Nursing Faculty, Universitas Riau, Pekanbaru, Riau, Indonesia; School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.
School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; Endoscopy Unit, Surgery Department, Kamuzu Central Hospital, Lilongwe, Malawi.
Semin Oncol Nurs. 2023 Dec;39(6):151481. doi: 10.1016/j.soncn.2023.151481. Epub 2023 Aug 2.
Patients with advanced cancer in palliative care often experience physical and psychological symptoms that negatively impact their quality of life (QoL) and spiritual well-being. Music therapy can be used for symptom management in these patients. However, the effectiveness is uncertain. To determine the effectiveness of music therapy on spiritual well-being, QoL, pain, and psychological distress using randomized controlled trials (RCTs).
A systematic search was conducted in EMBASE, PubMed, Cochrane Library, CINAHL, Web of Science, and the ClinicalTrial.gov registry up to September 2022.
The meta-analysis included seven RCTs with a total of 747 advanced cancer patients. Music therapy was found to significantly improve spiritual well-being with a mean difference of 0.43 (95% CI: 0.25 to 0.61, P < .001) in the intervention group compared to the control group. However, no significant group differences were found between the intervention and control groups for QoL (SMD: 0.53, 95% CI: -0.12 to 1.13, P = .11), pain (MD: -0.81, 95% CI: -2.06 to 0.44, P = .20), and psychological distress (SMD: -0.05, 95% CI: -0.41 to 0.32, P = .81). Music therapy can effectively improve the spiritual well-being of palliative care patients. However, its beneficial effects on QoL, pain, and psychological distress were minimal.
Music therapy interventions can be introduced to help patients deal with spiritual/existential needs. Future studies should identify optimal characteristics of music therapy interventions to aid in enhancing the quality of palliative care for patients with advanced cancer.
在姑息治疗中，晚期癌症患者常经历身体和心理症状，对其生活质量（QoL）和精神幸福感产生负面影响。音乐疗法可用于此类患者的症状管理。然而，其疗效尚不确定。本研究旨在通过随机对照试验（RCT），评估音乐疗法对精神幸福感、生活质量、疼痛和心理困扰的影响。
系统检索了 EMBASE、PubMed、Cochrane 图书馆、CINAHL、Web of Science 和 ClinicalTrials.gov 登记处截至 2022 年 9 月的数据。
本 meta 分析纳入了 7 项 RCT，共纳入 747 例晚期癌症患者。与对照组相比，音乐疗法组的精神幸福感显著改善，干预组的平均差值为 0.43（95%CI：0.25 至 0.61，P<.001）。然而，干预组与对照组在生活质量（SMD：0.53，95%CI：-0.12 至 1.13，P=.11）、疼痛（MD：-0.81，95%CI：-2.06 至 0.44，P=.20）和心理困扰（SMD：-0.05，95%CI：-0.41 至 0.32，P=.81）方面无显著差异。音乐疗法可有效改善姑息治疗患者的精神幸福感，但对生活质量、疼痛和心理困扰的有益作用较小。
音乐疗法干预可用于帮助患者应对精神/存在需求。未来的研究应确定音乐疗法干预的最佳特征，以提高晚期癌症患者的姑息治疗质量。
