- 期刊
聆聽音樂對接受化學治療病人之焦慮成效探討
Effects of Music Therapy on Anxiety in Patients Receiving Chemotherapy
摘要
焦慮為癌症病人常見的心理壓力之一，接受化療更會加重病人焦慮，影響長遠。本研究旨在了解聆聽音樂治療對接受化學治療病人之焦慮成效。研究方法採前瞻性類實驗研究設計，以台灣南部某醫學中心接受化學藥物治療病人為收案對象，以方便取樣方式募集並隨機分派為實驗組30人、對照組28人。實驗組聆聽音樂30分鐘，對照組採常規照護，研究工具為情境焦慮量表、焦慮視覺類比量表及生理測量儀器，使用SPSS for window 22.0套裝軟體進行卡方檢定、獨立樣本t檢定、配對樣本t檢定及共變數分析。研究發現兩組在呼吸、心跳、血壓及血氧濃度無顯著差異（p>.05），但實驗組在情境焦慮量表（p<.001）及焦慮視覺類比量表後測呈顯著差異（p=.004），控制組則無明顯差異（p>.05）。研究結果顯示實驗組病人之焦慮主觀感受可明顯降低，顯示癌症病人在接受化學治療時，聆聽音樂能使病人明顯感受到焦慮減緩之效果。期望能透過本研究之發現，做為日後改善接受化學治療病人的焦慮問題及提升護理照顧品質之參考。
並列摘要
Anxiety is a common symptom of patients with cancer, and the effects of chemotherapy frequently exacerbate it. This study assessed the effects of music therapy on anxiety in patients undergoing chemotherapy. The study adopted a prospective experimental design and recruited patients receiving chemotherapy at a medical center in southern Taiwan. Random sampling was used to recruit 30 individuals for the experimental group and 28 for the control group. The experimental group received 30-minute music therapy sessions in addition to conventional care, whereas the control group received conventional care alone. Anxiety was assessed using the State-Trait Anxiety Inventory-State Anxiety, the Visual Analog Scale, and physiological measurements. SPSS for Windows 22.0 was used to calculate descriptive statistics, verify chi-square results, complete independent sample t tests and paired sample t tests, and conduct analysis of covariance. The results of analysis revealed that the experimental group significantly differed (p> .05) with respect to their scores on the Situational Anxiety Scale (p< .001) and the Visual Analog Scale (p= .004); however, no differences were observed in the control group (p> .05). In addition, no significant difference was observed between the two groups in terms of breathing, heartbeat, blood pressure, and blood oxygen concentration. Furthermore, the results revealed that the experimental group experienced a significant overall reduction in anxiety, indicating that when patients with cancer receive chemotherapy, music therapy effectively reduces anxiety. These findings can serve as a reference for improving anxiety in patients treated with chemotherapy and increasing the quality of nursing care.