音乐疗法对肿瘤患者放射治疗过程中生理和心理状态干预作用的研究

Interventional effects of musical therapy to physiological and psychological conditions in process of radiotherapy for patients with cancer

目的:探讨音乐疗法在肿瘤患者放疗过程中的作用。方法:采用随机分组方法将95例接受放射治疗的肿瘤患者分为接受30min音乐干预的音乐组和无音乐干预的对照组,应用钟氏(ZUNG)焦虑自评量表(self-rating anxiety scale,SAS)和汉密尔顿焦虑量表(hamilton anxiety scale,HAMA),对两组患者放射治疗前后各进行1次测试,同时记录放射治疗前后患者的心率(HR)、呼吸频率(RR)、血压(BP)以及休息状态行为。结果:放疗前,音乐组患者的HR、RR、BP、SAS和HAMA评分均较对照组低,但两组比较差异无统计学意义,P>0.05;放射治疗后,音乐组患者的HR、RR、BP、SAS和HAMA评分明显低于对照组,P<0.05。音乐组患者放射治疗后的HR、RR、BP、SAS和HAMA评分均较放射治疗前明显降低,P<0.05;对照组患者的HR、RR、BP、SAS和HAMA评分与放射治疗前差异无统计学意义,P>0.05。结论:音乐疗法可以减少肿瘤患者放疗过程中潜在的不良生理反应,减轻焦虑。

OBJECTIVE：To investigate the effects of musical therapy applied in the process of radiotherapy for patients with cancer. METHODS： Ninty-five patients with cancer receiv ing radiotherapy were randomly assigned to undergo or not the music intervention for 30 minutes. The patiens were asked to answer the ZUNG Anxiety scale （SAS） and HAMA Anxiety scale （HAMA） before and after the radiotherapy, and physio logical indices and resting behaviors were recorded before and after the radiotherapy in both groups. RESULTS： Before the ra diotherapy, the physiological indices and SAS and HAMA scores of the musical group were a little lower than those of the control group, but it did not have a signifcant difference, P〉 0.05. After the radiotherapy,the physiological indices and SAS and HAMA scores of the musical group were significantly lower than those before the radiotherapy （P〈0.05）, and were also significantly lower than those of the control group, P〈0. 05, and in the control group, there was no significant difference before and after the radiotherapy, P〉0.05. CONCLUSION： Music can provide a confirmed effect on reducing potentially harmful physi ological responses and anxiety in the process of radiotherapy for pa tients with cancer.