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
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...
Saved in:
| Published in | Hu li za zhi Vol. 65; no. 1; pp. 70 - 82 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Chinese |
| Published |
台灣
台灣護理學會
01.02.2018
社團法人臺灣護理學會 Taiwan Nurses Association |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0047-262X |
| DOI | 10.6224/JN.201802_65(1).10 |
Cover
| Abstract | 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。 |
|---|---|
| AbstractList | 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 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。 Music-based intervention is commonly used as a non-pharmacological strategy to reduce pain in hospitalized patients. To conduct a systematic review and meta-analysis to examine the effects of passive music-based interventions on pain relief in cancer patients undergoing diagnostic biopsies and surgeries and to identify the moderating variables in order to identify clinically validated interventional strategies and related suggestions. Studies using an RCT (randomized clinical trial) design that were published before 2016 were collected from the following databases: Cochrane Library/Trials, PubMed, PsycINFO, CINHAL, and Index to Taiwan Periodical Literature System. The high-quality studies, defined as those earning a modified Jadad scale score > 3, were then analyzed using comprehensive meta-analysis software. The passive music-based interventions had a small-to-moderate overall effect (g = -.42, p = .02) on pain relief in the subjects undergoing diagnostic biopsies and surgery in the analyzed studies (n = 12) |
| Author | 劉育真(Yu-Chen Liu) 洪彩慈(Tsai-Tzu Hung) 蔡佩靜(Pei-Cheng Tsai) 林梅鳳(Mei-Feng Lin) |
| Author_xml | – sequence: 1 fullname: 洪彩慈(Tsai-Tzu Hung) – sequence: 2 fullname: 劉育真(Yu-Chen Liu) – sequence: 3 fullname: 蔡佩靜(Pei-Cheng Tsai) – sequence: 4 fullname: 林梅鳳(Mei-Feng Lin) |
| BookMark | eNpVUcFKG1EUfQsLGusPSHfd6CLxvjuZ92aWRbQqoW4qdDdMZt5gpCQ2Uaw7EeokpqLFOqEoihFJ2q4kSGgyn5N5b1z1FzohgeLqcDjnngvnpMhEsVQUhMxSyDDE7MLauwwCNQAtps_R-QyFCTIFkOVpZPhhkqQqlS0ApmmMThE_bv6O6hdRePp005HtQ-nX1Pd2dNVWwbdBGMpqoJq9uN1TP76qhq8aXwa9IZVBVx60oqqvar781ZQ399HpsazV49vzwZ-6CkLVuFTdn3Hr7m94ojp99fiQ-GXgq5N-dHn9dNuKk9vHh-isGlWP5PXZS_LCsz9WxMwYp8nG8tL7xZV0bv3t6uKbXNqmFDHNXO7oAsDlWp7ngQt0EUTWFJondF13uO5Q1zGQObrpMM_hWfR0YG7e1riBHLRp8nqUu10ufdoVlR1rq7RbLiYvLQTOTJOZDBPXq5Frc39P5K3N_bKwXSvp0AADh_LySLYL5cJO4X_EsOWk5M_WeIARAAUA4znhYBmo_QNqWq-d |
| ContentType | Journal Article |
| Copyright | Copyright Taiwan Nurses Association Feb 2018 |
| Copyright_xml | – notice: Copyright Taiwan Nurses Association Feb 2018 |
| DBID | 188 9RA 3V. 7RV 7X7 7XB 88E 8FI 8FJ 8FK 8G5 ABUWG AFKRA AZQEC BENPR BVBZV CCPQU DWQXO FYUFA GHDGH GNUQQ GUQSH K9. KB0 M0S M1P M2O MBDVC NAPCQ PHGZM PHGZT PJZUB PKEHL PPXIY PQEST PQQKQ PQUKI Q9U |
| DOI | 10.6224/JN.201802_65(1).10 |
