Effects of music therapy on anxiety, depression, sleep disturbance and physiological parameters in head and neck cancer patients undergoing concurrent chemotherapy and radiotherapy

• Main Authors: Shu-Mei Chen, 陳淑美
• Other Authors: Mei-Chi Hsu
• Format: Others
• Language: zh-TW
• Published: 2015
• Online Access: http://ndltd.ncl.edu.tw/handle/85435954660605960626

碩士 === 義守大學 === 管理碩博士班 === 103 === This is an experimental study. The subjects were recruited from a department of hematology and oncology of a medical center in southern Taiwan from October 2013 to August 2014. The aims of this study were to evaluate the effects of music therapy in reducing anxiety, depression and sleep disturbance and changes of physiological paramenters of head and neck cancer patients rceiving concurrent chemotherapy and radiotherapy (CCRT). Sixty subjects were recruited. Subjects were randomly assigned to either music group (n=30) or control group (n=30). In the control group, subjects accepted only routine care. The music roup received 4 sections of music therapy during CCRT. Music therapy was carried out for 60-min per session, one day a week for four consecutive weeks. Instruments included Hospital Anxiety and Depression Scale (HADS), the Pittsburgh Sleep Quality Inventory (PSQI) and the music preferences questionnaire. Physiological parameters included finger temperature, pulse, breathing, systolic blood pressure and diastolic blood pressure. Descriptive statistics and inferential statistical analysis were used. Results showed that anxiety, sleep disturbance, finger temperature, pulse, breathing, systolic blood pressure and diastolic blood pressure in the music group were improved after music therapy, but were not reached the statistical significance. Depression in the music group was significantly improved. This study suggests that music therapy may be a promising intervention for the improvement of depressive symptoms. However, further research is needed for the investigation of the effects of music therapy.