School of Nursing and Midwifery, Griffith University, 170 Kessels Road, Nathan, QLD, 4111, Australia.
Department of Nursing, College of Nursing, Taipei Medical University, No. 250, Wu-Hsing Street, Taipei, 110, Taiwan, Republic of China.
Support Care Cancer. 2018 Feb;26(2):461-469. doi: 10.1007/s00520-017-3850-1. Epub 2017 Aug 10.
The purpose of this study was to determine effects of group music intervention and self-directed music intervention on anxiety, depression, and cognitive appraisal among women with breast cancer.
A quasi-experimental design randomly assigned 60 women undergoing chemotherapy to 3 groups: group music intervention, self-directed music intervention, or a control group. The Hospital Anxiety and Depression Scale and the Mini-Mental Adjustment to Cancer Scale were administered before, after the 8-week interventions, and at 3-month follow-up.
Of the 52 women completing the study, results indicated that group music intervention had a significant (p < .01) immediate effect to decrease helplessness/hopelessness and anxious preoccupation and significant effects for reducing anxiety, depression, helplessness/hopelessness, and cognitive avoidance compared to the other two groups at 3-month follow-up.
Group music intervention can be considered an effective supportive care in alleviating the chemotherapy-related distress and enhancing cognition modification of women with breast cancer. Further research is needed to determine the role of cognitive appraisal in the illness trajectory.
本研究旨在确定团体音乐干预和自我指导音乐干预对乳腺癌女性焦虑、抑郁和认知评估的影响。
采用准实验设计，将 60 名接受化疗的女性随机分为 3 组：团体音乐干预组、自我指导音乐干预组和对照组。在干预前、8 周干预后和 3 个月随访时使用医院焦虑抑郁量表和癌症微型调整认知量表进行评估。
在完成研究的 52 名女性中，结果表明，团体音乐干预即刻显著（p<0.01）降低了无助/无望和焦虑关注，与其他两组相比，在 3 个月随访时显著降低了焦虑、抑郁、无助/无望和认知回避。
团体音乐干预可以被视为一种有效的支持性护理，可减轻乳腺癌女性化疗相关的痛苦，并增强认知改变。需要进一步研究认知评估在疾病进程中的作用。
