Randomized controlled trial2012

Effects of music therapy on anxiety of patients with breast cancer after radical mastectomy: a randomized clinical trial

Li XM, Zhou KN, Yan H, Wang DL, Zhang YP

Journal of advanced nursing · 54 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Funding not disclosed

Publication

Published
2011-10-06 · J Adv Nurs · vol. 68 · issue 5 · pp. 1145–1155
Publisher
Wiley
Cited
121 citations · more than 95% of similar papers · 5.6× the field average
Impact
Top 10% most cited in its field
References
36 works
Access
Paywalled
Research areas
Music Therapy and Health · Art Therapy and Mental Health · Acupuncture Treatment Research Studies
Keywords
Medicine, Anxiety, Randomized controlled trial, Breast cancer, Mastectomy, Music therapy, Physical therapy, Radical mastectomy, Clinical trial, Modified Radical Mastectomy, Cancer, Internal medicine, Psychiatry
MeSH
humans, breast neoplasms, treatment outcome, music therapy, mastectomy, radical, analysis of variance, anxiety, nursing evaluation research, adult, aged, middle aged, china, female, surveys and questionnaires

5 authors

From CN, GB

  • Xiaomei LiXi'an Jiaotong University
  • Kaina ZhouXi'an Jiaotong University
  • HONG HUA YANXi'an Jiaotong University
  • Duolao WangUniversity of London; London School of Hygiene & Tropical Medicine
  • Yin‐Ping ZhangXi'an Jiaotong University

Abstract

Aim

This paper is a report of a clinical trial of the effects of music therapy on anxiety of female breast cancer patients following radical mastectomy.

Background

There is insufficient evidence on the effects of music therapy on state anxiety of breast cancer patients following radical mastectomy.

Methods

A Hall's Core, Care, and Cure Model-based clinical trial was conducted in 120 female breast cancer patients from March to November 2009. A randomized controlled design was utilized. The patients were randomly allocated to the experimental group (n = 60) received music therapy in addition to routine nursing care, and the control group (n = 60) only received routine nursing care. A standardized questionnaire and the State Anxiety Inventory were applied. The primary endpoint was the state anxiety score measured at pretest (on the day before radical mastectomy) and at three post-tests (on the day before patients were discharged from hospital, the second and third time of admission to hospital for chemotherapy respectively).

Results

The pretest score revealed that the majority of the patients had a moderate level (77·5%) and 15% had severe level of state anxiety. The repeated-measure ancova model analysis indicated that the mean state anxiety score was significantly lower in the experimental group than those in the control group at each of the three post-test measurements. The mean difference between the experimental and control group together with 95% confidence intervals were -4·57 (-6·33, -2·82), -8·91 (-10·75, -7·08) and -9·69 (-11·52, -7·85) at the 1st post-test, 2nd post-test and 3rd post-test respectively.

Conclusion

Music therapy is found to have positive effects on decreasing state anxiety score.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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