癌症化療患者介入音樂治療是否可改善噁心嘔吐

The Use of Music Therapy to Reduce Nausea and Vomiting for Patients Undergoing Chemotherapy

10.6647/CN.202306_30(2).0006

張月如(Yue-Ru Jhang)；江迎星(Ying-Hsing Chiang)

癌症化療 ； 音樂 ； 噁心嘔吐 ； chemotherapy ； nausea and vomiting ； music

彰化護理

30卷2期（2023 / 06 / 01）

28 - 36

繁體中文;英文

癌症患者施行化學治療的過程中常會發生噁心嘔吐情形，雖然化療前醫師均會開立常規止吐藥物使用來預防噁心嘔吐，但有些患者還是會反覆發生噁心嘔吐，開始思考除了藥物之外是否有其他方法可協助患者緩解噁心嘔吐。運用實證手法形成PICO問題，探討癌症化療患者介入音樂治療是否可改善噁心嘔吐?搜尋文獻資料庫共篩選出統合分析1篇及隨機對照試驗研究1篇進行評讀，文獻結果顯示，於化療期間介入音樂治療可以改善化療病人的噁心嘔吐，建議可於化療注意事項衛教單張，加入化療期間播放音樂可協助改善噁心嘔吐。

Typically, cancer patients suffer from nausea and vomiting during chemotherapy. Although physicians routinely prescribe antiemetics to prevent nausea and vomiting before chemotherapy, some patients experience them repeatedly. An evidence-based PICO was made in this study to investigate if there are other options to reduce nausea and vomiting for cancer patients undergoing chemotherapy. After literature reviewing, one meta-analysis research and one randomized controlled trial were selected for critical appraisal. The results of the literature review indicated that music therapy intervention is beneficial in reducing nausea and emesis for patients undergoing chemotherapy. It is suggested that the information of music intervention can be included in the health education leaflets to relieve nausea and vomiting during for those who undergoing chemotherapy.

1. 李耀泰、陳福民、郭宗正(2017)・化學治療引起的突發性噁心嘔吐的檢視・臨床醫學月刊，80(2)，475-478。https://doi.org /10.6666/ClinMed.2017.80.2.088
   連結：
2. 謝麗鳳、劉秋霞、裘苕莙、張學進、陳美碧(2012)・化療引致噁心嘔吐非藥物處置之臨床照護指引・榮總護理，29(2)，131-144。https://doi.org/10.6142/VGHN.29.2.131
   連結：
3. Lima, T. U., Moura, E. C. R., Oliveira, C. M. B. D., Leal, R. J. D. C., Nogueira Neto, J., Pereira, E. C., ... & Leal, P. D. C. (2020). Impact of a music intervention on quality of life in breast cancer patients undergoing chemotherapy: a randomized clinical trial. Integrative Cancer Therapies, 19. https://doi.org/10.1177/1534735420938430
   連結：
4. Wei, T. T., Tian, X., Zhang, F. Y., Qiang, W. M., & Bai, A. L. (2020). Music interventions for chemotherapy-induced nausea and vomiting: a systematic review and meta-analysis. Supportive Care in Cancer, 28(3), 4031-4041 . https://doi.org/10.1007/s00520-020-05409-w
   連結：

1. (2024)。運用藝術治療協助乳癌婦女面臨身體心像改變之護理經驗。護理雜誌，71(1)，105-113。