DOI QR코드

DOI QR Code

음악치료가 Paclitaxel 항암화학요법을 받는 부인암 환자의 말초 신경병성 통증 및 불안에 미치는 효과

Effect of Music Therapy as Intervention on Peripheral Neuropathic Pain and Anxiety of Gynecologic Cancer Patients Undergoing Paclitaxel Chemotherapy

  • 투고 : 2011.07.18
  • 심사 : 2011.08.29
  • 발행 : 2011.09.20

초록

Purpose: This study was to investigate the effect of music therapy as intervention on peripheral neuropathic pain and anxiety of gynecologic cancer patients who were undergoing paclitaxel chemotherapy. Methods: Hospitalized 62 patients were assigned to an experimental group (n=30) and a control group (n=33) in this quasi-experimental study. The experimental group participated in music therapy that includes listening, singing and song writing during 1 hour. The peripheral neuropathic pain, anxiety and depression were examined as pre-intervention evaluation by using pain scale, anxiety scale (20 questions) and depression scale (20 questions) in both groups. There were no further treatments for the control group while the experimental group involved in music therapy. The peripheral neuropathic pain and anxiety were evaluated in both groups as post-intervention evaluation. Results: Outcomes were verified through hypothesis testing. The level of peripheral neuropathic pain and anxiety in the experimental group was decreased, compared to the control group. Conclusion: According to the study, music therapy is a beneficial intervention that reduces peripheral neuropathic pain and anxiety in gynecologic cancer patients. These findings are encouraging and suggest that music therapy can be applied as an effective intervention for minimizing chemotherapy related symptoms.

키워드

참고문헌

  1. American National Association of Music Therapy [ANAMT] (2005). What is the music therapy, from http://www. musictherapy.org/
  2. Amstorng, T., Almadrones, L., & Gilbert, M. R. (2005). Chemotherapy- induced peripheral neuropathy. Oncology Nursing Forum, 32(2), 305-311. https://doi.org/10.1188/05.ONF.305-311
  3. Chen, M. L., Chang, H. K., & Yeh, C. H. (2000). Anxiety and depression in Taiwanese cancer patients with and without pain. Journal of Advanced Nursing, 32(4), 944-951.
  4. Colwell, C. M. (1997). Music as distraction and relaxation to reduce chronic pain and narcotic ingestion: A case study. Music Therapy Perspectives, 15(1), 24-31. https://doi.org/10.1093/mtp/15.1.24
  5. Frisch, A. (1990). Symbol and structure: Music therapy for the adolescent psychiatric inpatient. Music Therapy, 9(1), 16-34. https://doi.org/10.1093/mt/9.1.16
  6. Hong, M. S. (2008). The effect of music therapy on comfort in terminal cancer. Unpublished doctoral dissertation, Kyungpook University, Daegu.
  7. International Association for the Study of Pain [IASP]. (2001). History, definitions, and contemporary viewpoints-IASP, from http://www.iasp-pain.org/AM/Template
  8. Jung, S. E. (1992). A case study of Psychology in patient undergoing hysterectomy. Unpublished master's thesis, Yonsei University, Seoul.
  9. Kim, G. S. (2000). The effects of music therapy on reduction of pain, anxiety, and vital sign in the exchange of burn wound dressing. Unpublished master's thesis, Jeonnam University, Gwangju.
  10. Kim, J. T., & Sin, D. G. (1978). The Korean standardization of the STAI. New Medical Journal, 21(11), 68-75.
  11. Kim, S. Y. J., & Han, G. S. (1996). The effect of music therapy on anxiety in neurotic patients. Journal of Korean Academy of Nursing, 26(4), 889-901.
  12. Lee, I. S. (2003). Depression, anxiety, and spouse support in married women who had received gynecologic cancer treatment. Journal of Korean Academy of Public Health Nursing, 17(1), 58-68.
  13. Lee, J. H. (2005). The effect of music therapy on anxiety, nausea and vomiting in patient receiving total body irradiation for hematopoietic stem cell transplantation. Unpublished master's thesis, The Catholic University of Korea, Seoul.
  14. Lee, M. S. (2006). Effects of laughter therapy on anxiety and depression of breast cancer patients. Unpublished master's thesis, Wonkwang University, Iksan.
  15. Melzack, R., & Wall, P. D. (1965). Pain mechanism: A new theory. Science, 150(19), 971-979. https://doi.org/10.1126/science.150.3699.971
  16. Postma, T. J., Vermorken, J. B., Liefting, A. J., Pinedo, H. M., & Heimans, J. J. (1995). Paclitaxel induced neuropathy. Annual Oncology, 6(5), 489-494. https://doi.org/10.1093/oxfordjournals.annonc.a059220
  17. Razavi, D., Delvaux, N., Farvacques, C., De Barier, F., Van Heer, C., & Kaufman, L. (1993). Prevention of adjustment disorders and anticipatory nausea secondary to adjuvant chemotheraphy: A double blind placebo controlled study assessing the usefulness of alprazolam. Journal of Clinical Oncology, 11(7), 1384-1390. https://doi.org/10.1200/JCO.1993.11.7.1384
  18. Sim, J. C. (2003). Trends in the treatment of primary ovarian cancer. Dongguk Medical Journal, 10(2), 17-24.
  19. Song, O. H. (1977). A study of the SDS on psychiatric out patients clinic. Journal of Neuropsychiatry, 16(1), 84-93.
  20. Spielberger, C. D. (1972). Anxiety as an emotional state. In C. D. Spielberger (Ed.), Anxiety: Current trends in theory and research. New York: Academic Press.
  21. Statistics Korea. (2007). Cancer occurrence ratio in Korea - women, 2007, from Statistics Korea Web site: http:// www.kostate.go.kr
  22. Thaut, M. H. (1989). The influence of music therapy interventions on self-rated changes in relaxation, affect, and thought in psychiatric prisoner-patients. Journal of Music Therapy, 26(3), 155-166. https://doi.org/10.1093/jmt/26.3.155
  23. Viens, P., Petit, T., & Yovine, A. (2006). A phase II study of a paclitaxel and oxaliplatin combination in platinum-sensitive recurrent advanced ovarian cancer patients. Annual Oncology, 17(3), 429-436. https://doi.org/10.1093/annonc/mdj097
  24. Wallace, J. H. (2001). The effect of music intervention on anxiety in the patient waiting for cardiac catheterization. Intensive and Critical Care Nursing, 17 , 279-285. https://doi.org/10.1054/iccn.2001.1594
  25. Yang, H. J. (2004). The effect of music therapy after the trauma care on alleviation of depression and pain. Unpublished master's thesis, Busan University, Busan.
  26. Yu, H. S. (2002). The effect of music intervention on anxiety of terminal cancer patient through music appreciation. Unpublished master's thesis, Sookmyung Women's Graduate School of Music Therapy, Seoul.
  27. Zung, W. W. (1965). A self-rating depression scale. Archives of General Psychiatry, 12 , 63-70. https://doi.org/10.1001/archpsyc.1965.01720310065008

피인용 문헌

  1. 음악요법이 세기조절 방사선치료를 받는 암 환자의 불안, 우울 및 피로에 미치는 효과 vol.13, pp.4, 2011, https://doi.org/10.5388/aon.2013.13.4.175
  2. Case Studies of a Structured Singing Experience for the Psychological Well-Being of Hospice Patients vol.25, pp.2, 2019, https://doi.org/10.1089/act.2019.29211.jeo