Effects of Music Therapy Combined with Hospice Care on the Quality of Life and Negative Emotions of Elderly Patients with Advanced Breast Cancer.

IF 1.3 4区医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Noise & Health Pub Date : 2025-01-01 Epub Date: 2025-02-28 DOI:10.4103/nah.nah_124_24

Lihua Wu, Fen Zhou, Yuefang Cheng, Wenping Lv, Wenying Shi, Xia Xu

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引用次数: 0

Abstract

Objective: The study aims to explore the effects of music therapy combined with hospice care on the quality of life and negative emotions of elderly patients with advanced breast cancer.

Methods: A retrospective analysis was performed on 240 elderly patients with advanced breast cancer who were treated at Yancheng Third People's Hospital and Yancheng First People's Hospital from January 2020 to June 2024. The patients were classified into the hospice care group and the music therapy group, with 120 cases in each group. The hospice care group received only hospice care, while the music therapy group received music therapy combined with hospice care. Quality of life [Functional Assessment of Cancer Therapy-Breast (FACT-B)], pain level [visual analog scale (VAS)], cancer-related fatigue symptoms [Brief Fatigue Inventory (BFI)], negative emotions [Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD)], and medication compliance were compared between the two groups.

Results: After care, the FACT-B scores of the music therapy group were significantly higher than those of the hospice care group, whereas its VAS, BFI, HAMA, and HAMD scores were significantly lower in the music therapy group compared to the hospice care group (P < 0.05). The total compliance rate of the music therapy group was 96.67%, which was significantly higher than that of the hospice care group (80.00%, P < 0.05).

Conclusion: Music therapy combined with hospice care for elderly patients with breast cancer can effectively relieve their pain and cancer-related fatigue symptoms, reduce their negative emotions, and improve their therapy compliance and quality of life.

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音乐治疗结合临终关怀对老年晚期乳腺癌患者生活质量及负性情绪的影响。

研究目的方法：对2020年1月至2024年6月在盐城市第三人民医院和盐城市第一人民医院接受治疗的240例老年晚期乳腺癌患者进行回顾性分析：对2020年1月至2024年6月期间在盐城市第三人民医院和盐城市第一人民医院接受治疗的240例老年晚期乳腺癌患者进行回顾性分析。患者被分为临终关怀组和音乐治疗组，每组各120例。临终关怀组仅接受临终关怀，而音乐治疗组则在接受临终关怀的同时接受音乐治疗。比较两组患者的生活质量[癌症治疗功能评估-乳房（FACT-B）]、疼痛程度[视觉模拟量表（VAS）]、癌症相关疲劳症状[简易疲劳量表（BFI）]、负性情绪[汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HAMD）]以及用药依从性：护理后，音乐治疗组的 FACT-B 评分明显高于安宁疗护组，而音乐治疗组的 VAS、BFI、HAMA 和 HAMD 评分明显低于安宁疗护组（P < 0.05）。音乐治疗组的总依从率为96.67%，明显高于安宁疗护组（80.00%，P<0.05）：音乐疗法与临终关怀相结合可有效缓解老年乳腺癌患者的疼痛和癌症相关的疲劳症状，减轻其负面情绪，提高其治疗依从性和生活质量。

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来源期刊

Noise & Health AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

2.10

自引率

14.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Noise and Health is the only International Journal devoted to research on all aspects of noise and its effects on human health. An inter-disciplinary journal for all professions concerned with auditory and non-auditory effects of occupational, environmental, and leisure noise. It aims to provide a forum for presentation of novel research material on a broad range of topics associated with noise pollution, its control and its detrimental effects on hearing and health. It will cover issues from basic experimental science through clinical evaluation and management, technical aspects of noise reduction systems and solutions to environmental issues relating to social and public health policy.