CAJ | 학술논문

目的探讨晚期肿瘤患者化疗期间实施音乐疗法干预,对减轻化疗毒副作用,提高患者生活质量的效果.方法根据患者一天的心理规律特点,设计一套系统音乐,包括:晨间护理"A"曲,镇痛"B",进餐"C"曲,入睡"D"曲.将符合条件的患者100例随机分为音乐组(50例)和对照组(50例),音乐组患者每次化疗过程或间歇期予音乐治疗干预,对照组不实施音乐治疗干预.用症状评定量表(SANS)评定干预前后两组患者症状评分,并观察比较两组患者每次化疗过程副作用及化疗后血象的变化.结果音乐组患者音乐治疗干预后,心情愉快,镇静安宁,每次化疗后毒副反应程度轻,对照组患者副作用明显,两组患者化疗后副作用及化疗后血象变化比较差异有统计学意义(P<0.05);音乐组治疗前后SANS评分比较差异有统计学意义(P<0.05),对照组治疗前后SANS评分比较差异无统计学意义(P>.05);治疗后两组SANS评分比较差异有统计学意义(P<0.05).结论在患者化疗期间实施音乐干预可减轻化疗副作用,稳定患者血象,减轻患者心理恐惧,直接提高患者生存质量.
목적 탐토만기종류환자화료기간실시음악요법간예,대감경화료독부작용,제고환자생활질량적효과.방법 근거환자일천적심리규률특점,설계일투계통음악,포괄:신간호리"A"곡,진통"B",진찬"C"곡,입수"D"곡.장부합조건적환자100례수궤분위음악조(50례)화대조조(50례),음악조환자매차화료과정혹간헐기여음악치료간예,대조조불실시음악치료간예.용증상평정량표(SANS)평정간예전후량조환자증상평분,병관찰비교량조환자매차화료과정부작용급화료후혈상적변화.결과 음악조환자음악치료간예후,심정유쾌,진정안저,매차화료후독부반응정도경,대조조환자부작용명현,량조환자화료후부작용급화료후혈상변화비교차이유통계학의의(P<0.05);음악조치료전후SANS평분비교차이유통계학의의(P<0.05),대조조치료전후SANS평분비교차이무통계학의의(P>.05);치료후량조SANS평분비교차이유통계학의의(P<0.05).결론 재환자화료기간실시음악간예가감경화료부작용,은정환자혈상,감경환자심리공구,직접제고환자생존질량.
Objective To explore the effect of music therapy on reducing chemotherapy toxicity, improving the quality of life of the patients with advanced cancer patients during chemotherapy.Methods According to psychological law characteristics of patients, we design a music system, including: morning nursing "A" song, analgesia "B", dine "C" song, sleep "D" song. 100 advanced cancer patients from the affiliated hospital of guangdong medical college, between June 2009 and June 2010, were enrolled in this study. They were randomly divided into two groups according to numerical table. The control group (50 patients) received routine nursing, while the experimental group (50 patients) received music therapy intervention during each chemotherapy process or break. The effects were evaluated from two aspects: the side effects of chemotherapy and the changes of blood-routine after chemotherapy.Results The experimental group feel cheerfulness, tranquil at every time after chemotherapy and the degree of adverse reaction is light, than the control group, and there were significant differences between them (P<0.05). The SANS scores in experimental group were different before and after intervention(P<0.05), while the SANS scores in control group did not reach statistical difference (P>.05), and the SANS scores were significantly different between the two groups(P<0.05).Conclusions Music intervention during each chemotherapy process can reduce side effects of chemotherapy, balance patients' blood-route, ease patients' psychological fear, and directly improve survival quality.