCTs) published up to 9 May 2026 were systematically searched in China National Knowledge Infrastructure, Wanfang Data, VIP Database, China Biomedical Literature Database, PubMed, Web of Science, the Cochrane Library, and Embase. Meta-analysis was performed using RevMan 5.4 and Stata 15.0. The primary outcome was the Pittsburgh Sleep Quality Index (PSQI), and the secondary outcomes were the Self-Rating Anxiety Scale (SAS) and the Visual Analogue Scale (VAS). Fixed- or random-effects models were selected according to the degree of heterogeneity, and subgroup analyses were performed. Results: A total of 11 RCTs involving 838 older adults were included. The pooled results showed that the combined intervention significantly improved sleep quality [PSQI: mean difference (MD) = -2.28, 95% confidence interval (CI): -3.07 to -1.48]. Compared with the control group, the combined intervention was also associated with greater reductions in anxiety (SAS: MD = -9.95, 95% CI: -14.31 to -5.59) and pain (VAS: MD = -1.06, 95% CI: -1.57 to -0.54). Subgroup analyses showed that auricular acupressure, Baduanjin, and traditional Chinese medicine massage combined with music-based interventions all improved PSQI scores. Among these, auricular acupressure combined with music-based interventions showed the most stable effect (MD = -1.89, 95% CI: -2.55 to -1.23). Interventions lasting 15 days or longer were associated with lower heterogeneity and more stable effects. Conclusion: Traditional Chinese medicine nursing techniques combined with music-based interventions may improve sleep quality in older adults and may also help reduce anxiety and pain. Different combined approaches showed favorable effects, with auricular acupressure combined with music-based interventions demonstrating the most stable results. Interventions lasting 15 days or longer may be more likely to produce stable benefits. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/, identifier CRD420261308801.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.