Browse > Article

The Effects of Music Therapy by Self-Selected Music Listening on Terminal Cancer Patients' Affect and Stress by Pain Level  

Lee, Eun-Hai (Support Center for Children with Developmental Disability, Nam San Christian Social Welfare Center)
Choi, Sung-Eun (Hospice & Palliative Care Center in Sunlin Hospital)
Publication Information
Journal of Hospice and Palliative Care / v.15, no.2, 2012 , pp. 77-87 More about this Journal
Abstract
Purpose: This study investigated the effects that music therapy by self-selected music listening has on the affect and stress relief in adult patients who have been diagnosed with terminal cancer by pain level. Methods: Participants were 20 terminally ill cancer patients who were over 18 years old and were admitted to the hospice and palliative care unit of a local hospital. At the beginning of each session, participants selected music of their choice. Each participant had a total of six 30-minute music listening sessions. Participants were grouped into two according to their self-rated perceived pain scores on the visual analogue scale and numeric rated score: 5 and above and less than 5. Each participant completed a questionnaire on their affect state before and after each session and a questionnaire on their stress level before the first session and after the last session. Further analysis was performed to compare differences between the two groups according to pain level. Results: There were significant differences in patients' affect before and after each session (P<0.001) and stress level before and after the therapy (P=0.001). Conclusion: In this study, self-selected music listening had positive effects on terminal cancer patients' affect and stress regardless of perceived pain level. Therefore, self-selected music listening can be used as an appropriate intervention to improve affect and reduce stress in terminal cancer patients in the hospice and palliative care unit.
Keywords
Music therapy; Affect; Stress; Pain;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Korea National Statistical Office. 2007 Annual report on the cause of death statistics. Seoul:Korea National Statistical Office;2008.
2 Ro YJ, Kim NC, Hong YS, Yong JS. Factors influencing pain with terminally ill cancer patients in hospice units. J Korean Acad Nurs 2001;31:206-20.   DOI
3 Abrahm JL. Palliative medicine for cancer patients: pain and symptom management. Kim JS, Kim DG, Kim DH, Kim SY, Kim SH, Suh JH, et al. translator. Seoul:Korea University Press;2008.
4 Jeon SJ. Medical surgical nursing. Seoul:Hyunmoonsa;1992.
5 Folkman S, Lazarus RS. Stress-processes and depressive symptomatology. J Abnorm Psychol 1986;95:107-13.   DOI
6 Kim JH, Choi YS. Activities of a home hospice organization. Korean J Hosp Palliat Care 2000;3:28-38.
7 Locsin RG. The effect of music on the pain of selected postoperative patients. J Adv Nurs 1981;6:19-25.   DOI
8 McCaffrey R. Music listening: its effects in creating a healing environment. J Psychosoc Nurs Ment Health Serv 2008;46:39-44.
9 Starr RJ. Music therapy in hospice care. Am J Hosp Palliat Care 1999;16:739-42.   DOI   ScienceOn
10 Terwogt MM, Van Grinsven F. Recognition of emotions in music by children and adults. Percept Mot Skills 1988;67:697-8.   DOI   ScienceOn
11 Yu HS. How does the listening-centered music intermediation contribute to reducing anxiety of terminal cancer patients? [master's thesis]. Seoul: Sookmyung Women's Univ.; 2002. Korean.
12 Joe JH. The effect of preferred music listening on dental treatment anxiety and pain reduction [dissertation]. Seoul: Sungshin Women's Univ.; 2008. Korean.
13 Jones MR. Learning and the development of expectancies: an interactionist approach. Psychomusicology 1990;9:193-228.   DOI
14 Jones MR, Boltz M. Dynamic attending and responses to time. Psychol Rev 1989;96:459-91.   DOI
15 Lee SH. Effects of listening to christian music on the verbal expressions of patients suffering from terminal cancer [dissertation]. Seoul: Sungshin Women's Univ.; 2008. Korean.
16 Hodges DA, editor. Handbook of music psychology. 2nd ed. San Antonio:IMR Press;1996. p. 71-4.
17 Thaut MH. Physiological and motor responses to music stimuli. In: Unkefer RF, Thaut MH, eds. Music therapy in the treatment of adults with mental disorders: theoretical bases and clinical interventions. 2nd ed. St. Louis:MMB Music, Inc.;2002. p. 33-49.
18 Bulechek GM, Dochterman JM. Nursing interventions: treatments for nursing diagnoses. Philadelphia:Saunders;1985.
19 Kim E. The effect of church music therapy upon the holistic healing for cancer patients [dissertation]. Busan: Kosin Univ.;2007. Korean.
20 Koh YR. A study on the influences of hospice-care for the quality of life of patients with terminal cancer [dissertation]. Suwon: Kyonggi Univ.; 2003. Korean.
21 Joe JH. The effect of preferred music listening on dental treatment anxiety and pain reduction [dissertation]. Seoul: Sungshin Women's Univ.; 2008. Korean.
22 Shin HY. Effects of intraoperative music therapy on anxiety for patients undergoing local anesthesia [dissertation]. Seoul: Seoul National Univ.; 2004. Korean.
23 IASP. Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Association for the Study of Pain, Subcommittee on Taxonomy. Pain Suppl 1986;3:S1-226.
24 Choiniere M, Auger FA, Latarjet J. Visual analogue thermometer: a valid and useful instrument for measuring pain in burned patients. Burns 1994;20:229-35.   DOI   ScienceOn
25 McNair DM, Lorr M, Droppleman LF. Profile of mood states. San Diego, Calif.:Educational and Industrial Testing Service;1971.
26 Volicer BJ, Bohannon MW. A hospital stress rating scale. Nurs Res 1975;24:352-9.
27 Kang YS. A comparative study on patients' and nurses' perception level of stressors due to hospitalization [dissertation]. Seoul:Yonsei Univ.; 1984. Korean.
28 Hartsock JW. The effects of music on levels of depression in orthopedic patients on prolonged bed rest [master's thesis]. Iowa City: The University of Iowa; 1982. English.
29 Hong MS. The effects of music therapy on patients with post operative pain. J Korean Acad Adul Nurs 1989;1:57-71.
30 McNair DM, Lorr M, Droppleman LF. Profile of mood states. San Diego, Calif.:Educational and Industrial Testing Service;1992.
31 Hilliard RE. A post-hoc analysis of music therapy services for residents in nursing homes receiving hospice care. J Music Ther 2004;41:266-81.   DOI
32 O'Callaghan CC. Lyrical themes in songs written by palliative care patients. J Music Ther 1996;33:74-92.   DOI
33 Son JT, Kim SH. The effects of self-selected music on anxiety and pain during burn dressing changes. J Korean Acad Nurs 2006;36:159-68.   DOI
34 Taylor DB. Subject responses to precategorized stimulative and sedative music. J Music Ther 1973;10:86-94.   DOI
35 Lee SK. The influences of music listening versus rhythm playing intervention on stress and anxiety of workers [dissertation]. Seoul:Sookmyung Women's Univ.; 2005. Korean.