Korean J Women Health Nurs.  2011 Sep;17(3):215-224. 10.4069/kjwhn.2011.17.3.215.

Effect of Music Therapy as Intervention on Peripheral Neuropathic Pain and Anxiety of Gynecologic Cancer Patients Undergoing Paclitaxel Chemotherapy

Affiliations
  • 1Samsung Medical Center, Korea. nkorn91.rho@samsung.com
  • 2Nursing Science, Woosuk University, Korea.
  • 3Sookmyung Women's University, Korea.

Abstract

PURPOSE
This study was to investigate the effect of music therapy as intervention on peripheral neuropathic pain and anxiety of gynecologic cancer patients who were undergoing paclitaxel chemotherapy.
METHODS
Hospitalized 62 patients were assigned to an experimental group (n=30) and a control group (n=33) in this quasi-experimental study. The experimental group participated in music therapy that includes listening, singing and song writing during 1 hour. The peripheral neuropathic pain, anxiety and depression were examined as pre-intervention evaluation by using pain scale, anxiety scale (20 questions) and depression scale (20 questions) in both groups. There were no further treatments for the control group while the experimental group involved in music therapy. The peripheral neuropathic pain and anxiety were evaluated in both groups as post-intervention evaluation.
RESULTS
Outcomes were verified through hypothesis testing. The level of peripheral neuropathic pain and anxiety in the experimental group was decreased, compared to the control group.
CONCLUSION
According to the study, music therapy is a beneficial intervention that reduces peripheral neuropathic pain and anxiety in gynecologic cancer patients. These findings are encouraging and suggest that music therapy can be applied as an effective intervention for minimizing chemotherapy related symptoms.

Keyword

Music therapy; Cancer; Chemotherapy; Neuropathic pain; Anxiety

MeSH Terms

Anxiety
Depression
Humans
Music
Music Therapy
Neuralgia
Paclitaxel
Singing
Writing
Paclitaxel

Figure

  • Figure 1 Conceptual framework.


Cited by  1 articles

Effects of Music Therapy on Anxiety, Depression and Fatigue in Cancer Patients Undergoing Intensity Modulated Radiotherapy
Hye-Young Choi, Yeo-Jin Yi
Asian Oncol Nurs. 2013;13(4):175-183.    doi: 10.5388/aon.2013.13.4.175.


Reference

1. What is the music therapy. American National Association of Music Therapy [ANAMT]. 2005. from http://www.musictherapy.org/.
2. Armstrong T., Almadrones L., Gilbert M.R. Chemotherapy-induced peripheral neuropathy. Oncology Nursing Forum. 2005. 32(2):305–311.
3. Chen M.L., Chang H.K., Yeh C.H. Anxiety and depression in Taiwanese cancer patients with and without pain. Journal of Advanced Nursing. 2000. 32(4):944–951.
4. Colwell C.M. Music as distraction and relaxation to reduce chronic pain and narcotic ingestion: A case study. Music Therapy Perspectives. 1997. 15(1):24–31.
5. Frisch A. Symbol and structure: Music therapy for the adolescent psychiatric inpatient. Music Therapy. 1990. 9(1):16–34.
6. Hong M.S. The effect of music therapy on comfort in terminal cancer. 2008. Daegu: Kyungpook University;Unpublished doctoral dissertation.
7. History, definitions, and contemporary viewpoints-IASP. International Association for the Study of Pain [IASP]. 2001. from http://www.iasp-pain.org/AM/Template.
8. Jung S.E. A case study of Psychology in patient undergoing hysterectomy. 1992. Seoul: Yonsei University;Unpublished master's thesis.
9. Kim G.S. The effects of music therapy on reduction of pain, anxiety, and vital sign in the exchange of burn wound dressing. 2000. Gwangju: Jeonnam University;Unpublished master's thesis.
10. Kim J.T., Sin D.G. The Korean standardization of the STAI. New Medical Journal. 1978. 21(11):68–75.
11. Kim S.Y., Han G.S. The effect of music therapy on anxiety in neurotic patients. The Journal of Nurses Academic Society. 1996. 26(4):889–902.
12. Lee I.S. Depression, anxiety, and spouse support in married women who had received gynecologic cancer treatment. Journal of Korea Community Health Nursing Academic Society. 2003. 17(1):58–68.
13. Lee J.H. The effect of music therapy on anxiety, nausea and vomiting in patient receiving total body irradiation for hematopoietic stem cell transplantation. 2005. Seoul: The Catholic University of Korea;Unpublished master's thesis.
14. Lee M.S. Effects of laughter therapy on anxiety and depression of breast cancer patients. 2006. Iksan: Wonkwang University;Unpublished master's thesis.
15. Melzack R., Wall P.D. Pain mechanism: A new theory. Science. 1965. 150(3699):971–979.
16. Postma T.J., Vermorken J.B., Liefting A.J., Pinedo H.M., Heimans J.J. Paclitaxel induced neuropathy. Annals of Oncology. 1995. 6(5):489–494.
17. Razavi D., Delvaux N., Farvacques C., De Barier F., Van Heer C., Kaufman L. Prevention of adjustment disorders and anticipatory nausea secondary to adjuvant chemotheraphy: A double blind placebo controlled study assessing the usefulness of alprazolam. Journal of Clinical Oncology. 1993. 11(7):1384–1390.
18. Sim J.C. Trends in the treatment of primary ovarian cancer. Dongguk Journal of Medicine. 2003. 10(2):17–24.
19. Song O.H. A study of the SDS on psychiatric out patients clinic. Journal of Neuropsychiatry. 1977. 16(1):84–93.
20. Spielberger C.D. Spielberger C.D, editor. Anxiety as an emotional state. Anxiety: Current trends in theory and research. 1972. New York: Academic Press.
21. Cancer occurrence ratio in Korea - women, 2007. Statistics Korea. 2007. from Statistics Korea Web site: http://www.kostate.go.kr.
22. Thaut M.H. The influence of music therapy interventions on self-rated changes in relaxation, affect, and thought in psychiatric prisoner-patients. Journal of Music Therapy. 1989. 26(3):155–166.
23. Viens P., Petit T., Yovine A. A phase II study of a paclitaxel and oxaliplatin combination in platinum-sensitive recurrent advanced ovarian cancer patients. Annals of Oncology. 2006. 17(3):429–436.
24. Hamel W.J. The effect of music intervention on anxiety in the patient waiting for cardiac catheterization. Intensive and Critical Care Nursing. 2001. 17:279–285.
25. Yang H.J. The effect of music therapy after the trauma care on alleviation of depression and pain. 2004. Busan: Busan University;Unpublished master's thesis.
26. Yu H.S. The effect of music intervention on anxiety of terminal cancer patient through music appreciation. 2002. Seoul: Sookmyung Women's Graduate School of Music Therapy;Unpublished master's thesis.
27. Zung W.W. A self-rating depression scale. Archives of General Psychiatry. 1965. 12:63–70.
Full Text Links
  • KJWHN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr