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音乐聆听用于疼痛管理的认知:一项多方法研究。

Perceptions of music listening for pain management: a multi-method study.

作者信息

van der Valk Bouman Emy S, Becker Antonia S, Schaap Julian, Cats Roos, Berghman Michaël, Klimek M

机构信息

Department of Neuroscience, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.

Department of Neuroscience, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands

出版信息

BMJ Open. 2025 Mar 21;15(3):e097233. doi: 10.1136/bmjopen-2024-097233.

DOI:10.1136/bmjopen-2024-097233
PMID:40118490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11931901/
Abstract

OBJECTIVES

Music listening for pain relief is well studied in diverse healthcare settings, but its implementation remains challenging. While healthcare providers generally have a positive attitude, there is a lack of knowledge about healthcare recipients' perceptions and attitudes. Therefore, the aim of this study is to explore healthcare recipients' perceptions of listening to music for pain management, focusing on their general attitudes, implementation strategies and subjective experiences of how music helps (or does not help).

DESIGN

A multi-method study comprising a quantitative survey and qualitative interviews. It is a follow-up conducted 6 months after a randomised experimental study, which assessed the influence of different music genres on pain tolerance. At the end of the original experiment, participants received advice on listening to music in painful situations.

SETTING

Rotterdam, The Netherlands.

PARTICIPANTS

The survey involved 169 participants (age mean 30.6, SD 9.8; 61.9% female) who participated in the initial trial. Following this, 20 in-depth interviews were conducted.

OUTCOME MEASURES

Perceptions of music for pain management were investigated, revealing general trends in the quantitative survey data. Data-led thematic analysis of the qualitative interviews focused on individual perceptions.

RESULTS

Participants showed a high willingness to use music for pain relief, particularly for so-called emotional pain (eg, anxiety, stress and heartbreak). Individual attitudes varied regarding different situations, types of music and types of pain. Barriers such as not considering the option and social sensitivity within healthcare contexts were discussed. A proactive approach by healthcare professionals and autonomy of healthcare recipients were suggested to overcome these barriers. Interestingly, the 'wrong' type of music or the 'wrong' situation were mentioned as non-beneficial or even harmful.

CONCLUSIONS

Awareness of individual needs and potential negative effects is crucial for the use of music for pain relief. A proactive and personalised approach is needed to effectively implement music in healthcare.

摘要

目的

在不同的医疗环境中,聆听音乐缓解疼痛已得到充分研究,但其实施仍具有挑战性。虽然医疗服务提供者总体上持积极态度,但他们对医疗服务接受者的认知和态度缺乏了解。因此,本研究的目的是探讨医疗服务接受者对聆听音乐进行疼痛管理的认知,重点关注他们的总体态度、实施策略以及音乐如何起到(或未起到)帮助作用的主观体验。

设计

一项多方法研究,包括定量调查和定性访谈。这是在一项随机实验研究6个月后进行的随访,该实验研究评估了不同音乐类型对疼痛耐受性的影响。在原实验结束时,参与者收到了在疼痛情况下聆听音乐的建议。

地点

荷兰鹿特丹

参与者

调查涉及169名参与初始试验的参与者(平均年龄30.6岁,标准差9.8;61.9%为女性)。在此之后,进行了20次深入访谈。

结局指标

调查了对音乐用于疼痛管理的认知,揭示了定量调查数据中的总体趋势。定性访谈的数据主导主题分析聚焦于个体认知。

结果

参与者对使用音乐缓解疼痛表现出很高的意愿,尤其是对于所谓的情感疼痛(如焦虑、压力和心碎)。对于不同的情况、音乐类型和疼痛类型,个体态度各不相同。讨论了诸如未考虑该选项以及医疗环境中的社会敏感性等障碍。建议医疗专业人员采取积极主动的方法以及给予医疗服务接受者自主权以克服这些障碍。有趣的是,提到“错误”类型的音乐或“错误”的情况是无益的甚至是有害的。

结论

了解个体需求和潜在负面影响对于使用音乐缓解疼痛至关重要。需要采取积极主动且个性化的方法,以便在医疗保健中有效实施音乐疗法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c66a/11931901/acacebff1b24/bmjopen-15-3-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c66a/11931901/8eb90a512b9e/bmjopen-15-3-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c66a/11931901/6413a1c50408/bmjopen-15-3-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c66a/11931901/acacebff1b24/bmjopen-15-3-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c66a/11931901/8eb90a512b9e/bmjopen-15-3-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c66a/11931901/6413a1c50408/bmjopen-15-3-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c66a/11931901/acacebff1b24/bmjopen-15-3-g003.jpg

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Sci Rep. 2024 Sep 18;14(1):21798. doi: 10.1038/s41598-024-72882-2.
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Five-week music therapy improves overall symptoms in schizophrenia by modulating theta and gamma oscillations.为期五周的音乐疗法通过调节θ波和γ波振荡改善精神分裂症的整体症状。
Front Psychiatry. 2024 Mar 5;15:1358726. doi: 10.3389/fpsyt.2024.1358726. eCollection 2024.
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The perception of healthcare professionals, through their own personal experiences, of the use of music therapy in hospitalised children and adolescents.医护专业人员对音乐治疗在住院儿童和青少年中的应用的看法,是通过他们自己的个人经验得出的。
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