Nakaya Nanami, Yamasato Ami, Kondo Mayu, Okino Shigeki, Kitano Atsuko, Tsuda Banri, Tokuhara Makoto, Yamamoto Kenji
Graduate School of Medicine, Tokai University, Isehara City, Kanagawa, Japan.
Department of Psychiatry, Tokai University School of Medicine, Isehara City, Kanagawa, Japan.
Int J Clin Oncol. 2025 Sep 3. doi: 10.1007/s10147-025-02872-5.
Patients with breast cancer (PWBC) have a high risk of developing psychological disorders, and interventions should be implemented with care. For music therapy (MT) interventions to be more effective among these patients, providing therapeutic programs tailored to their preferences is desirable. Given the limited research on the preferences for MT of PWBC undergoing chemotherapy, we had previously conducted a qualitative study to clarify their preferences, yielding the formation of related hypotheses. Building upon these hypotheses, the current quantitative study aimed to clarify the specific preferences regarding MT of PWBC, who are undergoing chemotherapy, in Japan.
This quantitative study's questionnaire was created based on the results of our prior qualitative study and completed by 300 PWBC undergoing perioperative chemotherapy.
(a) Of all participants, 80.9% wanted MT, and there was a relationship between preferred activity type and participants' sociodemographic and clinical characteristics; (b) the expectations of participants regarding MT differed by preferred activity type; and (c) the participants' preferences regarding the frequency, timing, duration, and cost of the MT intervention were constant regardless of the preferred activity type.
As patients' specific preferences have been clarified, we conclude that professionals may be more well-positioned and informed to devise more appropriate and effective MT programs to be incorporated into the treatment schedules of PWBC who are undergoing chemotherapy, with vital quality-of-life implications resulting.
乳腺癌患者(PWBC)发生心理障碍的风险较高,干预措施应谨慎实施。为使音乐疗法(MT)干预在这些患者中更有效,提供符合其偏好的治疗方案是可取的。鉴于对接受化疗的PWBC对MT偏好的研究有限,我们之前进行了一项定性研究以阐明他们的偏好,从而形成了相关假设。基于这些假设,当前的定量研究旨在阐明日本接受化疗的PWBC对MT的具体偏好。
本定量研究的问卷基于我们之前定性研究的结果编制,由300名接受围手术期化疗的PWBC完成。
(a)在所有参与者中,80.9%希望接受MT,且偏好的活动类型与参与者的社会人口统计学和临床特征之间存在关联;(b)参与者对MT的期望因偏好的活动类型而异;(c)无论偏好的活动类型如何,参与者对MT干预的频率、时间、持续时间和成本的偏好是一致的。
由于已阐明患者的具体偏好,我们得出结论,专业人员可能更有能力且信息更充分地设计出更合适、有效的MT方案,以纳入正在接受化疗的PWBC的治疗计划中,这对生活质量具有重要意义。