University of Minnesota, USA.
J Music Ther. 2010 Fall;47(3):220-32. doi: 10.1093/jmt/47.3.220.
Organ transplant recipients characteristically experience low levels of relaxation and high levels of anxiety, pain, and nausea. Although music therapy has demonstrated effectiveness in ameliorating these types of conditions with patients in other areas of medical hospitals, no studies have evaluated the effects of music therapy on solid organ transplant patients. The purpose of this study was to assess the impact of music therapy on anxiety, relaxation, pain, and nausea levels in recovering patients on the adult transplant unit of the hospital utilizing a pre-posttest design. Participants (N = 58) received an individual 15-35 minute music therapy session consisting of live patient-preferred music and therapeutic social interaction. To remain consistent with the hospital's evaluative instruments during this pilot study, participants' self-reported levels of anxiety, relaxation, pain, and nausea, were based on separate 10-point Likert-type scales. The principal investigator observed affect and verbalizations at pre and posttest. Results indicated there were significant improvements in self-reported levels of relaxation, anxiety (both p < .001), pain (p < .01), and nausea (p < .05). Although there was no reliability measure, there were significant increases in positive verbalizations and positive affect (p < .001). All participants reported that they would desire music therapy again during a future long-term hospital stay. From the results of this exploratory study, it seems that music therapy can be a viable psychosocial intervention for hospitalized postoperative solid transplant patients. Implications for clinical practice and suggestions for future research are provided.
器官移植受者通常表现出低水平的放松和高水平的焦虑、疼痛和恶心。尽管音乐疗法已经证明在改善其他医学领域患者的这些状况方面是有效的,但没有研究评估过音乐疗法对实体器官移植患者的影响。本研究的目的是评估音乐疗法对医院成人移植病房康复患者的焦虑、放松、疼痛和恶心水平的影响,采用前后测试设计。参与者(N=58)接受了 15-35 分钟的个体音乐治疗,包括现场患者喜欢的音乐和治疗性社会互动。为了在这项试点研究中与医院的评估工具保持一致,参与者自我报告的焦虑、放松、疼痛和恶心水平基于单独的 10 分李克特量表。主要研究者在前后测试中观察了情绪和言语表达。结果表明,自我报告的放松水平、焦虑(均 p<0.001)、疼痛(p<0.01)和恶心(p<0.05)均有显著改善。尽管没有可靠性测量,但积极的言语表达和积极的情绪都有显著增加(p<0.001)。所有参与者均表示,在未来的长期住院期间,他们希望再次接受音乐疗法。从这项探索性研究的结果来看,音乐疗法似乎可以成为住院后实体器官移植患者的一种可行的心理社会干预措施。为临床实践提供了启示,并为未来的研究提出了建议。