Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Memorial Sloan Kettering Cancer Center, New York, New York, USA.
J Pain Symptom Manage. 2021 Jul;62(1):58-65. doi: 10.1016/j.jpainsymman.2020.11.014. Epub 2020 Nov 19.
Music therapy (MT) is a nonpharmacologic therapy where licensed therapists provide active (e.g., singing, playing songs) or passive (e.g., listening) music-based interventions. Both active and passive MT are effective techniques for treating cancer-related symptoms. However, the influence of active vs. passive MT techniques on patient-reported perceptions and experiences of care have yet to be explored.
To understand how active and passive MT is perceived and experienced by patients with cancer.
We conducted a retrospective analysis of semistructured interviews collected as part of a quality improvement study (n = 20) with patients in the inpatient setting who had received active or passive MT within the past 24 hours. Transcripts were analyzed using thematic content analysis.
Four themes emerged: 1) Different articulations of benefit for recipients of active vs. passive MT; 2) patient choice as a form of empowerment; 3) changed perception of hospital experience; and 4) differing recommendations for future MT. Recipients of active MT emphasized the session's interactive elements, finding the sessions stimulating by providing opportunities for joyous social interaction not centered on their diagnosis. Passive MT recipients focused on the calming therapeutic effect of the session, easing anxieties through focus and reflection on the music itself.
This analysis builds on current MT literature by providing insights specifically from oncology patients treated in the inpatient setting. Patients experience active and passive MT in different ways and perceived unique benefits for coping with cancer from each technique. Our findings can inform development of specific MT for symptom control in hospital settings.
音乐治疗（MT）是一种非药物治疗方法，经过许可的治疗师提供主动（例如，唱歌、演奏歌曲）或被动（例如，听音乐）的基于音乐的干预措施。主动和被动的 MT 都是治疗癌症相关症状的有效技术。然而，主动与被动 MT 技术对患者报告的护理感知和体验的影响尚未得到探索。
了解癌症患者对主动和被动 MT 的感知和体验。
我们对作为一项质量改进研究（n=20）的一部分收集的半结构化访谈进行了回顾性分析，这些患者在过去 24 小时内接受过主动或被动 MT。使用主题内容分析对转录本进行分析。
出现了四个主题：1）主动与被动 MT 的接受者对获益的不同表述；2）作为赋权形式的患者选择；3）对医院体验的感知变化；4）对未来 MT 的不同建议。主动 MT 的接受者强调了治疗的互动元素，发现这些治疗通过提供不围绕他们的诊断的欢乐社交互动机会，使他们感到兴奋和刺激。被动 MT 的接受者则关注治疗的镇静治疗效果，通过专注和对音乐本身的反思来缓解焦虑。
本分析通过为住院患者提供特定的见解，在当前的 MT 文献基础上进一步发展。患者以不同的方式体验主动和被动 MT，并从每种技术中获得独特的应对癌症的益处。我们的研究结果可以为开发特定的用于控制医院环境中症状的 MT 提供信息。
