Department of Physiotherapy, School of Primary and Allied Health Care, Monash University, 47-49 Moorooduc Hwy, Frankston, VIC, 3199, Australia.
Department of Integrated Community Health Services, Western Health, 29 - 35 Grant Street, Bacchus Marsh, VIC, 3340, Australia.
Support Care Cancer. 2024 Mar 23;32(4):246. doi: 10.1007/s00520-024-08449-8.
This systematic review aimed to assess the impact of group singing on physical function, cancer-related symptoms, well-being (emotional, physical, social, spiritual), and health-related quality of life in individuals with cancer and their caregivers.
A search was performed using Ovid MEDLINE, Embase, Scopus and Web of Science from inception to April 2023; key words included cancer, choir, and group singing. Observational cohort, prospective or retrospective studies, randomized controlled studies, and crossover studies were included. Two teams of independent reviewers extracted data and assessed the risk of bias using the Downs and Black Tool.
A total of 6 studies (6 reports) met the inclusion criteria for this review, with a mix of study designs. The overall quality of the studies was poor. Group singing significantly reduced anxiety levels in those with cancer and their caregivers, while the effects on depression were variable and there was no impact on fatigue. Caregivers reported improved well-being, self-efficacy and self-esteem. Both those with cancer and their caregivers had reductions in fear, anger, confusion; and reported improvement in energy, relaxation and connectedness at longer term follow-up compared to no treatment. Those with cancer reported improvements in health-related quality of life domains of bodily pain, vitality and mental health with group singing, though the effects on caregivers were mixed.
Group singing may have favourable effects on selected symptoms, aspects of well-being, and domains of health-related quality of life specific to vitality, bodily pain, and mental health in individuals with cancer and their caregivers.
本系统评价旨在评估群体歌唱对癌症患者及其照护者的身体功能、癌症相关症状、幸福感（情感、身体、社会、精神）和健康相关生活质量的影响。
从 Ovid MEDLINE、Embase、Scopus 和 Web of Science 数据库中检索从建库到 2023 年 4 月的相关文献，关键词包括癌症、合唱团和群体歌唱。纳入观察性队列研究、前瞻性或回顾性研究、随机对照研究和交叉研究。两组独立的评审员使用 Downs 和 Black 工具提取数据并评估偏倚风险。
共有 6 项研究（6 份报告）符合本综述的纳入标准，研究设计多样。研究的整体质量较差。群体歌唱可显著降低癌症患者及其照护者的焦虑水平，而对抑郁的影响则各不相同，对疲劳没有影响。照护者报告幸福感、自我效能感和自尊心提高。与未治疗相比，癌症患者及其照护者在随访时间较长时，恐惧、愤怒、困惑减少，报告能量、放松和联系感增强。与群体歌唱相比，癌症患者报告身体疼痛、活力和心理健康等健康相关生活质量领域的改善，而对照护者的影响则各不相同。
群体歌唱可能对癌症患者及其照护者的某些症状、幸福感方面以及活力、身体疼痛和心理健康等特定健康相关生活质量领域产生有利影响。
