The Effect Of The Music Relaxation Therapy On Anxiety And Adverse Reaction Of The Breast Cancer Patient After Modified Radical Mastectomy During The Chemotherapy

Background Breast cancer is a kind of systemic disease which is easily metastasizes through blood route.Recently the incidence of breast cancer is evidencing a gradual rise.Chemotherapy is a one of the routine regimens for the breast cancer patients after operation,which may retrieve the deficiency of operation and radiotherapy,and prevent cancer occurrence or metastasis.Breast cancer patient will experience a lot of adverse reactions on physiological function and psychological function during chemotherapy.A part of patients had to quit the treatment because of the side effects of chemotherapy.Therefore the purpose of this study is to identify the effects of the music relaxation therapy on anxiety and adverse reaction of the breast cancer patient after modified radical mastectomy during the chemotherapy.This study is significant in improving the quality of life and implementing holistic rehabilitative program for breast cancer patients after modified radical mastectomy.Objective To evaluate the effectiveness of the music relaxation therapy on anxiety and adverse reaction of the breast cancer patient after modified radical mastectomy during the chemotherapy.Methods 110 breast cancer patients were recruited from Breast Cancer Inpatients Units and then divided into intervention group and control group.There were no statistic differences in age,education,emmenia condition, pathologic types,and stages of cancer.Those in the intervention group received 2 chemotherapy cycle' s music relaxation therapy in addition routine care,while the control group received routine care only.The music relaxation therapy consisted of music therapy,progressive muscle relaxation and guided inner image.State Anxiety Inventory and the Rotterdam symptom checklist(RSCL) were administered before the 2^nd chemo-cycle and before the 3rd chemo-cycle.And the differences were compared using repeated measures ANOVA,MONOVA and Cochran-Mantel-Hansel Analysis. Results①There was trend of lower scores on the Rotterdam symptom checklist total score,physiological function score and psychological function score in intervention group than in control group(P＜0.05).It evident that there were statistical difference in the Rotterdam symptom checklist total score and physiological function score during 2follow-up(P＜0.05).It evident that there were statistical difference in the Rotterdam symptom checklist psychological function score during the 2^nd follow-up(P＜0.05).②No statistic difference was evidenced for the occurrence of the symptom of Lack of appetite,Lack of energy, nausea,Acid ingestion,Sore mouth,cough,during chemotherapy in the intervention group(P＞0.05).There were statistic differences in the above-mentioned symptom in the control group(P＜0.05).There was trend of increasing occurrence of the symptom in the control group.There were statistic differences for the occurrence of the above-mentioned symptom between groups(P＜0.05).③There was statistic difference for the occurrence of the symptom of the back pain during chemotherapy in the intervention group(P＜0.05).No statistic difference was evidenced for the occurrence of the symptom of the above-mentioned symptom in the control group(P＞0.05).There was statistic difference for the occurrence of the above-mentioned symptom between groups(P＜0.05).④There was no statistic difference for the occurrence of the symptom of the tension between groups(P＞0.05),However there was statistic difference for the occurrence of the symptom of the tension in the both group(P＜0.05),The trends of two groups are different.There was a lower tendency in the intervention group and an increasing tendency in the control group during chemotherapy.⑤There was trend of lower scores on the State Anxiety score in intervention group than in control group(P＜0.05).It evident that there were statistical difference in the State Anxiety score during 2 follow-up(P＜0.05).Conclusion Music Relaxation Therapy could alleviate chemotherapy related adverse reaction and anxious.Therefore Music Relaxation Therapy is a practical psychological behavioral intervention for the breast cancer patients after modified radical mastectomy during the chemotherapy.