The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, NT, Hong Kong SAR, China.
Nam Dinh University of Nursing, Nam Dinh, Vietnam.
Sci Rep. 2023 Jan 11;13(1):542. doi: 10.1038/s41598-023-27654-9.
Breast and gynaecological cancer (BGC) patients receiving chemotherapy may experience high levels of stress during the COVID-19 pandemic. Music interventions may be effective in lowering their stress levels. This study explored stressors, coping strategies, and the feasibility of music interventions among BGC patients in Vietnam. An exploratory qualitative study with individual face-to-face semi-structured interviews was conducted. A convenience sample of BGC patients receiving chemotherapy was recruited from the oncology centre of a public hospital in Vietnam. Twenty patients were interviewed with open-ended questions developed based on the transactional model of stress and coping to explore stress-causing factors and coping strategies and based on guidelines for music therapy practice to explore their music preferences and perceptions. Field notes and interview transcripts were analysed following the qualitative content analysis approach. Two stressor themes were identified: undesirable experiences during treatment and patients' inability to fulfil their own roles and responsibilities. Our findings revealed a new coping strategy-self-realisation of responsibilities towards the family-that is not listed in the transactional model of stress and coping. Future psychological interventions for stress management among BGC patients should focus on raising the patients' awareness of their values and responsibilities towards their families. Three categories of preferred music genres for stress reduction were identified: religious, softly melodic, and revolutionary music. The patients were aware of the positive effects of music and had different musical preferences. This study also explored the acceptance of music interventions and facilitators and barriers to implementing them among BGC patients in Vietnam. The findings suggest that before implementing music interventions, the musical preferences, religions, and beliefs of each individual should be considered to achieve desirable results. Music interventions for BGC patients receiving chemotherapy in Vietnam are feasible. Further intervention studies are needed to evaluate their effectiveness.
在 COVID-19 大流行期间，接受化疗的乳腺癌和妇科癌症（BGC）患者可能会经历高水平的压力。音乐干预可能有助于降低他们的压力水平。本研究探讨了越南 BGC 患者的压力源、应对策略以及音乐干预的可行性。这是一项采用个体面对面半结构式访谈的探索性定性研究。采用便利抽样法，从越南一家公立医院的肿瘤中心招募正在接受化疗的 BGC 患者。采用基于压力与应对的交易模型的开放式问题对 20 名患者进行访谈，以探讨导致压力的因素和应对策略；并根据音乐治疗实践指南，探讨他们对音乐的偏好和看法。采用定性内容分析法对现场记录和访谈记录进行分析。确定了两个压力源主题：治疗过程中的不良体验和患者无法履行自己的角色和责任。研究结果揭示了一种新的应对策略——对家庭的责任感的自我实现，这在压力与应对的交易模型中没有列出。未来 BGC 患者的心理压力管理干预应重点提高患者对其家庭价值观和责任感的认识。确定了三类有助于减轻压力的音乐类型：宗教音乐、柔和旋律音乐和革命音乐。患者意识到音乐的积极影响，并且有不同的音乐偏好。本研究还探讨了越南 BGC 患者对音乐干预的接受程度以及实施音乐干预的促进因素和障碍。研究结果表明，在实施音乐干预之前，应考虑每个个体的音乐偏好、宗教信仰和信念，以达到理想的效果。音乐干预对接受化疗的越南 BGC 患者是可行的。需要进一步的干预研究来评估其效果。
