The efficacy of music therapy to relieve pain, anxiety, and promote sleep quality, in patients with small cell lung cancer receiving platinum-based chemotherapy
Purpose Chemotherapy induces a range of physical and psychological symptoms, including pain, sleep disorders, fatigue, and anxiety. We aimed to assess the efficacy of six-step music therapy in relieving pain and anxiety and improving sleep quality in lung cancer patients receiving platinum-based che...
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| Published in | Supportive care in cancer Vol. 29; no. 12; pp. 7299 - 7306 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.12.2021
Springer Springer Nature B.V |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0941-4355 1433-7339 1433-7339 |
| DOI | 10.1007/s00520-021-06152-6 |
Cover
| Abstract | Purpose
Chemotherapy induces a range of physical and psychological symptoms, including pain, sleep disorders, fatigue, and anxiety. We aimed to assess the efficacy of six-step music therapy in relieving pain and anxiety and improving sleep quality in lung cancer patients receiving platinum-based chemotherapy.
Methods
Between March 2013 and October 2015, we enrolled a total of 100 patients who were diagnosed with small cell lung cancer and scheduled for platinum-based chemotherapy. Patients were randomly assigned to two groups: the music therapy group (received six-step music therapy,
n
=50) and the control group (not received six-step music therapy,
n
=50). The anxiety, pain, and sleep quality of all patients were assessed using the self-rating anxiety scale (SAS), the visual analogue scale (VAS), and the Pittsburgh Sleep Quality Index (PSQI), respectively.
Results
There were no significant differences in the demographic characteristics and music background between the two groups. The SAS and VAS scores in the two groups were not statistically different before chemotherapy. However, patients in the music therapy group showed significantly lower SAS and VAS scores compared with the control group at both 1 day and 5 days after chemotherapy. (SAS score at 1-day post-therapy, 49.48±2.14 vs 61.46±8.8,
P
=0.011; SAS score at 5-day post-therapy, 39.73±1.79 vs 62.02±8.83,
P
=0.005; VAS score at 1-day post-therapy, 2.14±0.78 vs 4.74±1.01,
P
=0.005; VAS score at 5-day post-therapy, 2.06±0.79 vs 4.74±1.08,
P
=0.004). In addition, the total PSQI score of patients who received music therapy was also significantly higher than that of the control group after therapy (total PSQI score at 1-day post-therapy, 8.50±1.69 vs 17.81±3.01,
P
=0.006; total PSQI score at 5-day post-chemotherapy, 9.84±3.02
vs
18.66±2.91,
P
=0.012).
Conclusion
The music therapy was an effective approach in alleviating pain and anxiety and promoting sleep quality in lung cancer patients receiving platinum-based chemotherapy.
Trial registration
Chinese Clinical Trial Registry (registration number: ChiCTR-TRC-13003993) |
|---|---|
| AbstractList | Purpose
Chemotherapy induces a range of physical and psychological symptoms, including pain, sleep disorders, fatigue, and anxiety. We aimed to assess the efficacy of six-step music therapy in relieving pain and anxiety and improving sleep quality in lung cancer patients receiving platinum-based chemotherapy.
Methods
Between March 2013 and October 2015, we enrolled a total of 100 patients who were diagnosed with small cell lung cancer and scheduled for platinum-based chemotherapy. Patients were randomly assigned to two groups: the music therapy group (received six-step music therapy,
n
=50) and the control group (not received six-step music therapy,
n
=50). The anxiety, pain, and sleep quality of all patients were assessed using the self-rating anxiety scale (SAS), the visual analogue scale (VAS), and the Pittsburgh Sleep Quality Index (PSQI), respectively.
