Music Therapy in Palliative Care
Warth M, Keßler J, Hillecke TK, Bardenheuer HJ
Deutsches Arzteblatt international · 60 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2015-11-13 · Dtsch Arztebl Int · vol. 112 · número 46 · págs. 788–94
- Editorial
- Deutscher Ärzte-Verlag
- Citado
- 126 citas · más que el 99% de estudios similares · 12.5× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 38 trabajos
- Acceso
- Acceso abierto (copia en repositorio)
- Áreas de investigación
- Music Therapy and Health · Palliative Care and End-of-Life Issues · Palliative and Oncologic Care
- Palabras clave
- music therapy, palliative care, relaxation, well-being, heart rate variability, health-related quality of life, pain, fatigue, dying patients, hospitalized patients
- MeSH
- humans, pain measurement, treatment outcome, combined modality therapy, music therapy, palliative care, quality of life, middle aged, patient satisfaction, germany, female, male, pain management, cancer pain
4 autores
- Marco Warth🇩🇪University Hospital Heidelberg
- Jens Keßler🇩🇪University Hospital Heidelberg
- Thomas Karl Hillecke🇩🇪University Hospital Heidelberg
- Hubert J. Bardenheuer🇩🇪University Hospital Heidelberg
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Music therapy has been used successfully for over 30 years as part of palliative care programs for severely ill patients. There is nonetheless a lack of high-quality studies that would enable an evidence-based evaluation of its psychological and physiological effects.
Methods
In a randomized controlled trial, 84 hospitalized patients in palliative care were assigned to one of two treatment arms--music therapy and control. The music therapy intervention consisted of two sessions of live music-based relaxation exercises; the patients in the control group listened to a verbal relaxation exercise. The primary endpoints were self-ratings of relaxation, well-being, and acute pain, assessed using visual analog scales. Heart rate variability and health-related quality of life were considered as secondary outcomes. The primary data analysis was performed according to the intention-to-treat principle.
Results
Analyses of covariance revealed that music therapy was more effective than the control treatment at promoting relaxation (F = 13.7; p <0.001) and well-being (F = 6.41; p = 0.01). This effect was supported by a significantly greater increase in high-frequency oscillations of the heart rate (F = 8.13; p = 0.01). Music therapy did not differ from control treatment with respect to pain reduction (F = 0.4; p = 0.53), but it led to a significantly greater reduction in the fatigue score on the quality-of-life scale (F = 4.74; p = 0.03).
Conclusion
Music therapy is an effective treatment with a low dropout rate for the promotion of relaxation and well-being in terminally ill persons undergoing palliative care.
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