Wood Christina, Cutshall Susanne M, Wiste Rachel M, Gentes Rachel C, Rian Johanna S, Tipton Amie M, Ann-Marie Dose, Mahapatra Saswati, Carey Elise C, Strand Jacob J
1 Department of Nursing, Mayo Clinic, Rochester, MN, USA.
2 Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Am J Hosp Palliat Care. 2019 Jul;36(7):603-607. doi: 10.1177/1049909119834878. Epub 2019 Mar 7.
Recent evidence suggests that music therapy, a holistic method of care, potentially is beneficial for symptom management. This quality improvement project aimed to evaluate the effect of music therapy on symptom management and coping skills of patients receiving palliative care and to measure patient satisfaction with the therapy. A secondary aim was to evaluate staff perception of patient outcomes of music therapy services.
Palliative care clinicians attended a 30-minute education session on music therapy before the project was initiated. Study participants were patients and their families who were cared for by the inpatient palliative care consulting service at Mayo Clinic (Rochester, Minnesota) from June 1 through December 31, 2016. Patients were eligible if they required ongoing management of pain and anxiety or needed adaptive coping strategies. Patients and families were asked to complete a survey after each music therapy session. Staff were asked to complete a survey after completion of the project.
Music therapy was provided to 57 patients and 53 family members. Patient surveys indicated a decrease in anxiety and pain. All patients reported that music therapy facilitated stress relief, relaxation, pain relief, spiritual support, emotional support, and a general feeling of wellness. All participants recommended music therapy services for others. Palliative care clinicians reported that music therapy added value as a holistic service.
In this quality improvement project, music therapy positively affected multiple domains of well-being for patients receiving palliative care.
近期证据表明，音乐疗法作为一种整体护理方法，可能对症状管理有益。本质量改进项目旨在评估音乐疗法对接受姑息治疗患者的症状管理和应对技巧的影响，并衡量患者对该疗法的满意度。次要目的是评估工作人员对音乐疗法服务患者结果的看法。
在项目启动前，姑息治疗临床医生参加了一次为期30分钟的音乐疗法教育课程。研究参与者为2016年6月1日至12月31日在梅奥诊所（明尼苏达州罗切斯特）接受住院姑息治疗咨询服务的患者及其家属。如果患者需要持续管理疼痛和焦虑或需要适应性应对策略，则符合入选条件。患者及其家属在每次音乐治疗课程后被要求完成一项调查。工作人员在项目结束后被要求完成一项调查。
57名患者和53名家属接受了音乐疗法。患者调查显示焦虑和疼痛有所减轻。所有患者均报告音乐疗法有助于缓解压力、放松身心、减轻疼痛、提供精神支持、情感支持以及带来总体的健康感。所有参与者都向他人推荐了音乐疗法服务。姑息治疗临床医生报告称，音乐疗法作为一种整体服务增加了价值。
在本质量改进项目中，音乐疗法对接受姑息治疗的患者的多个幸福领域产生了积极影响。
