探討音樂治療對首次化學治療病人焦慮及憂鬱之改善成效

The Influence ofMusic Therapy on Anxiety and Depression of the First Time Chemotherapy Cancer Patient

本研究旨在探討音樂治療對首次接受化學治療癌症病人的焦慮及憂鬱改善之成效。研究設計採類實驗研究法，研究工具包括醫院焦慮與憂鬱量表、音樂偏好調查表、音樂處置效果量表、基本資料問卷。在某醫學中心腫瘤科病房進行收案，採立意取樣，個案並隨機輪流分配為實驗組及對照組，共收案58人，其中實驗組30人，對照組28人，而實驗組於化學治療期間介入音樂治療每日至少60分鐘，對照組僅接受傳統的常規照護，二組分別於化學治療前及結束後24小時內收集資料。研究結果發現實驗組化學治療後的焦慮及憂鬱得分雖未達顯著差異，但總分均較化學治療前降低，且病人主觀認為音樂治療成效高，大致在七分以上，認為可以幫助抒發情緒，且有放鬆及舒緩憂鬱的療效，而對照組在化學治療後較前測分數高，研究結果顯示音樂治療可以站在輔助治療的角色，減少癌症病人焦慮及憂鬱之情緒。本研究結果可提供護理人員應用音樂治療於接受化學治療癌症病人改善焦慮及憂鬱之參考。

The purpose of this study was to evaluate the benefits of music therapy in reducing anxiety and depression of patients receiving their first chemotherapy. Patients were randomly assigned to either an intervention group (n=30) or control group (n=28) while receiving the chemotherapy (C/T). The intervention group received music therapyat least 60 minutes every day during the C/T. Before the beginning and after the C/T, both groups data were collected by a questionnaire of Hospital Anxiety and Depression Scale (HADS). The intervention group data were also collected by a questionnaire of Music Assessment and Implementation Tool (MAIT) during a post-test. Results found no significiant difference between pre-test and post-test on HADS with the paired t test. Total scores of HADS decreased on the post-test in the intervention group, but the scores increased on the post-test in the control group.This study showed the effects ofmusic therapy with cancer patients. It showed that music therapy could relaxand improve themood of anxiety and depression in cancer patients.The results recommend music therapy as having positive effects on cancer patients receiving their first C/T, and suggests it be implemented in clinical practive.