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系統識別號 U0026-1801202115350900
論文名稱(中文) 音樂介入對乳癌病人之生活品質、焦慮與疲憊之成效:隨機對照實驗
論文名稱(英文) The effects of Music intervention on Quality of Life, Anxiety and Fatigue among Patients with Breast Cancer- A Randomized Controlled Trial
校院名稱 成功大學
系所名稱(中) 護理學系
系所名稱(英) Department of Nursing
學年度 109
學期 1
出版年 109
研究生(中文) 莊情惠
研究生(英文) Ching-Hui Chuang
學號 TA8051038
學位類別 博士
語文別 英文
論文頁數 41頁
口試委員 指導教授-陳彰惠
召集委員-李碧娥
口試委員-葉美玲
口試委員-楊宜青
口試委員-陳杰峰
中文關鍵字 音樂介入  生活品質  焦慮  疲憊  乳癌 
英文關鍵字 Music interventions  Quality of Life  Anxiety  Fatigue  breast cancer 
學科別分類
中文摘要 背景:許多研究顯示音樂介入對乳癌病人疼痛控制的有效性,但是,乳癌病人在生活品質、焦慮和疲憊的研究結果不一致。
目的:本研究要確定音樂介入對乳癌病人生活品質、焦慮和疲憊的影響。
方法:本研究採隨機對照研究,接受乳房切除術的乳癌病人被隨機分配到音樂組或常規組(每組65名病人)。音樂組中的病人被引導選擇他們喜歡的音樂。音樂組的參與者每週接受一小時的音樂介入,在首次收納實驗後的連續十二週中總共接受了12個小時的音樂介入。主要結果是通過特質-焦慮量表和狀態-焦慮量表評估的乳癌焦慮症。次要結果是分別由世界衛生組織生活質量量表和台灣簡短疲憊量表評估的疲憊程度。音樂組除常規護理外還接受音樂介入,而常規組僅接受常規護理。本研究利用廣義估計方程式來計算重複測量之間的相關性。
結果:在研究本中,音樂組的參與者表現出的特質焦慮量表得到了顯著改善,尤其在第8週時最為顯著(β= −1.391,p = 0.003)。音樂介入和時間對依從性的相互作用具有顯著影響。與對照組相比,音樂組在12週時表現出更高的生活品質(β= 19.63,p = 0.002)。
結論:音樂介入的四到十二週是乳癌患者乳房切除術後的關鍵時期。音樂介入可能是一種改善乳癌病人焦慮和生活品質的有效介入措施。

英文摘要 Background. Many researchers have investigated the effectiveness of music interventions on pain management among persons with breast cancer. However, the outcomes on quality of life, anxiety, and fatigue improvements among patients with breast cancer are inconsistent.
Purpose. To determine the effects of music interventions on quality of life, anxiety, and fatigue among patients with breast cancer.
Method. This study conducted a parallel randomized controlled study. Persons with breast cancer who had received a mastectomy were randomly assigned to either a music group or a routine group (65 patients in each group). The patients in the music group were guided to choose their preferred music. The participants in the music group received music intervention for one hour per week, for a total of 12 hours during 12 consecutive weeks after the initial enrollment. Primary outcomes were anxiety of breast cancer assessed by the trait-anxiety inventory and the state-anxiety inventory. Secondary outcomes were quality of life and fatigue assessed by the World Health Organization Quality of Life Scale and Brief Fatigue Inventory-Taiwan Scale, respectively. The music group was given music intervention in addition to routine care, while the routine group was given only routine care. The research utilized a generalized estimating equation (GEE) to calculate the correlations between repeated investigations.
Result. Participants in music group showed significant improvement in trait-anxiety inventory across this study, which was most significant at 8 weeks (β= −1.391, p =0.003). The interaction effect between intervention and time on adherence was significant. Compared with the control group, greater quality of life was shown in the music group at 12 weeks (β= 19.63, p =0.002) .
Conclusions. Four to twelve weeks of music intervention is the crucial period for breast cancer patients after mastectomy. Music intervention may be an effective intervention for the improvement of anxiety and quality of life for persons with breast cancer.
論文目次 ABSTRACT……………………………………………………………………….ii
ACKNOWLEDGEMENTS……………………………………………………….v
INTRODUCTION………………………………………………………………...1
Epidemiology of breast cancer……………………………………………1
Presentation of Anxiety in Breast Cancer Populations……………………1
Presentation of Quality of Life in Breast Cancer Populations…………….2
Presentation of Fatigue in Breast Cancer Populations…………………….4
Music interventions for Anxiety, Quality of Life, and Fatigue……………5
Hypotheses………………………………………………………………...8
METHOD…………………………………………………………………………9
Participants………………………………………………………………..9
Measures…………………………………………………………………..10
Procedures…………………………………………………………………12
RESULTS………………………………………………………………………….15
Sample Demographics……………………………………………………..15
Music Interventions and Anxiety…………………………………………..16
Music Interventions and Quality of Life…………………………………...16
Music Interventions and Fatigue…………………………………………17
DISCUSSION………………………………………………………………………17
Anxiety in patients with Breast cancer……………………………………17
Quality of life in patients with Breast cancer………………………………19
Fatigue in patients with Breast cancer………19
Conclusions and Future Directions………21
Figure 1…………………………………………………………………………23
Table 1……………………………………………………………………………24
Table 2……………………………………………………………………………25
Table 3……………………………………………………………………………27
Table 4……………………………………………………………………………28
Table 5……………………………………………………………………………29
Table 6……………………………………………………………………………30
Table 7……………………………………………………………………………31
REFERENCES………………………………………………………………….32

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