音乐治疗对急性白血病患儿化疗期间的干预效果研究

发布时间：2018-03-09 02:00

本文选题：音乐治疗　切入点：支持性音乐想象　出处：《中央音乐学院》2012年硕士论文　论文类型：学位论文

【摘要】：白血病是儿童最常见的恶性肿瘤,也是严重威胁儿童生命和健康的疾病之一,在儿童白血病中以急性淋巴细胞性白血病的发病率最高。化疗作为白血病治疗的重要方法之一,在发挥治疗作用的同时,也带来了严重的生理、心理反应等副作用。本研究通过观察对白血病患儿在化疗期间分组实施支持性音乐想象方法或者现场演唱方法后,白细胞数量和血小板数量等血象指标的改变,以及焦虑程度、疼痛程度的变化,来研究音乐治疗对化疗期白血病患儿身心状态的积极影响。研究结果显示了,在化疗期间,接受音乐治疗的前两组患儿与未接受音乐治疗的对照组患儿相比,焦虑感、疼痛感明显降低；在整个化疗过程中,现场演唱组的焦虑程度、疼痛程度要明显低于音乐想象组。在一个化疗期结束后,接受支持性音乐想象干预的患儿比未接受音乐治疗的患儿的白细胞计数明显增加,而红细胞、血小板以及中性粒细胞计数没有明显增加；而接受现场演唱干预的患儿与未接受音乐治疗的患儿相比,其白细胞、红细胞、血小板以及中性粒细胞计数均没有明显增加。结果提示了支持性音乐想象以及现场演唱两种音乐治疗方法具有可以显著改善白血病患儿化疗期焦虑、疼痛的倾向性,且化疗过程中第二天、第三天的音乐干预更明显。其中现场演唱的方法可能更适于住院环境下的音乐治疗干预。
[Abstract]:Leukemia is the most common malignant tumor in children, and it is also one of the most serious diseases threatening the life and health of children. The incidence of acute lymphoblastic leukemia is the highest in children. Chemotherapy is one of the most important methods in the treatment of leukemia. In addition to the therapeutic effect, it also brings serious side effects, such as physiological and psychological reactions. After the children with leukemia were divided into two groups during chemotherapy, they were divided into support music imagination method or live singing method. In order to study the positive effects of music therapy on the physical and mental state of children with leukemia during chemotherapy, the changes of white blood cell count and platelet count, as well as the changes of anxiety degree and pain degree, were studied. The results showed that, during chemotherapy, the first two groups of children who received music therapy had significantly lower feelings of anxiety and pain than those of the control group without music treatment; during the whole course of chemotherapy, the degree of anxiety in the live singing group was significantly lower than that in the control group. The pain level was significantly lower than that in the musical imagination group. After the end of a chemotherapy period, the white blood cell count of the children receiving supportive musical imagination intervention was significantly higher than that of the children without music therapy, while the red blood cells. The counts of platelet and neutrophil were not significantly increased, but the white blood cells, erythrocytes, platelets and neutrophils were not significantly increased in the children who received live singing intervention compared with those without music therapy. The results suggest that supportive music imagination and live singing can significantly improve the tendency of anxiety and pain in children with leukemia during chemotherapy, and the second day of chemotherapy. The music intervention on the third day was more obvious, and the method of live singing might be more suitable for the music therapy intervention in the hospitalized environment.
【学位授予单位】：中央音乐学院
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：J60-05;R725.5

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