| DatabaseName | Airiti Library HyRead台灣全文資料庫 ProQuest Central (Corporate) Nursing & Allied Health Database Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) ProQuest Hospital Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) Research Library (Alumni) ProQuest Central (Alumni) ProQuest Central UK/Ireland ProQuest Central Essentials ProQuest Central East & South Asia Database ProQuest One Community College ProQuest Central Korea Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student ProQuest Research Library ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) Health & Medical Collection (Alumni) Medical Database Research Library Research Library (Corporate) Nursing & Allied Health Premium ProQuest Central Premium ProQuest One Academic (New) ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) ProQuest One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central Basic |
| DatabaseTitle | Research Library Prep ProQuest Central Student ProQuest One Academic Middle East (New) ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing Research Library (Alumni Edition) ProQuest Central ProQuest Health & Medical Research Collection Health Research Premium Collection Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Health & Medical Research Collection ProQuest Research Library ProQuest Central (New) ProQuest Medical Library (Alumni) ProQuest Central Basic ProQuest One Academic Eastern Edition ProQuest Nursing & Allied Health Source ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Hospital Collection (Alumni) East & South Asia Database Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest Medical Library ProQuest One Academic UKI Edition ProQuest Nursing & Allied Health Source (Alumni) ProQuest One Academic ProQuest One Academic (New) ProQuest Central (Alumni) |
| DatabaseTitleList | Research Library Prep |
| Database_xml | – sequence: 1 dbid: BENPR name: ProQuest Central url: http://www.proquest.com/pqcentral?accountid=15518 sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Nursing Music |
| DocumentTitleAlternate | The Pain-Relief Efficacy of Passive Music-Based Interventions in Cancer Patients Undergoing Diagnostic Biopsies and Surgery: A Systematic Review and Meta-Analysis |
| DocumentTitle_FL | The Pain-Relief Efficacy of Passive Music-Based Interventions in Cancer Patients Undergoing Diagnostic Biopsies and Surgery: A Systematic Review and Meta-Analysis |
| EndPage | 82 |
| ExternalDocumentID | 00480822 0047262x_201802_201802010008_201802010008_70_82 |
| GroupedDBID | --- 04C 188 36B 3V. 6PF 7RV 7X7 88E 8FI 8FJ 8G5 AAWTL ABUWG ADOJX AFKRA AHMBA ALIPV ALMA_UNASSIGNED_HOLDINGS AZQEC BENPR BKEYQ BPHCQ BVBZV BVXVI CCPQU DWQXO ECF ECT EIHBH EX3 F5P FYUFA GNUQQ GUQSH HMCUK M1P M2O NAPCQ PQQKQ PROAC PSQYO UKHRP WOW WQ9 9RA PHGZM PHGZT PJZUB PPXIY 7XB 8FK K9. MBDVC PKEHL PQEST PQUKI Q9U |
| ID | FETCH-LOGICAL-a1122-6d7c5e00d73b7b07e2d20e49e3fe555c75c1dc826c59c6fc742f506dba3782703 |
| IEDL.DBID | BENPR |
| ISSN | 0047-262X |
| IngestDate | Fri Jul 25 23:16:43 EDT 2025 Thu Jul 31 12:24:13 EDT 2025 Tue Oct 01 22:51:08 EDT 2024 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 1 |
