音乐疗法可能缓解乳腺癌手术焦虑

　　2016年9月，美国《手术护士协会杂志》正式发表俄亥俄州克利夫兰大学医院集团凯斯医疗中心、塞德曼癌症中心的随机对照研究报告，深入探讨了对实施乳腺癌手术患者进行音乐治疗的影响。

　　该随机对照研究为期两年，调查了现场和录制音乐对207例≥18岁焦虑女性进行乳腺癌门诊手术的影响。患者被随机分为对照组（无音乐）、现场音乐组、录制音乐组。使用可视化评分自评焦虑水平，评分等级从“毫不焦虑”到“高度焦虑”，现场音乐组和录制音乐组与对照组相比，术前焦虑水平显著降低（P＜0.001），分别降低42.5%和41.2%。

　　因此，音乐治疗在手术环境中可能非常有益，音乐疗法可能改善患者护理质量，可作为一种围手术期护理手段。

AORN J. 2016 Sep;104(3):192-7.

Collaborating With Music Therapists to Improve Patient Care.

Palmer JB, Lane D, Mayo D.

Seidman Cancer Center, University Hospitals Case Medical Center, Cleveland, OH.

Collaboration between perioperative nurses and music therapists can be beneficial in providing a safe, cost-effective means of managing patients' anxiety and pain and reducing the need for pharmacologic intervention in the perioperative setting. The use of a board-certified music therapist may help to improve patient outcomes, ease nurse workload, and serve as an adjunct therapeutic modality that is enjoyable for both patients and staff members. We conducted a two-year, randomized controlled trial to determine how to best implement a music therapy program, navigate its challenges, and collaborate with nurse colleagues to bring its benefits to surgical patients. This article offers suggestions for alliances between perioperative nursing and music therapy staff members and describes the potential of music therapists to help provide optimal patient care.

KEYWORDS: music therapist; music therapy; patient anxiety

PMID: 27568531

DOI: 10.1016/j.aorn.2016.06.014