음악요법이 말기 암환자의 통증, 우울 및 불안에 미치는 효과
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Purpose: The purpose of this study was to examine the effects of music therapy on pain, depression, and anxiety in terminally ill patients. Methods : Twenty patients in the experimental group were provided with music via headphones for 30-40 min at a time as they requested for 2 weeks, whereas no music was provided for the nineteen patients in the control group. Data were collected using a questionnaire. The research instruments included Visual Analog Scale (VAS) and Depression & Anxiety Inventory Scale. Data were analyzed using c2-test, t-test, and Fisher’s exact test, using SPSS 15.0. Results : There were significant decreases in the scores of pain at present (t=-2.54, p<.05), depression (t=-2.187, p<.05)and anxiety (Z=-2.114, p<.05) in the experimental group compared to those in the control group. Conclusion : Music therapy is considered non-invasive and inexpensive intervention and can be easily applied to alleviate pain, depression and anxiety for terminally ill patients.
Abstract
Purpose: The purpose of this study was to examine the effects of music therapy on pain, depression, and anxiety in terminally ill patients. Methods : Twenty patients in the experimental group were provided with music via headphones for 30-40 min at a time as they requested for 2 weeks, whereas no music was provided for the nineteen patients in the control group. Data were collected using a questionnaire. The research instruments included Visual Analog Scale (VAS) and Depression & Anxiety Inventory Scale. Data were analyzed using c2-test, t-test, and Fisher’s exact test, using SPSS 15.0. Results : There were significant decreases in the scores of pain at present (t=-2.54, p<.05), depression (t=-2.187, p<.05)and anxiety (Z=-2.114, p<.05) in the experimental group compared to those in the control group. Conclusion : Music therapy is considered non-invasive and inexpensive intervention and can be easily applied to alleviate pain, depression and anxiety for terminally ill patients.
참고문헌 (30)
- Beck SL., "The therapeutic use of music for cancer-related pain", Oncol Nurs Forum, 18, pp.1327~1336 (1991)
- Bulfone, "Effectiveness of music therapy for anxiety reduction in women with breast cancer in chemotherapy treatment", Holist Nurs Pract, 23, pp.238~242 (2009)
- 장소영, "아로마 손마사지가 호스피스 말기암환자의 통증, 상태불안 및우울에 미치는 영향", Journal of Korean Academy of Nursing, 38(4), pp.493~502 (2008), 한국간호과학회
- Chung JS., "Effect of spiritual nursing care on spiritual well-being, depression, anxiety, and pain in terminal patients with cancer", Chonnam National Univ, ~ (2005)
- Covington H., "Music therapy as a nursing intervention", J Psychosoc Nurs Ment Health Serv, 35(3), pp.34~37 (1997)
- Demmer C., "A survey of complementary therapy services provided by hospice", J Palliat Med, 7, pp.510~516 (2004)
- Derogatis LR., "SCL-90-R administration, scoring and procedures manual", Clinical Psychometric Research, ~ (1977)
- Ferrer AJ., "The effect of live music on decreasing anxiety in patients undergoing chemotherapy treatment", J Music Ther, 44, pp.242~245 (2007)
- Guzzetta C., "Effect of relaxation and music therapy on patients in a coronary care unit with presumptive acute myocardial infection", Heart Lung, 18, pp.609~616 (1989)
- Han TH., "The severity and variables influencing depression in cancer patients with pain", Korean J Anesthesiol, 39, pp.554~562 (2000)
- Horne-Thompson A., "The effect of music therapy on anxiety in patients who are terminally ill", J Palliat Med, 11, pp.582~590 (2008)
- Kim JN., "Effect of spiritual nursing intervention on spiritual well being and depression of hospice patients", J Korean Community Nurs, 15, pp.132~144 (2004)
- Kim KI., "Guideline for SCL-90-R. Chungang aptitude publishing Co", Chungang aptitude studies, ~ (1984)
- "The Cause of Death Statistics- 2005"[URL]
- Kim SH., "A meta-analysis of literature on the effect of music therapy outcome research", Korean J Music Ther, 4(2), pp.19~40 (2002)
- Krout RE., "The effects of single-session music therapy intervention on the observed and self reported levels on pain control, physical comfort and relaxation of hospice patients", Am J Hosp Palliat Care, 18, pp.383~390 (2001)
- Kwekkeboom KL., "Music versus distraction for procedural pain and anxiety in patients with cancer", Oncol Nurs Forum, 30, pp.433~440 (2003)
- Lane O., "Music therapy: a gift beyond measure", Oncol Nurs Forum, 19, pp.863~867 (1992)
- Lloyd-Williams M., "Screening for depression in palliative care patients: a review", Eur J Cancer Care, 10, pp.31~35 (2001)
- Massie MJ., "Depression and cancer patient", J Clin Psychiatry, 51(Suppl), pp.12~17 (1990)
- Nakayama H., "A pilot study on effectiveness of music therapy in hospice in Japan", J Music Ther, 46, pp.160~172 (2009)
- O’Collaghan C., "Complementary therapy in terminal care pain, music creativity and music therapy in palliative care", Am J Hosp Palliat Care, 13(2), pp.43~49 (1996)
- Park SE., "A study on experience of art therapy for terminally ill patients with cancer", Seoul Women’s Univ, ~ (2007)
- Ro YJ., "Factors influencing pain with terminally ill cancer patients in hospice units", J Korean Acad Nurs, 31, pp.206~220 (2001)
- Smith M., "Music as a therapeutic intervention for anxiety in patients receiving radiation therapy", Oncol Nurs Forum, 28, pp.855~862 (2001)
- Werth JL., "Psychological issues near the end of life", Aging Ment Health, 26, pp.402~412 (2002)
- Yang MJ., "Depression and pain in patients with cancer", J Korean Neuropsychiatr Assoc, 39, pp.1122~1131 (2000)
- 윤매옥, "영적 간호중재가 호스피스 환자의 불안과 우울에 미치는 효과", 성인간호학회지, 14(3), pp.337~347 (2002), 성인간호학회
- Yu HS., "How does the listening-centered music intermediation contribute to reducing anxiety of terminal cancer patients?", Sookmyung Women’s Univ, ~ (2002)
- Yun YH., "Pain and Factors Influencing Its Management in Patients with Terminal Cancer", Korean Hosp Palliat Care, 1, pp.23~29 (1998)