音乐治疗:一种无创的治疗方法,用于减轻结肠癌患者的焦虑和疼痛——系统性文献综述。
Music Therapy: A Noninvasive Treatment to Reduce Anxiety and Pain of Colorectal Cancer Patients-A Systemic Literature Review.
发表日期:2023 Mar 01
作者:
Evan Huang, Jeffrey Huang
来源:
PHYSICAL THERAPY & REHABILITATION JOURNAL
摘要:
背景和目的:音乐干预已被用于满足癌症患者的心理、身体、社交和精神需求。本综述评估了音乐治疗在成年结肠癌(CRC)患者中的功效。材料和方法:我们搜索了PubMed/MEDLINE、CINAHL和Cochrane图书馆数据库。只包括英语随机对照研究,涉及CRC患者。两名审核员独立提取了有关患者和干预措施的数据。主要结果包括疼痛、焦虑、生活质量、情绪、恶心、呕吐、生命体征。结果:共检索出147篇文章,其中10篇被纳入综述。十个研究中,有9个研究(90%)显示在结果变量上出现了统计和临床意义上的显着改善。只有一项研究(10%)发现音乐疗法对任何测量结果都没有正面显著影响。在七个测量疼痛作为结果的研究中,有四个研究(57%)表明,音乐疗法可以缓解疼痛。三个研究(75%)表明MT可以减轻焦虑。结论:这项系统综述表明,音乐疗法可能有助于减轻癌症患者(包括那些接受姑息治疗、住院治疗和门诊治疗的CRC患者)的疼痛和焦虑。
Background and Objectives: Music interventions have been used for patients with cancer to meet their psychological, physical, social, and spiritual needs. This review identified the efficacy of music therapy among adult patients with colorectal cancer (CRC). Materials and Methods: We searched the PubMed/MEDLINE, CINAHL, and Cochrane Library databases. Only randomized controlled studies reported in English of patients with CRC were included. Two reviewers independently extracted data on patients and intervention measurements. The main outcomes included pain, anxiety, quality of life, mood, nausea, vomiting, vital signs. Results: A total of 147 articles were identified from the search. A total of 10 studies were included in the review. Nine out of the ten studies (90%) showed statistically and clinically significant improvements across the outcome variables. Only one study (10%) found no significant positive effect from music therapy in any of the measured outcomes. Among the seven studies measuring pain as an outcome, four studies (57%) demonstrated that music therapy reduced pain. Three studies (75%) showed that MT reduced anxiety. Conclusions: This systemic review indicates that music therapy might help reduce pain and anxiety for cancer patients, including those with colorectal cancer, who are receiving treatment in palliative care, inpatient care and outpatient care settings.