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音乐疗法对青少年化疗预期症状的影响:一项混合方法研究。

Effect of Music Therapy on Chemotherapy Anticipatory Symptoms in Adolescents: A Mixed Methods Study.

机构信息

Department of Precision and Regenerative Medicine and Ionian Area (F.G.), University of Bari, Bari, Italy; Pediatric Hemathology-Oncology Unit (F.G., C.R., C.R., A.R., N.S.), University Hospital of Bari, Bari, Italy.

Pediatric Hemathology-Oncology Unit (F.G., C.R., C.R., A.R., N.S.), University Hospital of Bari, Bari, Italy.

出版信息

J Pain Symptom Manage. 2024 Jul;68(1):e62-e74. doi: 10.1016/j.jpainsymman.2024.04.019. Epub 2024 Apr 27.

DOI:10.1016/j.jpainsymman.2024.04.019
PMID:38679306
Abstract

INTRODUCTION

This study explores the feasibility and effects of music therapy on anticipatory nausea and vomiting, stress, pain and quality of life in adolescents undergoing chemotherapy.

METHODS

This is a single group, quasi-experimental study using pre/post-test design. Participants received four individual sessions of music therapy (MT), led by a certified music therapist. State-Trait-Anxiety Inventory Y-1, and a 0-4 Likert scale for pain, nausea and vomiting were recorded. Heart rate variability (LF/HF) was collected during sessions. PedsQL was collected before and at the end of the trial. Semi-structured interviews were conducted with participants.

RESULTS

A significant reduction in anxiety, nausea and vomiting, both pre-post single sessions and between different sessions, was observed. A significant increase in LF/HF and PedsQL scores was observed. Relevant themes also emerged from interviews.

CONCLUSION

Results support the feasibility of introducing music therapy with adolescents undergoing chemotherapy. Perceived stress and psychological/physical wellbeing were improved in participants.

摘要

简介

本研究探讨了音乐疗法对接受化疗的青少年预期性恶心和呕吐、压力、疼痛和生活质量的可行性和效果。

方法

这是一项采用前后测试设计的单组准实验研究。参与者接受了由认证音乐治疗师进行的四次个体音乐治疗(MT)。使用状态特质焦虑量表 Y-1 和 0-4 级李克特量表记录疼痛、恶心和呕吐。在治疗过程中收集心率变异性(LF/HF)。在试验前和结束时收集 PedsQL。对参与者进行了半结构化访谈。

结果

单次治疗前后和不同治疗期间均观察到焦虑、恶心和呕吐显著减少,LF/HF 和 PedsQL 评分显著增加。访谈中也出现了相关主题。

结论

研究结果支持向接受化疗的青少年引入音乐疗法的可行性。参与者的感知压力和心理/身体健康状况得到改善。

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