音乐疗法缓解头颈肿瘤化疗患者恶心呕吐的效果观察

Effect ovservation of music-assisted relaxation therapy on chemotherapyinduced nausea and vomiting in patients with head and neck cancer

目的:探讨音乐放松疗法对缓解头颈肿瘤化疗患者恶心呕吐的效果。方法:采用方便抽样的方法,选取2013年1月至10月行TPF方案化疗的212例头颈肿瘤患者作为对照组,2014年1月至10月行同样方案化疗的212例患者作为干预组,对照组给予常规护理,干预组在常规护理的基础上给予音乐放松疗法。使用恶心呕吐及干呕指数评价量表(INVR)评估患者的恶心呕吐症状,并对结果进行重复测量方差分析。结果:干预组患者干预后INVR评分低于对照组,差异有统计学意义(P<0.05),干预措施与干预时间存在交互作用(P<0.05)。结论:音乐放松疗法能有效缓解头颈肿瘤化疗患者的恶心呕吐症状,在临床具有可操作性。

Objective： To explorer the effect of music-assisted relaxation therapy on chemotherapy-induced nausea and vomiting in patients with head and neck cancer. Methods： 212 patients received chemotherapy during January to October in 2013 were chosen as the control group and 212 patients received the same chemotherapy during January to October in 2014 were chosen as the＇intervention group. The patients of control group received routine care, while the patients in intervention group were added on music-assisted relaxation therapy. The Rhodes index of nausea, vomiting and retching （INVR） was administered during chemotherapy. Then the repeated measures analysis of variance was carried out between the two groups. Results： The scores of INVR in the intervention group were significant lower than in the control group. The interaction effect between time and group was significant＇ （P〈0.05）. Conclusion： Music-assisted relaxation therapy can ameliorate chemotherapy-induced nausea and vomiting in patients with head and neck cancer and it＇s a practical intervention.