通过音乐疗法降低成年癌症患者的疼痛强度:一种补充的非药物方法。

Leighann B Montoya, Dorothie Durosier Mertilus
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引用次数: 0

摘要

背景:充分的疼痛管理仍然是癌症患者未满足的需求。众所周知,疼痛会影响生活质量。建议治疗方案包括药理学和辅助的非药理学方法来管理疼痛。音乐聆听疗法是一种基于证据的干预,用于管理成年癌症患者的急性和慢性疼痛。方法:这个基于证据的实践项目应用音乐治疗在农村门诊肿瘤诊所经历中度至重度疼痛的成年癌症患者,尽管目前的药物治疗。干预前和干预后疼痛评分采用数值评定量表进行评估,结果采用Wilcoxon符号秩检验进行分析。结果:结果显示,83%的参与者报告说,在使用音乐听疗法后,疼痛强度至少减轻了一个疼痛等级。此外,100%的参与者表示愿意继续在家听音乐治疗,作为一种自我指导的技术来减轻疼痛的严重程度。结论:高级执业医师的角色必须包括全面的疼痛管理和疼痛监测,以评估其对患者生活质量的影响。患者更愿意采取对身体、经济和环境因素障碍最小的补充性干预措施,特别是在缺乏额外卫生资源的农村地区。音乐聆听疗法可以在任何已知对急性和慢性疼痛有积极影响的环境中进行。因此,音乐听疗法是一种可行的非药物辅助干预,应该包括在教育提供给我们的病人与癌症作斗争。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Decreasing Pain Intensity in Adult Patients With Cancer Through Music Therapy: A Complementary Non-Pharmacological Approach.

Background: Adequate pain management continues to be an unmet need in patients with cancer. Pain is known to impact the quality of life. It is recommended that treatment plans include pharmacological and complementary non-pharmacological methods for managing pain. Music listening therapy is an evidence-based intervention used to manage acute and chronic pain in adult patients with cancer.

Methods: This evidence-based practice project applied the use of music therapy in adult patients with cancer experiencing moderate to severe pain despite current pharmacological treatment in a rural outpatient oncology clinic. Pre- and post-intervention pain scores were assessed using a numeric rating scale, and results were analyzed using a Wilcoxon signed-rank test.

Results: The results showed 83% of participants reported a reduction in pain intensity by at least one pain level after using music listening therapy. Additionally, 100% of participants expressed a willingness to continue music listening therapy at home as a self-guided technique to reduce pain severity.

Conclusion: The role of the advanced practice provider must include comprehensive pain management and pain monitoring to assess its impact on patient quality of life. Patients are more willing to perform complementary interventions that have minimal barriers to physical, economic, and environmental factors, particularly in rural settings where the lack of additional health resources is significant. Music listening therapy may be conducted in any environment with known positive impacts on acute and chronic pain. Therefore, music listening therapy is a viable non-pharmacological complementary intervention that should be included in the education provided to our patients in their fight against cancer.

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