音樂治療對改善癌症病患焦慮、憂鬱及睡眠品質 之成效

Effectsof Music Therapy on Anxiety, Depression and Sleep Quality of the Cancer Patients

洪慧容(Hung Hui Jung)

指導教授 ： 陳彰惠

高雄醫學大學/護理學院/護理學系研究所/碩士(2003年)

摘要

自民國71年來，台灣地區之惡性腫瘤一直位於十大死因的榜首，不管疾病本身或者治療的副作用，都使病患面臨許多身心上的痛苦。音樂治療極易為人類心理和生理接受而達治療功能，且不具有威脅性或副作用，正適合身心皆受困擾的癌症病患。因此本研究之目的即在探討音樂治療對改善癌症病患住院期間焦慮、憂鬱及睡眠品質之成效。本研究採實驗性研究法，於南部某醫學中心之內科病房以立意取樣方式選取住院的癌症病患，並隨機分派為實驗組及對照組，完成研究之有效樣本共34名，包括16名實驗組及18名對照組。實驗組除一般癌症照護外，並給予為期一週的音樂治療，而對照組僅接受一般癌症照護。主要研究工具包括醫院焦慮與憂鬱量表及匹茲堡睡眠指標。實驗組於音樂治療措施前及措施介入一週後各測量一次，對照組前後測時間以及測量指標與實驗組一致，實驗組個案並於後測同時填寫音樂治療評值表。以重複量數雙因子變異數分析，結果顯示接受音樂治療之實驗組較對照組能顯著改善癌症病患的焦慮及憂鬱，對改善其住院期間的睡眠品質則未達顯著。而在音樂治療的總評值，實驗組所有個案均表示對音樂治療的方法感到滿意。建議護理人員或醫療單位在面對癌症病患的焦慮與憂鬱之情緒困擾時，可主動提供或協助病患選擇適合且喜歡的音樂來聆聽，以協助病患放鬆心情，減輕焦慮和憂鬱情緒，提昇其住院期間的生活品質。

關鍵字

音樂治療 ； 癌症 ； 焦慮 ； 憂鬱 ； 睡眠品質

並列摘要

Since 1982，Malignant Neoplasm has been the first cause of deaths in Taiwan. Cancer patients always suffer from many physical and psychological problems that come from the disease itself or the side effects caused by treatment. As a non-threatening intervention without any side effect, music therapy is acceptable and easily applicable for those cancer patients with physical or psychological distress. The purpose of this study was to investigate the effects of music therapy on cancer patient's anxiety, depression, and sleep quality during their hospitalization. Pretest-Posttest control group design was used in this study. The participants were cancer patients who were randomly assigned to the experimental and the control group at a medical center in southern Taiwan. Thirty-four patients including sixteen experimental subjects and eighteen control subjects have completed the study. The experimental group had received the traditional routine care and music therapy for one week, while the control group had received only the traditional routine care. The instruments utilized in the study were the Hospital Anxiety and Depression Scale and the Pittsburgh Sleep Quality Index. The experimental group had filled the Evaluation Form of Music Therapy in the posttest period. The results indicated that the experimental group had significantly decreased on the anxiety and depression levels than the control group as evaluated at the end of one week session. No significant difference was found in sleep quality between two groups. All the patients in the experimental group were satisfied with the music therapy. We suggest the health professionals can utilize the music therapy to reduce cancer patients' anxiety and depression, and therefore to improve the quality of life during their hospitalization.

並列關鍵字

Music Terapy ； Cancer ； Anxiety ； Depression ； Sleep Quality

參考文獻

一、中文部份

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