Results
There were no significant differences in the demographic characteristics and music background between the two groups. The SAS and VAS scores in the two groups were not statistically different before chemotherapy. However, patients in the music therapy group showed significantly lower SAS and VAS scores compared with the control group at both 1 day and 5 days after chemotherapy. (SAS score at 1-day post-therapy, 49.48±2.14 vs 61.46±8.8,
P
=0.011; SAS score at 5-day post-therapy, 39.73±1.79 vs 62.02±8.83,
P
=0.005; VAS score at 1-day post-therapy, 2.14±0.78 vs 4.74±1.01,
P
=0.005; VAS score at 5-day post-therapy, 2.06±0.79 vs 4.74±1.08,
P
=0.004). In addition, the total PSQI score of patients who received music therapy was also significantly higher than that of the control group after therapy (total PSQI score at 1-day post-therapy, 8.50±1.69 vs 17.81±3.01,
P
=0.006; total PSQI score at 5-day post-chemotherapy, 9.84±3.02
vs
18.66±2.91,
P
=0.012).
Conclusion
The music therapy was an effective approach in alleviating pain and anxiety and promoting sleep quality in lung cancer patients receiving platinum-based chemotherapy.
Trial registration
Chinese Clinical Trial Registry (registration number: ChiCTR-TRC-13003993) PurposeChemotherapy induces a range of physical and psychological symptoms, including pain, sleep disorders, fatigue, and anxiety. We aimed to assess the efficacy of six-step music therapy in relieving pain and anxiety and improving sleep quality in lung cancer patients receiving platinum-based chemotherapy.MethodsBetween March 2013 and October 2015, we enrolled a total of 100 patients who were diagnosed with small cell lung cancer and scheduled for platinum-based chemotherapy. Patients were randomly assigned to two groups: the music therapy group (received six-step music therapy, n=50) and the control group (not received six-step music therapy, n=50). The anxiety, pain, and sleep quality of all patients were assessed using the self-rating anxiety scale (SAS), the visual analogue scale (VAS), and the Pittsburgh Sleep Quality Index (PSQI), respectively.ResultsThere were no significant differences in the demographic characteristics and music background between the two groups. The SAS and VAS scores in the two groups were not statistically different before chemotherapy. However, patients in the music therapy group showed significantly lower SAS and VAS scores compared with the control group at both 1 day and 5 days after chemotherapy. (SAS score at 1-day post-therapy, 49.48±2.14 vs 61.46±8.8, P=0.011; SAS score at 5-day post-therapy, 39.73±1.79 vs 62.02±8.83, P=0.005; VAS score at 1-day post-therapy, 2.14±0.78 vs 4.74±1.01, P=0.005; VAS score at 5-day post-therapy, 2.06±0.79 vs 4.74±1.08, P=0.004). In addition, the total PSQI score of patients who received music therapy was also significantly higher than that of the control group after therapy (total PSQI score at 1-day post-therapy, 8.50±1.69 vs 17.81±3.01, P=0.006; total PSQI score at 5-day post-chemotherapy, 9.84±3.02 vs 18.66±2.91, P=0.012).ConclusionThe music therapy was an effective approach in alleviating pain and anxiety and promoting sleep quality in lung cancer patients receiving platinum-based chemotherapy.Trial registrationChinese Clinical Trial Registry (registration number: ChiCTR-TRC-13003993) Chemotherapy induces a range of physical and psychological symptoms, including pain, sleep disorders, fatigue, and anxiety. We aimed to assess the efficacy of six-step music therapy in relieving pain and anxiety and improving sleep quality in lung cancer patients receiving platinum-based chemotherapy.PURPOSEChemotherapy induces a range of physical and psychological symptoms, including pain, sleep disorders, fatigue, and anxiety. We aimed to assess the efficacy of six-step music therapy in relieving pain and anxiety and improving sleep quality in lung cancer patients receiving platinum-based chemotherapy.Between March 2013 and October 2015, we enrolled a total of 100 patients who were diagnosed with small cell lung cancer and scheduled for platinum-based chemotherapy. Patients were randomly assigned to two groups: the music therapy group (received six-step music therapy, n=50) and the control group (not received six-step music therapy, n=50). The anxiety, pain, and sleep quality of all patients were assessed using the self-rating anxiety scale (SAS), the visual analogue scale (VAS), and