Gallagher Lisa M, Lagman Ruth, Walsh Declan, Davis Mellar P, Legrand Susan B
The Harry R. Horvitz Center for Palliative Medicine (A World Health Organization Demonstration Project), Cleveland Clinic Taussig Cancer Center, Cleveland Clinic Foundation, 9500 Euclid Avenue, M76, Cleveland, OH 44195, USA.
Support Care Cancer. 2006 Aug;14(8):859-66. doi: 10.1007/s00520-005-0013-6. Epub 2006 Mar 15.
This study was to objectively assess the effect of music therapy on patients with advanced disease.
Two hundred patients with chronic and/or advanced illnesses were prospectively evaluated. The effects of music therapy on these patients are reported. Visual analog scales, the Happy/Sad Faces Assessment Tool, and a behavior scale recorded pre- and post-music therapy scores on standardized data collection forms. A computerized database was used to collect and analyze the data.
Utilizing the Wilcoxon signed rank test and a paired t test, music therapy improved anxiety, body movement, facial expression, mood, pain, shortness of breath, and verbalizations. Sessions with family members were also evaluated, and music therapy improved families' facial expressions, mood, and verbalizations. All improvements were statistically significant (P<0.001). Most patients and families had a positive subjective and objective response to music therapy. Objective data were obtained for a large number of patients with advanced disease.
This is a significant addition to the quantitative literature on music therapy in this unique patient population. Our results suggest that music therapy is invaluable in palliative medicine.
本研究旨在客观评估音乐疗法对晚期疾病患者的效果。
对200例慢性和/或晚期疾病患者进行前瞻性评估。报告了音乐疗法对这些患者的影响。使用视觉模拟量表、快乐/悲伤面部评估工具和行为量表，在标准化数据收集表上记录音乐疗法前后的评分。使用计算机化数据库收集和分析数据。
采用Wilcoxon符号秩检验和配对t检验，音乐疗法改善了焦虑、身体活动、面部表情、情绪、疼痛、呼吸急促和言语表达。还评估了与家庭成员一起进行的疗程，音乐疗法改善了家庭成员的面部表情、情绪和言语表达。所有改善均具有统计学意义（P<0.001）。大多数患者和家庭对音乐疗法有积极的主观和客观反应。获得了大量晚期疾病患者的客观数据。
这是关于这一独特患者群体音乐疗法定量文献的重要补充。我们的结果表明，音乐疗法在姑息医学中具有重要价值。
