Nainis Nancy, Paice Judith A, Ratner Julia, Wirth James H, Lai Jerry, Shott Susan
Northwestern Memorial Hospital, Chicago, Il 61611, USA.
J Pain Symptom Manage. 2006 Feb;31(2):162-9. doi: 10.1016/j.jpainsymman.2005.07.006.
Art therapy has been used in a variety of clinical settings and populations, although few studies have explored its use in cancer symptom control. The specific aim of this study was to determine the effect of a 1-hour art therapy session on pain and other symptoms common to adult cancer inpatients. A quasi-experimental design was used (n=50). The Edmonton Symptom Assessment Scale (ESAS) and the Spielberger State-Trait Anxiety Index (STAI-S) were used prior to and after the art therapy to quantify symptoms, while open-ended questions evaluated the subjects' perceptions of the experience. There were statistically significant reductions in eight of nine symptoms measured by the ESAS, including the global distress score, as well as significant differences in most of the domains measured by the STAI-S. Subjects overwhelmingly expressed comfort with the process and desire to continue with therapy. This study provides beginning evidence for the efficacy of art therapy in reducing a broad spectrum of symptoms in cancer inpatients.
艺术疗法已应用于各种临床环境和人群，不过很少有研究探讨其在控制癌症症状方面的应用。本研究的具体目的是确定为期1小时的艺术疗法疗程对成年癌症住院患者常见的疼痛及其他症状的影响。采用了准实验设计（n = 50）。在艺术疗法前后使用埃德蒙顿症状评估量表（ESAS）和斯皮尔伯格状态-特质焦虑量表（STAI-S）对症状进行量化，同时通过开放式问题评估受试者对该体验的看法。ESAS所测量的9种症状中有8种出现了具有统计学意义的减轻，包括总体痛苦评分，并且STAI-S所测量的大多数领域也存在显著差异。绝大多数受试者表示对该过程感到舒适，并希望继续接受治疗。本研究为艺术疗法在减轻癌症住院患者广泛症状方面的疗效提供了初步证据。
