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被動式音樂應用在疑似或確診癌症病人診斷性切片檢查及手術之疼痛緩解－系統性文獻回顧與統合分析
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被動式音樂應用在疑似或確診癌症病人診斷性切片檢查及手術之疼痛緩解－系統性文獻回顧與統合分析
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被動式音樂應用在疑似或確診癌症病人診斷性切片檢查及手術之疼痛緩解－系統性文獻回顧與統合分析
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Journal Article
被動式音樂應用在疑似或確診癌症病人診斷性切片檢查及手術之疼痛緩解－系統性文獻回顧與統合分析
2018
Overview
背景：音樂是常使用於住院病人的非藥物性疼痛緩解策略。目的：透過系統性文獻回顧及統合分析，檢視被動式音樂對疑似或確診癌症病人在診斷性切片檢查及手術疼痛的緩解效應，並找出具臨床實證的應用策略與建議。方法：在Cochrane Library/Trials、PubMed、PsycINFO、CINHAL、台灣期刊論文索引系統五個中英文資料庫，搜尋2016年以前的隨機對照性試驗研究，以modified Jadad scale 3分以上者列為統合分析之題材，使用comprehensive meta-analysis進行資料處理及分析。結果：共12篇研究納入分析，發現被動式音樂對診斷性切片檢查及手術疼痛具有緩解效應，整體效果量（Hedges's g）為小至中度-.42（p = .02）；次群組分析顯示：麻醉方式、介入環境、頻次及音樂治療師是顯著影響疼痛緩解效應的調節因子。結論／實務應用：本統合分析證實被動式音樂能有效減緩疑似或確診癌症病人，接受診斷性切片檢查或手術疼痛。建議未來可將之應用在全身麻醉手術前後，於等候室或病房環境、每日提供2－3次、由音樂治療師執行或指導的方案，乃為被動式音樂介入緩解疼痛的重要關鍵。
