ObjectiveThe 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.MethodsRandomized 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 Libra