| Keywords | 手術 疼痛緩解 music-based intervention 音樂治療 cancer patient 診斷性切片檢查 pain relief diagnostic biopsy 癌症病人 surgery |
| Language | Chinese |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-a1122-6d7c5e00d73b7b07e2d20e49e3fe555c75c1dc826c59c6fc742f506dba3782703 |
| Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 content type line 14 ObjectType-Feature-3 ObjectType-Evidence Based Healthcare-1 |
| PQID | 2076996962 |
| PQPubID | 866377 |
| PageCount | 13 |
| ParticipantIDs | proquest_journals_2076996962 hyweb_hyread_00480822 airiti_journals_0047262x_201802_201802010008_201802010008_70_82 |
| PublicationCentury | 2000 |
| PublicationDate | 20180201 201802 |
| PublicationDateYYYYMMDD | 2018-02-01 |
| PublicationDate_xml | – month: 02 year: 2018 text: 20180201 day: 01 |
| PublicationDecade | 2010 |
| PublicationPlace | 台灣 |
| PublicationPlace_xml | – name: 台灣 – name: Taipei |
| PublicationTitle | Hu li za zhi |
| PublicationTitle_FL | The Journal of Nursing |
| PublicationYear | 2018 |
| Publisher | 台灣護理學會 社團法人臺灣護理學會 Taiwan Nurses Association |
| Publisher_xml | – name: 台灣護理學會 – name: 社團法人臺灣護理學會 – name: Taiwan Nurses Association |
| SSID | ssj0063361 ssib018143075 ssib035089342 ssib002264387 |
| Score | 2.160604 |
| Snippet | 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，... 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，... Music-based intervention is commonly used as a non-pharmacological strategy to reduce pain in hospitalized patients. To conduct a systematic review and... |
| SourceID | proquest hyweb airiti |
| SourceType | Aggregation Database Publisher |
| StartPage | 70 |
| SubjectTerms | Biopsy cancer patient diagnostic biopsy Intervention Medical diagnosis MEDLINE Meta-analysis Music Music therapy music-based intervention Pain pain relief Scopus surgery Systematic review TSCI 手術 疼痛緩解 癌症病人 診斷性切片檢查 音樂治療 |
| Title | 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 |
| URI | https://www.airitilibrary.com/Article/Detail/0047262x-201802-201802010008-201802010008-70-82 http://www.hyread.com.tw/hypage.cgi?HYPAGE=search/search_detail_new.hpg&dtd_id=3&sysid=00480822 https://www.proquest.com/docview/2076996962 |
| Volume | 65 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVPQU databaseName: East & South Asia Database issn: 0047-262X databaseCode: BVBZV dateStart: 20111201 customDbUrl: isFulltext: true dateEnd: 99991231 titleUrlDefault: https://search.proquest.com/eastsouthasia omitProxy: false ssIdentifier: ssj0063361 providerName: ProQuest – providerCode: PRVPQU databaseName: Health & Medical Collection issn: 0047-262X databaseCode: 7X7 dateStart: 20111201 customDbUrl: isFulltext: true dateEnd: 99991231 titleUrlDefault: https://search.proquest.com/healthcomplete omitProxy: true ssIdentifier: ssj0063361 providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest Central issn: 0047-262X databaseCode: BENPR dateStart: 20111201 customDbUrl: http://www.proquest.com/pqcentral?accountid=15518 isFulltext: true dateEnd: 