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音乐疗法对癌症治疗后幸存者主观感受和心率变异性的影响:一项初步研究。

Effects of music therapy on subjective sensations and heart rate variability in treated cancer survivors: a pilot study.

机构信息

Institute of Biomedical Engineering, National Yang-Ming University, Taipei, Taiwan.

出版信息

Complement Ther Med. 2010 Oct;18(5):224-6. doi: 10.1016/j.ctim.2010.08.003.

Abstract

OBJECTIVE

Data on the effects of music therapy on subjective sensations and the physiological parameters of heart rate variability (HRV) in treated cancer survivors are scarce. The aim of this study was to determine whether or not music therapy affects the sensations of fatigue, comfort, and relaxation in cancer survivors, and affects the activities of the sympathetic and parasympathetic nervous systems as indicated by HRV parameters.

METHODS

Twenty-three patients aged 30-67 years and with cancer that had been treated at least 6 months previously received music therapy for about 2h, which included singing, listening to music, learning the recorder, and performing music. Subjective sensations and electrocardiogram were recorded before and after the music therapy. The low-frequency and high-frequency components of HRV were assessed by the frequency analysis of sequential R wave to R wave intervals of electrocardiogram obtained from 5-min recordings. Subjective sensations were quantitatively assessed using a visual analog mood scale.

RESULTS

Two hours of music therapy significantly increased relaxation sensations and significantly decreased fatigue sensation in treated cancer survivors. Moreover, the HRV parameters showed that parasympathetic nervous system activity increased and sympathetic nervous system activity decreased.

CONCLUSION

This study provides preliminary evidence that music therapy may be clinically useful for promoting relaxation sensation and increasing parasympathetic nervous system activity in treated cancer survivors.

摘要

目的

关于音乐疗法对接受治疗的癌症幸存者的主观感觉和心率变异性(HRV)生理参数的影响的数据很少。本研究旨在确定音乐疗法是否会影响癌症幸存者的疲劳感、舒适度和放松感,并通过 HRV 参数来影响交感和副交感神经系统的活动。

方法

23 名年龄在 30-67 岁之间、接受过至少 6 个月治疗的癌症患者接受了大约 2 小时的音乐疗法,包括唱歌、听音乐、学习口琴和演奏音乐。在音乐疗法前后记录主观感觉和心电图。通过对心电图中连续 R 波到 R 波间隔的频率分析来评估 HRV 的低频和高频成分,该心电图记录来自 5 分钟的记录。使用视觉模拟情绪量表对主观感觉进行定量评估。

结果

2 小时的音乐疗法显著增加了接受治疗的癌症幸存者的放松感,显著降低了疲劳感。此外,HRV 参数显示副交感神经系统活动增加,交感神经系统活动减少。

结论

本研究初步证明音乐疗法可能对促进接受治疗的癌症幸存者的放松感和增加副交感神经系统活动具有临床意义。

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