癌症病人化學治療期間症狀困擾與聆聽音樂習性之分析

Chemotherapy Symptom Distress and Music Preference in Patients Undergoing Chemotherapy

蔡秀芬(Hsiu-Fen Tsai) ； 周桂如(Kuei-Ru Chou)

《榮總護理》 32卷4期 (2015/12) Pp. 406-415

https://doi.org/10.6142/VGHN.32.4.406

摘要

本研究目的主要是探討癌症病人在化學治療期間其症狀困擾與聆聽音樂習性之相關分析。採橫斷式研究設計，以立意取樣方式於北部二家區域教學醫院收案80位住院接受化學治療的癌症病人進行量性問卷訪談，以描述性統計、卡方檢定、皮爾森相關分析、單因子變異數分析及線性複迴歸等方法進行資料分析。研究結果顯示一、化療期間主要的症狀困擾，前五名依序為噁心、嘔吐、食慾下降、疲憊、味覺改變；二、有64人(80%)在化療期間於家中有聽音樂的習慣，80人(100%)願意在化療時接受音樂的聆聽；三、癌症病人於化療期間，每週有2天以上聽音樂者，其症狀困擾程度顯著低於每週1天聽音樂者(p＜.05)；但聆聽音樂的時間及音樂的類型則與症狀困擾程度無顯著相關(p＞.05)。本研究結果有助於護理人員及腫瘤醫療工作團隊在瞭解癌症病人接受化學治療期間的症狀困擾與聆聽音樂習性之相關性後，可提供癌症病人在接受化學治療期間改善化學治療症狀困擾的另類選擇。

關鍵字

癌症病人 ； 化學治療 ； 症狀困擾 ； 聆聽音樂習性

並列摘要

The purpose of this research was to explore the relationship between chemotherapy symptom distress and music preference in patients undergoing chemotherapy. We used a cross-sectional research design with purposive sampling to conduct a quantitative survey of 80 inpatients with cancer undergoing chemotherapy, recruited from 2 regional teaching hospitals in Northern Taiwan. The data were analyzed using descriptive statistics, the chi-square test, Pearson correlation analysis, single factor analysis, and linear regression analysis. The results of this study revealed the following: the leading 5 symptoms of distress during chemotherapy were nausea, vomiting, loss of appetite, fatigue, and taste changes; 64 (80%) participants had the habit of listening to music at home during chemotherapy, but all the participants were willing to listen to music while undergoing chemotherapy; and symptom distress was lower in patients who listened to music at least 2 days per week compared with those who listened to music 1 day per week (p＜ .05). No signifi cant differences were observed between the time spent listening to music, the type of music listened to, and symptom stress in the participants. The results of this study will assist nurses and cancer care teams in understanding the relationship between chemotherapy distress symptoms and music preferences in patients undergoing chemotherapy. This approach provides an alternative therapy for reducing symptom distress in patients while they undergo chemotherapy.

並列關鍵字

cancer patient ； chemotherapy ； symptom distress ； music preference

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