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团体音乐疗法对肿瘤患者及其护理人员在化疗期间的焦虑、压力、幸福感水平以及化疗引起的副作用的影响:一项回顾性队列研究。

The impact of group music therapy on anxiety, stress, and wellbeing levels, and chemotherapy-induced side effects for oncology patients and their caregivers during chemotherapy: a retrospective cohort study.

作者信息

Salgado-Vasco Andrés, Torres-Morales Juliana, Durán-Rojas Clara Inés, Beltrán-Sánchez Lucy Yolima, Amarillo Moshé, Ettenberger Mark

机构信息

Music Therapy Service, Department of Social Management, University Hospital Fundación Santa Fe de Bogotá, Cra. 7 # 117-15, 110121, Bogotá, Colombia.

SONO - Centro de Musicoterapia, Bogotá, Colombia.

出版信息

BMC Complement Med Ther. 2025 Apr 2;25(1):124. doi: 10.1186/s12906-025-04837-7.

DOI:10.1186/s12906-025-04837-7
PMID:40176020
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11966791/
Abstract

INTRODUCTION

Cancer is currently the second most common cause of death worldwide and is often treated with chemotherapy. Music therapy is a widely used adjunct therapy offered in oncology settings to attenuate negative impacts of treatment on patient's physical and mental health; however, music therapy research during chemotherapy is relatively scarce. The aim of this study is to evaluate the impact of group music therapy sessions with patients and caregivers on their perceived anxiety, stress, and wellbeing levels and the perception of chemotherapy-induced side effects for patients.

MATERIALS AND METHODS

This is a retrospective cohort study following the STROBE guidelines. From April to October 2022, 41 group music therapy sessions including 141 patients and 51 caregivers were conducted. Participants filled out pre- and post-intervention Visual Analogue Scales (VAS) assessing their anxiety, stress, and wellbeing levels, and for patients the intensity of chemotherapy-induced side effects.

RESULTS

The results show a statistically significant decrease of anxiety and stress levels (p < .001), an increase in well-being of patients and caregivers (p < .001, p = .009), and a decrease in patients' perceived intensity of chemotherapy-induced side effects (p = .003). Calculated effect sizes were moderate for anxiety, stress, and well-being levels, and small for chemotherapy-induced side effects.

DISCUSSION

This is the first study regarding group music therapy sessions for cancer patients and their caregivers during chemotherapy in Colombia. Music therapy has been found to be a valuable strategy to reduce psychological distress in this population and to provide opportunities for fostering self-care and social interaction.

CONCLUSIONS

Music therapy should be considered as a valuable complementary therapy during chemotherapy. However, it is crucial to conduct prospective studies with parallel group designs to confirm these preliminary findings.

摘要

引言

癌症是目前全球第二大常见死因,通常采用化疗进行治疗。音乐疗法是肿瘤治疗环境中广泛使用的辅助疗法,用于减轻治疗对患者身心健康的负面影响;然而,化疗期间的音乐疗法研究相对较少。本研究的目的是评估患者和护理人员参加团体音乐治疗课程对他们感知到的焦虑、压力和幸福感水平以及患者对化疗引起的副作用的感知的影响。

材料与方法

这是一项遵循STROBE指南的回顾性队列研究。2022年4月至10月,共开展了41次团体音乐治疗课程,包括141名患者和51名护理人员。参与者在干预前后填写视觉模拟量表(VAS),评估他们的焦虑、压力和幸福感水平,患者还需评估化疗引起的副作用的强度。

结果

结果显示,焦虑和压力水平在统计学上显著降低(p < .001),患者和护理人员的幸福感增加(p < .001,p = .009),患者感知到的化疗引起的副作用强度降低(p = .003)。焦虑、压力和幸福感水平的计算效应量为中等,化疗引起的副作用的效应量为小。

讨论

这是哥伦比亚关于癌症患者及其护理人员在化疗期间参加团体音乐治疗课程的第一项研究。音乐疗法已被发现是减轻该人群心理困扰并提供促进自我护理和社交互动机会的宝贵策略。

结论

音乐疗法应被视为化疗期间有价值的辅助疗法。然而,进行平行组设计的前瞻性研究以证实这些初步发现至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/598b/11966791/dd8c4ced5aba/12906_2025_4837_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/598b/11966791/40599b466359/12906_2025_4837_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/598b/11966791/dd8c4ced5aba/12906_2025_4837_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/598b/11966791/40599b466359/12906_2025_4837_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/598b/11966791/dd8c4ced5aba/12906_2025_4837_Fig2_HTML.jpg

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本文引用的文献

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Efficacy and Impact of a Cleaning and Disinfection Protocol for Musical Instruments Used in Music Therapy Services in ICUs: A Prospective Cohort Study.重症监护病房音乐治疗服务中乐器清洁消毒方案的效果和影响:一项前瞻性队列研究。
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艺术与艺术治疗在医院关怀人性化中的交汇:来自哥伦比亚波哥大 Fundacion Santa Fe 大学医院音乐治疗服务的经验。
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