音樂治療於癌症病人接受化學治療期間焦慮之成效－系統性文獻回顧

The Effectiveness of Music Therapy on Anxiety in Cancer Patients during Chemotherapy: A Systematic Review

劉嘉玲(Chia-Ling Liu) ； 陳淑卿(Shu-Ching Chen)

《腫瘤護理雜誌》 19卷1期 (2019/06) Pp. 37-48

https://doi.org/10.6880/TJON.201906_19(1).04

摘要

背景：化學治療為癌症主要治療，面對化學治療引起的副作用使病人產生焦慮，音樂治療可降低病人焦慮，但音樂治療種類有所差異，目前國內尚無整合性之文獻評價其臨床實務成效。目的：以系統性文獻回顧方法探討音樂治療對於癌症病人接受化學治療期間焦慮之成效。方法：以系統性文獻回顧法，使用「音樂或音樂治療（music or music therapy）」、「癌症接受化學治療（chemotherapy cancer patients）」、「焦慮（anxiety）」及「常長照護（usual care）」等關鍵字搜尋2016年12月前，發表於Embase、MEDLINE及PubMed等資料庫，選取癌症化學治療期間病人使用音樂治療相關文獻符合篩選標準並排除重複文獻，共得五篇以音樂治療為介入措施於癌症化學治療期間病人之臨床實驗性研究（randomized clinical trial）進行分析與整理。結果：結果顯示五篇隨機試驗研究設計，共322位接受化學治療癌症病人。多採用使用耳機，低音調與慢節奏音樂，治療時間以每週2次，每次20分鐘，執行者以音樂治療師或受過訓練的護理人員為主。音樂治療能有效改善癌症病人接受化學治療期間焦慮。結論及臨床應用：癌症病人接受化學治療期間，由音樂治療師或受過訓練的護理人員，每週2次，每次20分鐘，使用耳機提供低音調與慢節奏音樂，能有效改善焦慮。本研究結果可提供臨床醫療照護人員照護參考。

關鍵字

癌症病人 ； 化學治療 ； 音樂治療 ； 焦慮 ； 系統性文獻回顧

並列摘要

Background: Chemotherapy is the major treatment. Side-effects of chemotherapy may induce anxiety. Music therapy can improve anxiety. In Taiwan, lack of systemic review to evaluate effects of music therapy on anxiety in cancer patients receiving chemotherapy. Purpose: This paper used a systematic review of the literature to evaluate the effects of music therapy on anxiety in cancer patients receiving chemotherapy. Methods: Systematic review was used. Searches were conducted in databases including Embase, Medline, and PubMed. Using the keywords: ＂music or music therapy＂, ＂chemotherapy cancer patients＂, ＂anxiety＂, and ＂usual care＂. The search focused on articles published before December 2016. Based on inclusion and exclusion criteria, 5 articles addressing relevant randomized controlled trials were extracted. Results: The review included five papers with 322 cancer patients receiving chemotherapy. Most of studies were used the bass-tone and slow-temple music with headset, the duration time of music therapy was 20 minutes for twice a week. Most of music therapy providers were registered music therapist or well-trained nurses. Music therapy can improve anxiety for cancer patients during chemotherapy. Conclusions/Implications for Practice: Cancer patients treated with chemotherapy received bass-tone and slow-temple music with headset lasting for 20 minutes for twice a week by music therapist or well-trained nurses can improve anxiety. The findings of this review can provide for clinical care references.

並列關鍵字

cancer patients ； chemotherapy ； music therapy ； anxiety ； systematic review

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