Izmir Kavram Vocational School, İzmir, Turkey.
Izmir Tınaztepe Unıversty, İzmir, Turkey.
Support Care Cancer. 2024 Sep 4;32(10):632. doi: 10.1007/s00520-024-08837-0.
Pain and anxiety levels in palliative care patients negatively impact their quality of life, highlighting the need for research on non-pharmacological methods. This study aimed to evaluate the effects of music and aromatherapy interventions on pain, anxiety, and stress levels in these patients.
The research was designed as a single-blind, four-group, randomized controlled trial. The sample consisted of 88 patients hospitalized in a palliative care center (receiving palliative care services with terminal or advanced diseases). Patients were randomly assigned to four groups (n = 22, music, aromatherapy, music and aromatherapy, and control group). Patients in the experimental groups received the intervention to which they were assigned for 20 min each day for three consecutive days: music, aromatherapy, or music accompanied by aromatherapy. No intervention was applied to the control group. The patients' levels of pain, anxiety, and stress were assessed before and after the intervention using the Visual Analog Scale (VAS), the Facial Anxiety Scale (FAS), and the Distress Thermometer.
No significant differences were found in the demographic characteristics of the groups (p > 0.05). The Wilcoxon Signed-Rank and Kruskal-Wallis tests indicated statistically significant differences in pre- and post-intervention scores for VAS, FAS, and Distress across all experimental groups on all follow-up days (p < 0.05).
Implementing music, aromatherapy, and their combination effectively reduced pain, anxiety, and stress levels in palliative care patients, suggesting these non-pharmacological interventions can improve their quality of life.
ClinicalTrails.gov (Registration number: NCT06024954) at 05-SEP-2024.
姑息治疗患者的疼痛和焦虑水平会对其生活质量产生负面影响，这凸显了研究非药物方法的必要性。本研究旨在评估音乐和芳香疗法干预对这些患者疼痛、焦虑和压力水平的影响。
该研究设计为单盲、四组、随机对照试验。样本由 88 名在姑息治疗中心住院的患者组成（接受终末期或晚期疾病的姑息治疗服务）。患者被随机分配到四个组（n = 22，音乐组、芳香疗法组、音乐和芳香疗法组、对照组）。实验组的患者每天接受 20 分钟的干预，持续三天：音乐、芳香疗法或音乐辅以芳香疗法。对照组不进行干预。使用视觉模拟量表（VAS）、面部焦虑量表（FAS）和痛苦温度计评估患者干预前后的疼痛、焦虑和压力水平。
组间的人口统计学特征无显著差异（p > 0.05）。Wilcoxon 符号秩和检验和 Kruskal-Wallis 检验表明，在所有实验组的所有随访日中，VAS、FAS 和 Distress 的干预前后评分均有统计学差异（p < 0.05）。
实施音乐、芳香疗法及其组合可有效降低姑息治疗患者的疼痛、焦虑和压力水平，提示这些非药物干预措施可提高其生活质量。
ClinicalTrials.gov（注册号：NCT06024954）于 2024 年 9 月 5 日注册。
