声音的灌输：在灌输过程中个性化的接受性音乐干预

IF 3.5 2区医学 Q2 CLINICAL NEUROLOGY

Journal of pain and symptom management Pub Date : 2025-04-10 DOI:10.1016/j.jpainsymman.2025.02.072

Claire Lin BS, Diana Wang BA, Ishaani Khatri BS, Fred Schiffman MC MACP, Dana Guyer MD

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引用次数: 0

摘要

Outcomes1。参与者将能够分析个性化音乐对肿瘤患者身体症状（如疼痛、焦虑和恶心）和生命体征（心率和血压）的影响，并将这些见解应用于提高患者护理策略。参与者将能够评估音乐干预在情感和心理上的益处——比如增强恢复力、放松和精神安慰——并将这些干预措施整合到肿瘤环境中，以营造一个以治疗为中心的患者环境。我们评估了个性化接受性音乐干预（rMBIs）对接受各种适应症输液的患者的益处。我们的研究结果强调了个性化的rMBIs在控制症状负担和改善输液患者整体幸福感方面的功效。我们鼓励使用个性化的人民币作为一种非药物形式的缓解，因为它们有助于创造一个以治疗为中心的空间。【摘要】治疗癌症及其治疗相关症状的非药物方法，包括基于接受性音乐的干预（rMBIs），由于其有限的不良影响和有益影响而获得了广泛的关注(1)。rMBIs是表达情绪的一个出口，可以增加恢复力，通过治疗提高耐力(2)。尽管有这些好处，在输液环境中实施个性化的rMBIs仍然有限。目的：本研究为某学术社区医院的患者在输液过程中提供个性化的rMBI，并测量症状和生命体征的变化，以评估干预效果。方法：本研究是在同一机构接受输液治疗的患者的自我控制病例系列。人民币兑换需要听一个30分钟的个性化Spotify播放列表。结果包括mbi前后的生命体征和症状负担（用埃德蒙顿症状评估量表，ESAS测量）；用配对t检验分析变化。在人民币兑换后，收集患者的反馈并采用快速定性分析方法进行分析。结果共招募了50名参与者。输注指征中，实体恶性肿瘤占50%，血液恶性肿瘤占22%，细胞减少症占12%，自身免疫性疾病占8%，水合作用占8%。esa, rMBI导致疼痛显著减少(p = 0.006),疲劳(p = 2.576 e-06),嗜睡(p = 0.046),焦虑(p = 0.002),恶心(p = 0.006)、胃口差(p = 0.037),和呼吸短促(p = 0.0007),并显著增加幸福的感觉(p = 4.936 e-07)。心率（p = 2.158e-05）和收缩压（p = 0.01）也在rmbi后下降。汇编的病人叙述展示了灵性、舒适、放松和逃离音乐的共同主题。大多数患者表示希望在未来接受人民币。结论个体化静脉输液可有效控制输液患者的症状，提高患者的整体幸福感。这些结果支持将rmbi作为输液中心患者体验和护理标准的一部分，有助于为患者创造以治疗为中心的空间。(NCT06450626) .References1。李建军，李建军，李建军，李建军。使用音乐作为减少癌症化疗期间痛苦的工具。[j] .中国生物医学工程学报，2009;19(12):1133-1142。doi: 10.1200 / OP.22.00814 2。Mondanaro JF, Sara GA, Thachil R，等。临床音乐治疗对输液成人恢复力的影响：一项随机对照试验。疼痛与症状管理杂志，2011;61(6):1099-1108。doi: 10.1016 / j.jpainsymman.2020.10.032

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Infusion of Sound: Personalized Receptive Music-Based Interventions During Infusion Sessions

Outcomes

1. Participants will be able to analyze the impact of personalized music on managing physical symptoms (such as pain, anxiety, and nausea) and vital signs (heart rate and blood pressure) in oncology patients, and apply these insights to enhance patient care strategies.

2. Participants will be able to evaluate the emotional and psychological benefits of music interventions—such as increased resilience, relaxation, and spiritual comfort—and integrate these interventions into oncology settings to foster a healing-centered patient environment.

Key Message

We evaluated the benefits of personalized receptive music-based interventions (rMBIs) for patients receiving infusions for various indications. Our results highlight the efficacy of personalized rMBIs in managing symptom burden and improving overall well-being in patients receiving infusions. We encourage the utilization of personalized rMBIs as a non-pharmacological form of palliation, as they contribute to the creation of a healing-centered space.

Abstract

Non-pharmacological methods to manage symptoms associated with cancer and its treatments, including receptive music-based interventions (rMBIs), have gained traction due to their limited adverse effects and beneficial impact (1). rMBIs serve as an outlet to express emotions and lead to increased feelings of resilience, promoting endurance through treatment (2). Despite these benefits, implementation of personalized rMBIs in the infusion setting remains limited.

Objectives

This study provided patients at an academic community hospital with a personalized rMBI during their infusion session and measured changes in symptoms and vitals to assess intervention efficacy.

Methods

This is a self-controlled case series among patients receiving infusion therapy at a single institution. The rMBI involved listening to a 30-minute personalized Spotify playlist. Outcomes include vitals and symptom burden (measured with Edmonton Symptom Assessment Scale, ESAS) pre- and postrMBI; changes were analyzed with paired t-tests. Post-rMBI, patient reflections were collected and analyzed with a rapid qualitative analysis approach.

Results

50 participants were recruited. The indication for infusion was 50% for solid malignancy, 22% for hematologic malignancy, 12% for cytopenia, 8% for autoimmune conditions, and 8% for hydration. From the ESAS, rMBI led to significant decreases in pain (p = 0.006), tiredness (p = 2.576e-06), drowsiness (p = 0.046), anxiety (p = 0.002), nausea (p = 0.006), poor appetite (p = 0.037), and shortness of breath (p = 0.0007), and a significant increase in feelings of well-being (p = 4.936e-07). Heart rate (p = 2.158e-05) and systolic blood pressure (p = 0.01) also decreased post-rMBI. Compiled patient narratives demonstrated common themes of spirituality, comfort, relaxation, and escape with the music. Majority of patients reported wanting to receive rMBIs in the future.

Conclusion

Personalized rMBIs are effective in managing symptoms and enhancing overall well-being in patients receiving infusions. These results support incorporating rMBIs as part of the patient experience and standard of care at infusion centers, contributing to the creation of a healing-centered space for patients. (NCT06450626).

References

1. Harper FWK, Heath AS, Moore TF, Kim S, Heath EI. Using Music as a Tool for Distress Reduction During Cancer Chemotherapy Treatment. JCO Oncol Pract. 2023;19(12):1133-1142. doi:10.1200/OP.22.00814 2. Mondanaro JF, Sara GA, Thachil R, et al. The Effects of Clinical Music Therapy on Resiliency in Adults Undergoing Infusion: A Randomized, Controlled Trial. Journal of Pain and Symptom Management. 2021;61(6):1099-1108. doi:10.1016/j.jpainsymman.2020.10.032

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来源期刊

Journal of pain and symptom management 医学-临床神经学

CiteScore

8.90

自引率

6.40%

发文量

821

审稿时长

26 days

期刊介绍： The Journal of Pain and Symptom Management is an internationally respected, peer-reviewed journal and serves an interdisciplinary audience of professionals by providing a forum for the publication of the latest clinical research and best practices related to the relief of illness burden among patients afflicted with serious or life-threatening illness.