99991231 titleUrlDefault: https://www.proquest.com/central omitProxy: true ssIdentifier: ssj0063361 providerName: ProQuest |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Na9RAGB7aXQUvorVitZYePOghms5MZpKDFCstpeAiYsviJeRjwvbS-lHBehJBs-taWlGzSKWlK7KrnkopxW1-ziaTnvwLziTZriJ4GoYkE5h58r5P3k8ArmCKCDNsV8EeYwqG1FPEDCqubTHGIGIs9Z7fKZHZeTxX1soDoNTLhZFhlT2ZmApqd9mRNnJpCSGGLOUCJx8-UmTXKOld7bXQsPLWCu7NtMTYIChKkYwLoDg1Xbp77w-FJTRwn5AI9YYFyI8RjQRdMRA-LkBFECJZzz1Zz4DAcpZ2Q4TeuzFXkoFhugpNol2duHZd5uCesBZlKSJBdCurQgr-I99TpTVzBpzO2eb4rQweZ8HA88oQKKa9nYfAydxScA74SfNHVP8YhetH23tx-2Xs1_iHdvS5zYN33TCMqwFvdpJ2h396yxs-b7zqduQ0Dg7iF62o6vOaH39vxttfo_U3ca2e7Lzv_qzzIOSNTX7wLWl9-RWu8b1Dvr8r7o8Dn68dRptbRzutRDy7vxttVKPq63hrYxjMz0zfvz2r5B0aFEvwNKgQlzoaU1WXIpvaKmXQhSrDBkMe0zTNoZoz4TriD8bRDEdmFWHoaSoRQECCmQhhcx4UlpaX2AUwDhFVdUe3bcJczBxmG5Yn6awnMCZZyAiYzDbXzD-yJ2Za6ZLAZ2Z-DtmgSo-F_veEqqYuVhhOT8WsrAo-7pppOr3gRyNgtHdK_bX7cLv4_8uXwCn5qiyQexQUVh4_ZZcFT1mxx8AgLdOxHIJyXJh6sPAbEBUO2w |
| linkProvider | ProQuest |
| linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV3da9NQFL_MVpkvonOy6dQ-KOhDNLtJbpqHMfzY6L6KyAZ9i01yQ33Z1E20Pomgaa1jEzVFJhurSKs-jTGGXfGvaXKzJ_8Fz03SVRF821M4JLkhOR-_X-695xyELsmqRKhmWIJsUyrIWLUFkLBgGXlKKZYoDVfPZ7IkMydP5pRcD_rZyYXh2yo7MTEM1NaCyefI-UwI0XgpFzz64KHAu0bx1dVOC4183FrBGglLjMWJHVO0-AR-4RZHJm6Dvi9jPD42eysjxF0GhDxwDSwQSzUVKoqWKhmqIaoUW1ikskYlmyqKYqqKOWyZwMJNRTN5ZoyMbUUk8DISoCs4DIx7BCWBdmA5gZI3x7J37v4BkID4XQIEcCqDUx14kAT0SJPkg4JXRJJI1OOP108gOBel-RDA2euTWb4RLS1inShXhq9e4zm_R_P3eekjINaFIkTdf_AkBMnxk-hEzG5TNyJzPIV6nhX6UDLsJd2HjsUzE6eRE9S-e5UPXmtlf2Pbb7zwnTJ73_A-NZj7tt1q-SWX1ZpBo8k-vmFVh1Vftptc9N1d_3ndKzms7Pjfav7GF2_ltV-uBJvv2j8qzG2x6hrb_RrUP_9qLbPtPbazBdf7rsOW97y19f3NegD37mx5qyWv9MpfX-1Hc4eiqzMoMb8wTwdQCkuqmDbThkGoJVOTGlre5vTZBpvmrGcQjUYfV4-delEPK2sS_FSP9RAdRL5Ckv5bUEU9DSP0h1rRC0Xg_5Yepu8DHxtEQx0tdcfumvfZ_5--iHozszPT-vREduocOs4fG20iH0KJpUeP6XngSEvGhdgQU-jeYdv-bwYRSGw |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E8%A2%AB%E5%8B%95%E5%BC%8F%E9%9F%B3%E6%A8%82%E6%87%89%E7%94%A8%E5%9C%A8%E7%96%91%E4%BC%BC%E6%88%96%E7%A2%BA%E8%A8%BA%E7%99%8C%E7%97%87%E7%97%85%E4%BA%BA%E8%A8%BA%E6%96%B7%E6%80%A7%E5%88%87%E7%89%87%E6%AA%A2%E6%9F%A5%E5%8F%8A%E6%89%8B%E8%A1%93%E4%B9%8B%E7%96%BC%E7%97%9B%E7%B7%A9%E8%A7%A3%E2%80%94%E7%B3%BB%E7%B5%B1%E6%80%A7%E6%96%87%E7%8D%BB%E5%9B%9E%E9%A1%A7%E8%88%87%E7%B5%B1%E5%90%88%E5%88%86%E6%9E%90&rft.jtitle=%E8%AD%B7%E7%90%86%E9%9B%9C%E8%AA%8C&rft.au=%E6%B4%AA%E5%BD%A9%E6%85%88%28Tsai-Tzu+Hung%29&rft.au=%E5%8A%89%E8%82%B2%E7%9C%9F%28Yu-Chen+Liu%29&rft.au=%E8%94%A1%E4%BD%A9%E9%9D%9C%28Pei-Cheng+Tsai%29&rft.au=%E6%9E%97%E6%A2%85%E9%B3%B3%28Mei-Feng+Lin%29&rft.date=2018-02-01&rft.pub=%E7%A4%BE%E5%9C%98%E6%B3%95%E4%BA%BA%E8%87%BA%E7%81%A3%E8%AD%B7%E7%90%86%E5%AD%B8%E6%9C%83&rft.issn=0047-262X&rft.volume=65&rft.issue=1&rft.spage=070&rft.epage=082&rft_id=info:doi/10.6224%2FJN.201802_65%281%29.10&rft.externalDocID=00480822 |
| thumbnail_m | http://utb.summon.serialssolutions.com/2.0.0/image/custom?url=https%3A%2F%2Fwww.airitilibrary.com%2Fjnltitledo%2F0047262x-c.jpg |