干预性研究验证在慢性肾脏病患者血液透析过程中播放经典现场音乐对其生活质量的影响。
Intervention study to verify the effect of live classic music during hemodialysis on the quality of life of patients with chronic kidney disease.
机构信息
Conservatorio Profesional de Música, Valencia, Spain; Universitat Politècnica de València, Valencia, Spain.
Servicio de Nefrología, Hospital de Manises, Manises, Valencia, Spain.
出版信息
Nefrologia (Engl Ed). 2022 Sep-Oct;42(5):559-567. doi: 10.1016/j.nefroe.2021.07.010. Epub 2023 Feb 2.
INTRODUCTION AND OBJECTIVE
Music has been closely linked to medicine since ancient times, and has brought numerous benefits to the health of patients. Patients with chronic kidney disease (CKD) undergoing hemodialysis (HD) generally have a health-related quality of life (HRQL) lower than the reference values of the general population. The objective of the present study is to verify if the intervention of classical music live and "in situ" during the treatment of HD has effects on the HRQoL of the patients.
MATERIALS AND METHODS
A prospective, group-randomized intervention study of 4 weeks' duration was carried out in patients with chronic kidney disease undergoing hemodialysis. Descriptive variables are included for data analysis: age, sex, months in treatment, Kt/V, hemoglobinand albumin. Result variable: HRQL, measured with the Kidney Diseasse health questionnaire Quality of life (KDQOL-SF) before and after the musical intervention.
RESULTS
Patients participated in 2 groups, the intervention group and the control group. The analysis of the results shows that the intervention group improved their quality of life compared to the initial measurement. The difference between the pre and post time of the intervention group with respect to the control group increased the mean score (pm) in all the scales significantly, except in the Work situation, Sexual function and Social support scales. The most important results were given on the Symptoms/problems scale with an increase of 15.78 (p < 0.001) pm; in scale Effects of kidney disease with an increase of 14.96 (p < 0.001) pm; in scale Burden of kidney disease with an increase of 16.36 (p < 0.001) pm; on the Dream scale with an increase of 14.78 (p < 0.001) pm; on the Vitality scale with an increase of 25.46 (p < 0.001) pm; on the Emotional well-being scale with an increase of 29.57 (p < 0.001) pm; on the Pain scale with an increase of 41.92 (p < 0.001) pm and on the General Health scale with an increase of 23.39 (p < 0.001) pm.
CONCLUSION
Intervention with live music and on-site while receiving hemodialysis treatment improves self-perceived HRQL in patients with chronic kidney disease.
简介与目的
自古以来，音乐就与医学密切相关，为患者的健康带来了诸多益处。接受血液透析（HD）治疗的慢性肾脏病（CKD）患者的健康相关生活质量（HRQL）通常低于一般人群的参考值。本研究的目的是验证在 HD 治疗过程中现场演奏古典音乐会否对患者的 HRQoL 产生影响。
材料与方法
对接受慢性肾脏病血液透析治疗的患者进行了为期 4 周的前瞻性、分组随机干预研究。纳入数据分析的描述性变量：年龄、性别、治疗月数、Kt/V、血红蛋白和白蛋白。结果变量：使用肾脏病生活质量问卷（KDQOL-SF）在音乐干预前后测量 HRQL。
结果
患者分为干预组和对照组两组。结果分析表明，与初始测量相比，干预组的生活质量得到了改善。与对照组相比，干预组的预-后时间差值在所有量表上均显著增加了平均得分（pm），除了工作状况、性功能和社会支持量表。最重要的结果是在症状/问题量表上增加了 15.78（p<0.001）pm；在肾脏疾病的影响量表上增加了 14.96（p<0.001）pm；在肾脏疾病负担量表上增加了 16.36（p<0.001）pm；在梦境量表上增加了 14.78（p<0.001）pm；在活力量表上增加了 25.46（p<0.001）pm；在情绪健康量表上增加了 29.57（p<0.001）pm；在疼痛量表上增加了 41.92（p<0.001）pm；在一般健康量表上增加了 23.39（p<0.001）pm。
结论
在接受血液透析治疗的同时进行现场音乐干预可改善慢性肾脏病患者的自我感知 HRQL。
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