鑼聲若響－－談音樂與照護的共鳴

The Sound of Gong: The Relationship between Music and Nursing Care

護理工作向來視人為照護的核心，致力於創造個別性的照護藝術。而音樂治療則是提供一個良好的工具讓照護的工作流暢如行雲流水般的促進個別需求。科學的實証基礎，讓護理工作人員在應用音樂治療時，能考量實務應用的過程記錄，並分析最後影響個案療效的原因。因此針對無音樂背景的臨床醫護人員如何將音樂治療輔助運用於健康照護，或許可利用各個療程的空檔期間，建議給與焦慮、疼痛的病人聆聽樂音。另外也可以在治療、照護中善用背景音樂，以使整個過程進行得更順利。茲因仍缺乏精確的音樂治療品質確認，未來對於有心參與音樂治療相關研究的護理人員可考慮的音樂療法領域研究問題包括：（1）如何發展具有台灣特色的音樂療法。（2）探討定量化研究音樂信號刺激對人體不同系統的作用機轉。（3）拓展音樂療法在不同領域治療護理中的應用及見信效度的測量模式。希望能將音樂治療相關資訊及評估方法納入於護理教育課程中，期使將來護理人員能將音樂治療確實應用於臨床護理實務，以發揮護理獨特功能並提升護理照護品質。

Nurses focus on individual care in order to create the beauty of unique caring arts. But music therapy can also play an essential role to fill the gap between patients' care needs and individual wants. When nurses use music therapy as an intervention tool, they consider the process of progress, analyzing the data to show the outcome. How to apply music to the care process, improving the patients' care quality may, therefore, become an important task in future nursing training. However, due to the lack of specific and accurate measurements for music therapy, suggestions should be made for further investigation in three directions: 1. To develop a suitable Taiwanese style of music therapy. 2. To understand the mechanism of music therapy's physical and emotional effects on humans. 3. Quality assurance of music therapy in nursing care.