Mandel Susan E, Hanser Suzanne B, Secic Michelle, Davis Beth A
Lake Hospital System, Inc., USA.
J Music Ther. 2007 Fall;44(3):176-97. doi: 10.1093/jmt/44.3.176.
This study tested effectiveness of music therapy in improving health-related outcomes of cardiac rehabilitation patients. Using a randomized, controlled trial with follow-up, the study was conducted in an outpatient cardiac rehabilitation program in Ohio. Sixty-eight of 103 recruited patients, 30 to 80 years of age, completed the protocol through posttreatment. Physiological and psychological outcomes were measured. Cardiac rehabilitation patients were randomly assigned to cardiac rehabilitation only or to music therapy plus cardiac rehabilitation. Music therapy included musical experiences, counseling, and Music-Assisted Relaxation and Imagery. The null hypothesis of no differences in health-related outcomes between cardiac rehabilitation patients who experienced cardiac rehabilitation with and without music therapy was rejected due to changes in systolic blood pressure pre to post-treatment. Interpretation of changes at 4 months posttreatment in anxiety, general health, and social functioning are limited, due to small sample sizes at follow-up. Pre to post-music therapy session improvements were also reported. Findings suggest that some health-related outcomes may be affected positively by participation in music therapy in addition to cardiac rehabilitation. Attrition contributed to limitations in statistical power.
本研究测试了音乐疗法在改善心脏康复患者健康相关结局方面的有效性。该研究采用随机对照试验并进行随访，在俄亥俄州的一个门诊心脏康复项目中开展。103名年龄在30至80岁之间的招募患者中，有68名完成了整个治疗方案直至治疗后阶段。对生理和心理结局进行了测量。心脏康复患者被随机分配至仅接受心脏康复治疗组或音乐疗法加心脏康复治疗组。音乐疗法包括音乐体验、咨询以及音乐辅助放松与想象。由于治疗前至治疗后收缩压的变化，关于接受和未接受音乐疗法的心脏康复患者在健康相关结局方面无差异的原假设被拒绝。由于随访时样本量较小，对治疗后4个月时焦虑、总体健康和社会功能变化的解读受到限制。音乐治疗疗程前后的改善情况也有报告。研究结果表明，除心脏康复外，参与音乐疗法可能会对一些健康相关结局产生积极影响。失访导致统计效能受限。
