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一项简短的床边视觉艺术干预可减轻血液系统恶性肿瘤患者的焦虑情绪,改善其疼痛状况和情绪。

A brief bedside visual art intervention decreases anxiety and improves pain and mood in patients with haematologic malignancies.

作者信息

Saw J J, Curry E A, Ehlers S L, Scanlon P D, Bauer B A, Rian J, Larson D R, Wolanskyj A P

机构信息

Mayo Clinic School of Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA.

Dolores Jean Lavins Center for Humanities in Medicine, Mayo Clinic, Rochester, MN, USA.

出版信息

Eur J Cancer Care (Engl). 2018 Jul;27(4):e12852. doi: 10.1111/ecc.12852. Epub 2018 Apr 17.

Abstract

Treatment of cancer-related symptoms represents a major challenge for physicians. The purpose of this pilot study was to determine whether a brief bedside visual art intervention (BVAI) facilitated by art educators improves mood, reduces pain and anxiety in patients with haematological malignancies. Thirty-one patients (21 women and 10 men) were invited to participate in a BVAI where the goal of the session was to teach art technique for ~30 min. Primary outcome measures included the change in visual analog scale, the State-Trait Anxiety Inventory and the Positive and Negative Affect Schedule scale, from baseline prior to and immediately post-BVAI. Total of 21 patients (19 women and two men) participated. A significant improvement in positive mood and pain scores (p = .003 and p = .017 respectively) as well as a decrease in negative mood and anxiety (p = .016 and p = .001 respectively) was observed. Patients perceived BVAI as overall positive (95%) and wished to participate in future art-based interventions (85%). This accessible experience, provided by artists within the community, may be considered as an adjunct to conventional treatments in patients with cancer-related mood symptoms and pain, and future studies with balanced gender participation may support the generalisability of these findings.

摘要

癌症相关症状的治疗对医生来说是一项重大挑战。这项初步研究的目的是确定由艺术教育工作者协助进行的简短床边视觉艺术干预(BVAI)是否能改善血液系统恶性肿瘤患者的情绪、减轻疼痛和焦虑。31名患者(21名女性和10名男性)被邀请参加BVAI,该环节的目标是教授约30分钟的艺术技巧。主要结局指标包括视觉模拟量表、状态-特质焦虑量表以及正负性情绪量表从BVAI前的基线到BVAI后即刻的变化。共有21名患者(19名女性和2名男性)参与。观察到积极情绪和疼痛评分有显著改善(分别为p = 0.003和p = 0.017),以及消极情绪和焦虑有所降低(分别为p = 0.016和p = 0.001)。患者认为BVAI总体上是积极的(95%),并希望参与未来基于艺术的干预(85%)。这种由社区内艺术家提供的可及体验,可被视为对有癌症相关情绪症状和疼痛患者的传统治疗的一种辅助,未来性别参与均衡的研究可能会支持这些发现的普遍性。

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