Department of Digestive, Wuwei City People's Hospital, Wuwei City, Gansu Province, China.
Department of Infections, Wuwei City People's Hospital, Wuwei City, Gansu Province, China.
Noise Health. 2024;26(121):120-127. doi: 10.4103/nah.nah_17_24. Epub 2024 Jun 21.
The effectiveness of family music therapy for patients with advanced palliative care hepatocellular carcinoma and their main caregivers was investigated.
The clinical data of liver cancer patients and their main caregivers admitted to Wuwei City People's Hospital from August 2022 to April 2023 were retrospectively analysed. Patients were divided into observation group A and control group A according to whether they received family music therapy, and caregivers were divided into control group B and observation group B. The general demographic data, self-rating depression scale (SDS), self-rating anxiety scale (SAS), cancer-related fatigue scale (CFS), Pittsburgh sleep quality index (PSQI), anticipatory grief scale (AGS), and caregiver burden inventory (CBI) scores of the patients and their primary caregivers were collected. Propensity score matching (PSM) was used to balance the baseline data of the two groups. Then, data were analysed using t-test and chi-squared (χ2) test.
After 1:1 PSM, 45 samples were included in each group. Before management, no significant differences in SDS, SAS, AGS, CFS, PSQI and CBI scores were found among the groups (P > 0.05). After management, the SDS, SAS and CFS scores of observation group A were lower than those of control group A (P < 0.05). The AGS, PSQI and CBI scores of observation group B were lower than those of control group B (P < 0.05).
The effect of family music supplement therapy is ideal, which can relieve the negative emotions of patients, reduce the degree of cancer-related fatigue, enhance the sleep quality of the main caregivers and reduce anticipatory grief and the burden of care.
探讨家庭音乐疗法对晚期肝癌姑息治疗患者及其主要照顾者的疗效。
回顾性分析 2022 年 8 月至 2023 年 4 月武威市人民医院收治的肝癌患者及其主要照顾者的临床资料。根据是否接受家庭音乐疗法,将患者分为观察组 A 和对照组 A,将照顾者分为对照组 B 和观察组 B。收集患者及其主要照顾者的一般人口学资料、自评抑郁量表(SDS)、自评焦虑量表(SAS)、癌症相关疲劳量表(CFS)、匹兹堡睡眠质量指数(PSQI)、预期悲伤量表(AGS)和照顾者负担量表(CBI)评分。采用倾向评分匹配(PSM)平衡两组的基线数据。然后,采用 t 检验和卡方检验(χ2)进行数据分析。
经过 1:1PSM 后,每组纳入 45 例样本。管理前,各组间 SDS、SAS、AGS、CFS、PSQI 和 CBI 评分无显著差异(P>0.05)。管理后,观察组 A 的 SDS、SAS 和 CFS 评分低于对照组 A(P<0.05)。观察组 B 的 AGS、PSQI 和 CBI 评分低于对照组 B(P<0.05)。
家庭音乐补充疗法效果理想,能缓解患者的负性情绪,降低癌症相关疲劳程度,提高主要照顾者的睡眠质量,减轻预期悲伤和照顾负担。