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題名:探討音樂治療於癌末病患疼痛對生活影響程度改善之成效
書刊名:榮總護理
作者:黃淑鶴林佳靜 引用關係陳明麗賴允亮 引用關係
作者(外文):Huang, Shu-heLin, Chia-chinChen, Meng-liLai, Enoch
出版日期:2001
卷期:18:4
頁次:頁358-368
主題關鍵詞:音樂治療癌症疼痛Music therapyCancerPain
原始連結:連回原系統網址new window
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     本研究之主要目的是探討音樂治療於改善末期癌症病患疼痛程度、疼痛對日常生 活、情緒、日常工作、活動、與人交往、睡眠、生活樂趣的影響程度。研究對象為診斷為癌 症末期並在安寧病房接受安寧療護之住院病患。本研究執行20位診斷為癌症末期接受安寧療 護之住院病患。採類實驗研究設計,研究之依變項為疼痛嚴重程度、疼痛對日常生活影響程 度,評估工具為音樂偏好調查表及簡明疼痛量表。研究措施為期兩天,第一天評估病患臥床 30分鐘前後疼痛嚴重程度、疼痛對日常生活影響程度。第二天評估音樂治療30分鐘前後疼 痛嚴重程度、疼痛對日常生活影響程度,最後並評估病患自覺音樂治療之效果。資料以描述 性統計、paired-t test作資料的分析。 研究結果發現病患最喜歡的音樂類型為臺語老歌(20%)、輕音樂(20%)、臺語流行歌 (15%)和國語老歌(15%)。音樂治療比單純臥床休息更可以減輕癌症末期病患的疼痛自覺 嚴重度、病患自覺疼痛對日常生活情緒、日常工作、活動、與人交往、睡眠、生活樂趣的影 響程度(p<0.05)。本研究之音樂治療措施簡單容易執行,符合安寧療護目標及臨床需求,是 臨床護理人員可以獨立提供病患的輔助性的治療措施。
     The purpose of this study is to evaluate the effects of music therapy on relieving terminal cancer patients' pain and pain interference. The samples included twenty hospice inpatients with terminal cancer. The study design is a quasi-experimental study. The dependent variables are degree of pain severity, pain interference. On the first day, data were collected before and after 30 minutes patient lying in the bad. On the second day, data were collected data before and after 30minutes patient lying in the bed and receiving music therapy. The instruments included Favorite Music Scale and Brief Pain Inventory. Data were analyzed by using descriptive statistic and paired t-test. The study results revealed that the patients' most favorite music types were Taiwanese old son (20%), light music (20%), Taiwanese popular song (15%), and mandarin old song (15%). Patients who received music therapy experienced significantly more reduction in pain and pain interference than patients who did not received music therapy. The method of music therapy in this study is simple and easy to use in clinical. The finding support the therapeutic use of music as an independent nursing intervention to relieve pain and pain interference in hospice.
 
 
 
 
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