Oncology Department of Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China,
Chin J Integr Med. 2013 Oct;19(10):736-40. doi: 10.1007/s11655-013-1593-5. Epub 2013 Oct 4.
To evaluate the effects of the Chinese medicine (CM) five-element music on quality of life for senior and non-senior advanced cancer patients.
With a randomized controlled trial, 170 advanced cancer patients were randomly assigned to three groups: the CM five-element music group (68 patients), the Western music therapy group (68 cases), and the no music therapy group (34 cases). All patients of 70 years old or older were considered seniors and the remaining patients younger than 70 years were considered nonseniors. Patients in the CM five-element music group listened to CM five-element music, the patients in the Western music group listened to Western music, and the patients in the no music group did not listen to music. A course of treatment was 3 weeks, with 30 min each day, 5 days a week. The Hospice Quality of Life Index-Revised (HQOLI-R) and Karnofsky performance score (KPS) were measured in the three groups before and after treatment. The symptom diary score was measured in the three groups every 3 days, 7 times in total.
CM five-element music group showed a significant difference of HQOLI-R, KPS and symptom diary score with other groups (all P<0.01). There were significant differences of HQOLI-R, symptom diary score, and KPS after treatment in CM five-element music group and other groups in the non-senior subgroup (P<0.05). Additionally, there were significant differences in HQOLI-R and KPS after treatment among the three groups in the senior subgroup (P<0.05).
CM five-element music therapy could improve the quality of life and KPS for senior and non senior advanced cancer patients, and it could improve subjective symptoms for non-senior advanced cancer patients.
评价中医五行音乐对老年及非老年晚期癌症患者生活质量的影响。
采用随机对照试验，将 170 例晚期癌症患者随机分为三组：中医五行音乐组（68 例）、西方音乐治疗组（68 例）和无音乐治疗组（34 例）。所有 70 岁及以上的患者均被视为老年人，其余 70 岁以下的患者被视为非老年人。中医五行音乐组患者听中医五行音乐，西方音乐组患者听西方音乐，无音乐组患者不听音乐。疗程为 3 周，每天 30 分钟，每周 5 天。治疗前后，三组患者均采用修订后的临终关怀生命质量指数（HQOLI-R）和卡氏行为状态评分（KPS）进行测量。三组患者每 3 天记录一次症状日记评分，共 7 次。
中医五行音乐组在 HQOLI-R、KPS 和症状日记评分方面与其他两组均有显著差异（均 P<0.01）。非老年亚组治疗后中医五行音乐组与其他两组在 HQOLI-R、症状日记评分和 KPS 方面均有显著差异（P<0.05）。此外，老年亚组治疗后三组在 HQOLI-R 和 KPS 方面均有显著差异（P<0.05）。
中医五行音乐疗法可提高老年及非老年晚期癌症患者的生活质量和 KPS，改善非老年晚期癌症患者的主观症状。
