Shu-Chuan Chen1,2, Ming-Lee Yeh3, Hsiu-Ju Chang4, Mei-Feng Lin5. 1. School of Nursing and Midwifery, Griffith University, Nathan, Brisbane, Queensland, 4111, Australia. 2. Department of Nursing, National Tainan Junior College of Nursing, Tainan, Taiwan, Republic of China. 3. Department of Thanatology and Health Counseling, National Taipei University of Nursing and Health Science, No. 365, Ming-te Road, Peitou District, Taipei, 11219, Taiwan, Republic of China. 4. Department of Nursing, College of Nursing, Taipei Medical University, No.250, Wu-Hsing Street, Taipei, 110, Taiwan, Republic of China. 5. Department of Nursing, College of Medicine, National Cheng Kung University, No. 1, Tai-Hsueh Road, Tainan, 701, Taiwan, Republic of China. L30mf@mail.ncku.edu.tw.
Abstract
PURPOSE: This study aimed to explore the possible range of change of a single-session music intervention (SMI) on symptom clusters and neurological reactivity for women with breast cancer undergoing chemotherapy. METHODS: A parallel and randomized, controlled study with repeated measures design was used. A total of 100 women with breast cancer were randomly assigned to the SMI or a control group. The outcome measurements of symptom cluster were collected using the Multidimensional Fatigue Symptom Inventory, Pittsburgh Sleep Quality Index, the Hospital Anxiety and Depression Scale, and the neurological reactivity with heart rate variability at four time points: before commencement of the intervention (T0), immediately afterward (T1), 1 week later (T2), and 3 weeks after the intervention (T3). RESULTS: Of the 50 women in each group, 46 in the SMI and 48 in the control group completed the post-test at T3. Multivariate analysis of variance indicated that the SMI group had a medium effect in change of symptom clusters compared to the control group at T2. Moreover, after adjusting for baseline between normal and higher levels of sympathetic tone activity, significant differences existed in fatigue and depression at T2 and sleep disturbance at T3. CONCLUSIONS: A single-session music intervention can be effectively used to reduce symptom clusters for women with breast cancer. Targeting those who have a higher level of sympathetic tone activity is recommended.
PURPOSE: This study aimed to explore the possible range of change of a single-session music intervention (SMI) on symptom clusters and neurological reactivity for women with breast cancer undergoing chemotherapy. METHODS: A parallel and randomized, controlled study with repeated measures design was used. A total of 100 women with breast cancer were randomly assigned to the SMI or a control group. The outcome measurements of symptom cluster were collected using the Multidimensional Fatigue Symptom Inventory, Pittsburgh Sleep Quality Index, the Hospital Anxiety and Depression Scale, and the neurological reactivity with heart rate variability at four time points: before commencement of the intervention (T0), immediately afterward (T1), 1 week later (T2), and 3 weeks after the intervention (T3). RESULTS: Of the 50 women in each group, 46 in the SMI and 48 in the control group completed the post-test at T3. Multivariate analysis of variance indicated that the SMI group had a medium effect in change of symptom clusters compared to the control group at T2. Moreover, after adjusting for baseline between normal and higher levels of sympathetic tone activity, significant differences existed in fatigue and depression at T2 and sleep disturbance at T3. CONCLUSIONS: A single-session music intervention can be effectively used to reduce symptom clusters for women with breast cancer. Targeting those who have a higher level of sympathetic tone activity is recommended.
Entities:
Keywords:
Anxiety; Breast cancer; Depression; Fatigue; Sleep; Sympathetic tone activity
Authors: Carmen Ward Sullivan; Heather Leutwyler; Laura B Dunn; Bruce A Cooper; Steven M Paul; Yvette P Conley; Jon D Levine; Christine A Miaskowski Journal: Eur J Oncol Nurs Date: 2017-04-26 Impact factor: 2.398
Authors: Samith Sandadi; Heidi E Frasure; Meredith J Broderick; Steven E Waggoner; Jacqualin A Miller; Vivian E von Gruenigen Journal: Gynecol Oncol Date: 2011-11 Impact factor: 5.482
Authors: Hsiu F Tsai; Ying R Chen; Min H Chung; Yuan M Liao; Mei J Chi; Chia C Chang; Kuei R Chou Journal: Cancer Nurs Date: 2014 Nov-Dec Impact factor: 2.592