Tan Mehtap, Karakaş Sibel Asi, Ekinci Mine, Ersöğütçü Filiz, Aksoy Asude
Atatürk University, Faculty of Nursing, Department of Internal Medicine Nursing - Erzurum, Turkey.
Atatürk University, Faculty of Nursing, Department of Psychiatric Nursing - Erzurum, Turkey.
Rev Assoc Med Bras (1992). 2025 May 2;71(3):e20241027. doi: 10.1590/1806-9282.20241027. eCollection 2025.
The aim of this study was to investigate the effect of music-supported acceptance and commitment therapy on perceived stress and pain levels in cancer patients.
A total of 79 cancer patients participated in this controlled, pre-test/post-test quasi-experimental study (experimental group: n=29; control group: n=50). The intervention group received eight sessions of acceptance and commitment therapy with music, while the control group received standard care. Data were collected using the Perceived Stress Scale and the West Haven-Yale Multidimensional Pain Inventory.
The post-test Perceived Stress Scale scores of the experimental group were statistically significantly lower compared to the control group (26.17±3.52 vs. 28.88±5.73, p<0.05), indicating a reduction in perceived stress. Additionally, there was a statistically significant difference in pain severity scores between the groups (9.62±2.33 in the experimental group vs. 8.06±3.14 in the control group, p<0.05). The effect size for stress reduction was moderate (Cohen's d=-0.54).
This study revealed that a music-supported acceptance and commitment therapy reduced perceived stress, pain severity, and pain interference in cancer patients. Nurses should actively involve non-pharmacological methods in pain and stress management planning in collaboration with patients and their families. They should create a therapeutic environment and take necessary measures to enable patients to benefit from non-pharmacological interventions.
本研究旨在探讨音乐辅助的接纳与承诺疗法对癌症患者感知压力和疼痛水平的影响。
共有79名癌症患者参与了这项对照、前后测的准实验研究（实验组：n = 29；对照组：n = 50）。干预组接受了八次音乐辅助的接纳与承诺疗法，而对照组接受标准护理。使用感知压力量表和韦斯特黑文-耶鲁多维疼痛量表收集数据。
实验组的后测感知压力量表得分与对照组相比在统计学上有显著降低（26.17±3.52对28.88±5.73，p<0.05），表明感知压力有所减轻。此外，两组之间的疼痛严重程度得分存在统计学上的显著差异（实验组为9.62±2.33，对照组为8.06±3.14，p<0.05）。压力减轻的效应量为中等（科恩d值=-0.54）。
本研究表明，音乐辅助的接纳与承诺疗法可降低癌症患者的感知压力、疼痛严重程度和疼痛干扰。护士应与患者及其家属合作，积极将非药物方法纳入疼痛和压力管理计划中。他们应营造治疗环境，并采取必要措施使患者从非药物干预中受益。
