音乐治疗干预,以减少宿舍患者的症状负担:一项描述性研究
Madison H Estell1, Kevin J Whitford1,2,3, Angela M Ulrich4
1Medical School, Mayo Clinic Alix School of Medicine, Rochester, MN, USA.
音乐治疗 (MT) 显著改善了住院患者的生活质量,并减少了临终关怀患者的症状负担. 虽然患者报告满意度,但护理人员经历了增加的压力,这表明需要进一步研究综合性临终关怀.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 综合医学是一个整体的医学.
- 心理社会瘤学
背景情况:
- 音乐治疗 (MT) 在终身护理中显示出缓解症状和提高生活质量 (QOL) 的前景.
- 关于MT对宿舍患者及其护理人员的具体影响的研究有限.
研究的目的:
- 评估音乐治疗干预对宿舍患者症状负担和幸福感的影响.
- 评估音乐治疗对宿舍护理人员压力水平和质量生活的影响.
主要方法:
- 18名患有高症状评分 (ESAS-r) 的临终关怀患者在2-3周内接受了3-4次音乐治疗.
- 用线性模拟自我评估 (LASA) 来测量QOL和患者健康问卷-4 (PHQ-4) 来测量抑郁症/焦虑症的患者结果.
- 七名护理人员使用Pearlin角色超负荷测量和LASA进行了压力评估.
主要成果:
- 临终关怀患者报告说,症状严重程度降低,情绪困扰减少,生活质量改善.
- 患者对音乐疗法表示高度满意,并指出它有助于减轻压力,放松和提供情感支持.
- 与基线相比,护理人员报告了更糟糕的QOL和增加的压力水平.
结论:
- 音乐治疗有效地减少了症状负担,并提高了宿舍患者的质量生活.
- 这项干预措施受到患者的好评,这表明其可能被纳入宿舍护理.
- 建议采用更大的样本规模进行进一步的研究,以充分了解MT对宿舍环境中患者和护理人员的影响.
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