在干细胞移植和急性髓性白血病中听音乐:一项随机临床试验
Alberto Lázaro-García1, Daniel Láinez-González2, Marta González-Rodríguez3
1Department of Hematology (A.L.-G., E.U.S.M., L.S.-B., J.C.-N., J.L.L.-L., P.L.-S., J.M..A.-D.), Fundación Jiménez Díaz University Hospital, Madrid, Spain.
Journal of pain and symptom management
|March 6, 2024
概括
在接受干细胞移植 (SCT) 和急性髓性白血病 (AML) 化疗的患者中,使用GloMus应用程序有效降低了症状负担. 这种新的方法为癌症患者提供了一个有前途的干预措施.
科学领域:
- 在瘤学瘤学.
- 心理神经免疫学 心理神经免疫学
- 数字健康数字健康
背景情况:
- 听音乐 (ML) 对癌症患者来说是有前途的,但需要新的干预措施.
- 急性髓性白血病 (AML) 和干细胞移植 (SCT) 涉及密集治疗,具有显著的症状负担.
- 对于这些患者群体的症状管理,现有的干预措施需要加强.
研究的目的:
- 评估基于移动应用程序的音乐听力 (GloMus) 的有效性,使用iso原则.
- 为了确定GloMus是否能改善AML和SCT患者的症状负担,生活质量 (QoL),焦虑和抑郁.
- 评估一种新的音乐干预对患者在密集癌症治疗期间报告的结果的影响.
主要方法:
- 一项随机对照临床试验,涉及71名接受AML治疗或SCT治疗的患者.
- 患者被分配到通过GloMus或标准护理 (SC) 听音乐 (ML).
- ML干预利用了基于iso原则的每日会议,使用古典音乐来积极改变情绪. 评估了症状负担,焦虑,抑郁和生活质量.
主要成果:
- 在接受异性SCT和住院自主SCT的患者中,听音乐显著降低了症状负担.
- 在所有实验组中,在ML会议后观察到临床上重要的症状改善.
- 随着时间的推移,ML和SC组之间没有发现焦虑,抑郁或QoL的显著差异.
结论:
- 基于移动应用程序的音乐倾听 (GloMus) 采用了iso原则,有效地减少了特定SCT患者群体的症状负担.
- 音乐干预的Iso-Principle显示出作为接受密集治疗的癌症患者的支持性护理策略的潜力.
- 进一步的研究可能会探索优化ML干预措施以影响更广泛的患者报告结果,如QOL,焦虑和抑郁症.
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