Department of Palliative care, Hospices Civils de Lyon, Lyon, France.
Department of Palliative care, Hospices Civils de Lyon, Lyon, France
BMJ Support Palliat Care. 2022 May;12(e1):e75-e82. doi: 10.1136/bmjspcare-2019-001974. Epub 2020 Feb 5.
To evaluate the influence of art therapy in reducing palliative symptoms, on social availability and on perceptions of aesthetics in hospitalised palliative care patients. The secondary objective was to evaluate its influence on bereaved families.
A mixed-method quasi-experimental before and after study comprising a follow-up postal survey of bereaved families. All patients who were keen to have art therapy sessions were eligible. We used patient-reported outcome scales 5 min before and after the session. The Edmonton Symptom Assessment Scale has been used for pain, anxiety, well-being, fatigue and depression. Ten-point visual analogue scales were used for social availability, lack of desire and wishes, and perceptions of aesthetics based on the Beautiful-Well-Good model. A postal survey was sent to bereaved families. Correlations and data mining analyses were performed.
In all, 24 patients were recruited for a total of 53 art therapy sessions analysed. Seven families completed the survey. Art therapy significantly reduced the assessed symptoms and overall symptom distress by 54.4% (p <0.001, d = 1.08). It also decreased the feeling of social unavailability (-59%, d = 0.67) and the lack of desire and wishes (-60%, d=0.86). The analysis of the family questionnaires indicates the positive effects regarding support, artwork and feelings during illness and grief.
Our results suggest an overall improvement in the symptoms experienced and social functioning of palliative patients. Based on our findings, we propose a model for the potential mechanism of action of art therapy.
评估艺术治疗对减轻姑息治疗患者的症状、提高社会参与度和美感认知的影响。次要目标是评估其对丧亲家庭的影响。
采用准实验前后对照的混合方法，对丧亲家庭进行随访的邮寄调查。所有愿意接受艺术治疗的患者都有资格参加。我们在治疗前后 5 分钟使用患者报告的结果量表进行评估。使用埃德蒙顿症状评估量表（Edmonton Symptom Assessment Scale）评估疼痛、焦虑、幸福感、疲劳和抑郁。使用 10 分视觉模拟量表（10-point visual analogue scales）评估社会参与度、缺乏欲望和愿望以及基于美丽-良好-优秀（Beautiful-Well-Good）模型的美感认知。我们向丧亲家庭发送了一份邮寄调查。进行了相关性和数据挖掘分析。
共招募了 24 名患者，共进行了 53 次艺术治疗分析。有 7 个家庭完成了调查。艺术治疗显著降低了 54.4%（p<0.001，d=1.08）的评估症状和总体症状困扰。它还降低了社会参与度的丧失感（-59%，d=0.67）和缺乏欲望和愿望感（-60%，d=0.86）。家庭调查问卷的分析表明，艺术治疗在支持、艺术品和疾病及悲伤期间的感受方面具有积极的效果。
我们的研究结果表明姑息治疗患者的症状和社会功能总体上有所改善。基于我们的发现，我们提出了一个艺术治疗潜在作用机制的模型。
