Authors: XiaoMei Li Hong Yan KaiNa Zhou ShaoNong Dang DuoLao Wang YinPing Zhang
Publish Date: 2011/05/03
Volume: 128, Issue: 2, Pages: 411-419
Abstract
Music therapy has been used in multiple health care settings to reduce patient pain anxiety and stress However few available studies have investigated its effect on pain among breast cancer patients after radical mastectomy The aim of this study was to explore the effects of music therapy on pain reduction in patients with breast cancer after radical mastectomy This randomized controlled trial was conducted at the Surgical Department of Oncology Center First Affiliated Hospital of Xi’an Jiaotong University from March to November 2009 A total of 120 breast cancer patients who received Personal Controlled Analgesia PCA following surgery mastectomy were randomly allocated to two groups an intervention group and a control group 60 patients in each group The intervention group accepted music therapy from the first day after radical mastectomy to the third admission to hospital for chemotherapy in addition to the routine nursing care while the control group received only routine nursing care Pain scores were measured at baseline and three posttests using the General Questionnaire and Chinese version of ShortForm of McGill Pain Questionnaire The primary endpoint was the change in the Pain Rating Index PRItotal score from baseline Music therapy was found to reduce the PRItotal score in the intervention group significantly compared with the control group with a mean difference 95 CI of −238 −280 −195 −241 −285 −196 and −187 −233 −142 for the 1st 2nd and 3rd posttests respectively Similar results were found for Visual Analogue Scale VAS and Present Pain Intensity PPI scores The findings of the study provide some evidence that music therapy has both short and longterm positive effects on alleviating pain in breast cancer patients following radical mastectomy
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