Journal of Pediatric Nursing, cilt.86, ss.154-163, 2026 (SCI-Expanded, SSCI, Scopus)
Background Hospitalisation can evoke high levels of anxiety, fear, and pain in children, affecting their psychological well-being and recovery. Purpose This meta-analysis aimed to evaluate the effectiveness of music interventions in reducing anxiety, fear, and pain among hospitalized children. Methods A systematic review and meta-analysis were conducted in accordance with PRISMA guidelines. Twelve randomized controlled trials published between 2018 and 2024 were included. Standardized mean differences (SMDs) were calculated for post-intervention outcomes. Results Music interventions significantly reduced anxiety (SMD: –1.01, 95 % CI [−1.35, −0.67]), fear (SMD: −1.19, 95 % CI [−2.28, −0.09]), and pain (SMD: −1.08, 95 % CI [−2.14, −0.03]) levels. Effect sizes were large across all outcomes, though heterogeneity was moderate to high. No adverse effects were reported in any of the included studies. Conclusions Music interventions are effective in reducing emotional and physical distress in hospitalized children and should be considered as safe and practical adjuncts to pediatric care. Implications to practice Music interventions can be effectively integrated into pediatric nursing practice as supportive strategies to reduce children's anxiety, fear, and pain during medical procedures. Nurses should consider incorporating evidence-based music approaches tailored to individual preferences to enhance comfort and emotional well-being in clinical settings.