在癌症化疗治疗期间,使用音乐作为减轻痛苦的工具
Felicity W K Harper1,2, Allison S Heath1, Tanina Foster Moore1,2
1Department of Oncology, Wayne State University School of Medicine, Detroit, MI.
JCO oncology practice
|July 11, 2023
概括
在接受化疗的癌症患者中,音乐疗法改善了情绪,减少了痛苦. 虽然没有影响疼痛,但自我选择的音乐提供了心理益处,特别对已婚,寡妇或残疾人.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 音乐治疗 音乐治疗
背景情况:
- 癌症治疗,特别是化疗,对患者的心理和身体健康有重大影响.
- 现有研究表明,音乐干预可以积极影响癌症患者的心理结果.
- 之前的研究往往缺乏足够的样本规模和对音乐类型和持续时间的严格监测,限制了最终的结论.
研究的目的:
- 评估音乐作为治疗干预措施,以改善接受门诊化疗的成年癌症患者的心理和身体健康的疗效.
- 评估自我选择的音乐对患者报告的疼痛,情绪 (积极和消极) 和化学疗法输注期间的痛苦水平的影响.
主要方法:
- 一项开放式,多站点的随机研究,涉及750名接受门诊化疗的成年癌症患者.
- 参与者被分配到一个音乐组 (倾听自己选择的音乐长达60分钟) 或一个控制组 (没有音乐).
- 结果,包括疼痛,情绪和焦虑,在干预前后都是自我报告的.
主要成果:
- 听音乐的患者报告了积极情绪的显著改善和消极情绪和痛苦的减少 (p < .05).
- 音乐干预对报告的疼痛水平没有显著影响.
- 回归分析表明,婚姻状况 (已婚/寡妇) 和就业状况 (残疾) 与音乐治疗的选择性益处有关.
结论:
- 音乐医学提供了一种低风险,具有成本效益的策略,用于在输液治疗期间管理癌症患者的心理痛苦.
- 这些发现突出了音乐在增强癌症患者福祉方面的潜力,特别是在管理情绪和痛苦方面.
- 需要进一步的研究来确定可能增强音乐在缓解特定患者群体疼痛和消极情绪状态方面的有效性因素.
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