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

Effects of Music Therapy on Reliving Pain and Pain Interference amount Terminal Cancer Patients

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。

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.