Puerta Blanca Clinical Management Unit, Malaga-Guadalhorce Health District, 29004 Malaga, Spain.
ExPhy Research Group, Department of Physical Education, University of Cadiz, Puerto Real, 11519 Cadiz, Spain.
Int J Environ Res Public Health. 2023 Mar 6;20(5):4662. doi: 10.3390/ijerph20054662.
The experience of caregiver burden among family members of patients with advanced cancer is a common problem. The aim of this study was to determine whether the burden may be alleviated by means of a therapeutic approach based on self-chosen music. This randomised controlled trial (ClinicalTrials.gov, NCT04052074. Registered 9 August 2019) included 82 family caregivers of patients receiving home palliative care for advanced cancer. The intervention group ( = 41) listened to pre-recorded, self-chosen music for 30 min/day for seven consecutive days, while the control group ( = 41) listened to a recording of basic therapeutic education at the same frequency. The degree of burden was assessed by the Caregiver Strain Index (CSI), calculated before and after the seven-day intervention. According to this measure, caregiver burden fell significantly in the intervention group (CSI change: -0.56, SD 2.16) but increased in the control group (CSI change: +0.68, SD 1.47), with a significant group x moment interaction F(1, 80) = 9.30, = 0.003, η = 0.11. These results suggest that, in the short term at least, the use of therapy based on self-chosen music alleviates the burden on family caregivers of palliative cancer patients. Moreover, this therapy is easy to administer at home and does not present any problems in practice.
患者家属照顾晚期癌症患者的负担体验是一个常见的问题。本研究旨在确定基于患者自选音乐的治疗方法是否可以减轻这种负担。这是一项随机对照试验（ClinicalTrials.gov，NCT04052074. 2019 年 8 月 9 日注册），纳入了 82 名正在接受晚期癌症家庭姑息治疗的患者的家属照顾者。干预组（n = 41）每天听 30 分钟预先录制的自选音乐，连续 7 天，而对照组（n = 41）以相同的频率听基础治疗教育的录音。通过照顾者压力指数（CSI）评估负担程度，在干预前和干预后 7 天进行评估。根据这一指标，干预组的照顾者负担显著下降（CSI 变化：-0.56，SD 2.16），而对照组的负担则增加（CSI 变化：+0.68，SD 1.47），组间 x 时间交互作用 F(1, 80) = 9.30，p = 0.003，η² = 0.11。这些结果表明，至少在短期内，基于患者自选音乐的治疗可以减轻姑息治疗癌症患者家属的负担。此外，这种治疗易于在家中实施，在实践中没有任何问题。
