Kim Kyung Soo, Loring Sarah, Kwekkeboom Kristine
University of Wisconsin-Madison.
J Holist Nurs. 2018 Dec;36(4):341-353. doi: 10.1177/0898010117726633. Epub 2017 Aug 24.
Although pain is one of the most prevalent symptoms among cancer patients, medications do not always result in sufficient pain relief. Furthermore, these medications only address the physical component of pain. Art making, a holistic approach, may distract the user's attention from pain and allow expression of the nonphysical (e.g., psychological, spiritual) components of pain. The purpose of this systematic review was to evaluate evidence for the efficacy of art-making interventions in reducing pain and improving health-related quality of life (QoL) among cancer patients.
PubMed, Academic Search Premier, ProQuest, and CINAHL were searched from database inception to September 2016 using the following search terms: neoplasm, cancer, tumor, pain, pain management, quality of life (QoL), well-being, art therapy, painting, and drawing.
Fourteen articles reporting 13 studies were reviewed. Some studies reported beneficial effects of art making on pain and QoL, but the evidence was weakened by poor study quality ratings, heterogeneity in art-making interventions and outcome measures, interventions including non-art-making components, and few randomized controlled studies.
More rigorous research is needed to demonstrate the efficacy of art making in relieving cancer-related pain and improving QoL.
尽管疼痛是癌症患者中最常见的症状之一，但药物治疗并不总能充分缓解疼痛。此外，这些药物仅解决了疼痛的生理成分。艺术创作作为一种整体方法，可能会分散使用者对疼痛的注意力，并允许表达疼痛的非生理（如心理、精神）成分。本系统评价的目的是评估艺术创作干预在减轻癌症患者疼痛和改善健康相关生活质量（QoL）方面疗效的证据。
从数据库建立到2016年9月，使用以下检索词在PubMed、Academic Search Premier、ProQuest和CINAHL中进行检索：肿瘤、癌症、肿瘤、疼痛、疼痛管理、生活质量（QoL）、幸福感、艺术疗法、绘画。
对报道13项研究的14篇文章进行了综述。一些研究报告了艺术创作对疼痛和QoL的有益影响，但由于研究质量评分低、艺术创作干预和结局测量的异质性、包括非艺术创作成分的干预以及很少有随机对照研究，证据受到削弱。
需要更严格的研究来证明艺术创作在缓解癌症相关疼痛和改善QoL方面的疗效。
