Wu Lihua, Zhou Fen, Cheng Yuefang, Lv Wenping, Shi Wenying, Xu Xia
Nursing Department, Affiliated Hospital 6th of Nantong University, Jiangsu 224005, China.
Nursing Department, The Yancheng School of Clinical Medicine of Nanjing Medical University, Jiangsu 224005, China.
Noise Health. 2025;27(124):89-94. doi: 10.4103/nah.nah_124_24. Epub 2025 Feb 28.
The study aims to explore the effects of music therapy combined with hospice care on the quality of life and negative emotions of elderly patients with advanced breast cancer.
A retrospective analysis was performed on 240 elderly patients with advanced breast cancer who were treated at Yancheng Third People's Hospital and Yancheng First People's Hospital from January 2020 to June 2024. The patients were classified into the hospice care group and the music therapy group, with 120 cases in each group. The hospice care group received only hospice care, while the music therapy group received music therapy combined with hospice care. Quality of life [Functional Assessment of Cancer Therapy-Breast (FACT-B)], pain level [visual analog scale (VAS)], cancer-related fatigue symptoms [Brief Fatigue Inventory (BFI)], negative emotions [Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD)], and medication compliance were compared between the two groups.
After care, the FACT-B scores of the music therapy group were significantly higher than those of the hospice care group, whereas its VAS, BFI, HAMA, and HAMD scores were significantly lower in the music therapy group compared to the hospice care group (P < 0.05). The total compliance rate of the music therapy group was 96.67%, which was significantly higher than that of the hospice care group (80.00%, P < 0.05).
Music therapy combined with hospice care for elderly patients with breast cancer can effectively relieve their pain and cancer-related fatigue symptoms, reduce their negative emotions, and improve their therapy compliance and quality of life.
本研究旨在探讨音乐疗法联合临终关怀对老年晚期乳腺癌患者生活质量和负面情绪的影响。
对2020年1月至2024年6月在盐城市第三人民医院和盐城市第一人民医院接受治疗的240例老年晚期乳腺癌患者进行回顾性分析。将患者分为临终关怀组和音乐治疗组，每组120例。临终关怀组仅接受临终关怀，而音乐治疗组接受音乐疗法联合临终关怀。比较两组患者的生活质量[癌症治疗功能评估-乳腺癌（FACT-B）]、疼痛程度[视觉模拟量表（VAS）]、癌症相关疲劳症状[简明疲劳量表（BFI）]、负面情绪[汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HAMD）]以及用药依从性。
护理后，音乐治疗组的FACT-B评分显著高于临终关怀组，而音乐治疗组的VAS、BFI、HAMA和HAMD评分显著低于临终关怀组（P<0.05）。音乐治疗组的总依从率为96.67%，显著高于临终关怀组（80.00%，P<0.05）。
音乐疗法联合临终关怀用于老年乳腺癌患者，可有效缓解其疼痛和癌症相关疲劳症状，减轻负面情绪，提高治疗依从性和生活质量。