the Pittsburgh Sleep Quality Index (PSQI), respectively.METHODSBetween March 2013 and October 2015, we enrolled a total of 100 patients who were diagnosed with small cell lung cancer and scheduled for platinum-based chemotherapy. Patients were randomly assigned to two groups: the music therapy group (received six-step music therapy, n=50) and the control group (not received six-step music therapy, n=50). The anxiety, pain, and sleep quality of all patients were assessed using the self-rating anxiety scale (SAS), the visual analogue scale (VAS), and the Pittsburgh Sleep Quality Index (PSQI), respectively.There were no significant differences in the demographic characteristics and music background between the two groups. The SAS and VAS scores in the two groups were not statistically different before chemotherapy. However, patients in the music therapy group showed significantly lower SAS and VAS scores compared with the control group at both 1 day and 5 days after chemotherapy. (SAS score at 1-day post-therapy, 49.48±2.14 vs 61.46±8.8, P=0.011; SAS score at 5-day post-therapy, 39.73±1.79 vs 62.02±8.83, P=0.005; VAS score at 1-day post-therapy, 2.14±0.78 vs 4.74±1.01, P=0.005; VAS score at 5-day post-therapy, 2.06±0.79 vs 4.74±1.08, P=0.004). In addition, the total PSQI score of patients who received music therapy was also significantly higher than that of the control group after therapy (total PSQI score at 1-day post-therapy, 8.50±1.69 vs 17.81±3.01, P=0.006; total PSQI score at 5-day post-chemotherapy, 9.84±3.02 vs 18.66±2.91, P=0.012).RESULTSThere were no significant differences in the demographic characteristics and music background between the two groups. The SAS and VAS scores in the two groups were not statistically different before chemotherapy. However, patients in the music therapy group showed significantly lower SAS and VAS scores compared with the control group at both 1 day and 5 days after chemotherapy. (SAS score at 1-day post-therapy, 49.48±2.14 vs 61.46±8.8, P=0.011; SAS score at 5-day post-therapy, 39.73±1.79 vs 62.02±8.83, P=0.005; VAS score at 1-day post-therapy, 2.14±0.78 vs 4.74±1.01, P=0.005; VAS score at 5-day post-therapy, 2.06±0.79 vs 4.74±1.08, P=0.004). In addition, the total PSQI score of patients who received music therapy was also significantly higher than that of the control group after therapy (total PSQI score at 1-day post-therapy, 8.50±1.69 vs 17.81±3.01, P=0.006; total PSQI score at 5-day post-chemotherapy, 9.84±3.02 vs 18.66±2.91, P=0.012).The music therapy was an effective approach in alleviating pain and anxiety and promoting sleep quality in lung cancer patients receiving platinum-based chemotherapy.CONCLUSIONThe music therapy was an effective approach in alleviating pain and anxiety and promoting sleep quality in lung cancer patients receiving platinum-based chemotherapy.Chinese Clinical Trial Registry (registration number: ChiCTR-TRC-13003993).TRIAL REGISTRATIONChinese Clinical Trial Registry (registration number: ChiCTR-TRC-13003993). Purpose Chemotherapy induces a range of physical and psychological symptoms, including pain, sleep disorders, fatigue, and anxiety. We aimed to assess the efficacy of six-step music therapy in relieving pain and anxiety and improving sleep quality in lung cancer patients receiving platinum-based chemotherapy. Methods Between March 2013 and October 2015, we enrolled a total of 100 patients who were diagnosed with small cell lung cancer and scheduled for platinum-based chemotherapy. Patients were randomly assigned to two groups: the music therapy group (received six-step music therapy, n=50) and the control group (not received six-step music therapy, n=50). The anxiety, pain, and sleep quality of all patients were assessed using the self-rating anxiety scale (SAS), the visual analogue scale (VAS), and the Pittsburgh Sleep Quality Index (PSQI), respectively. Results There were no significant differences in the demographic characteristics and music background between the two groups. The SAS and VAS scores in the two groups were not statistically different before chemotherapy. However, patients in the music therapy group showed significantly lower SAS and VAS scores compared with the control group at both 1 day and 5 days after chemotherapy. (SAS score at 1-day post-therapy, 49.48±2.14 vs 61.46±8.8, P=0.011; SAS score at 5-day post-therapy, 39.73±1.79 vs 62.02±8.83, P=0.005; VAS score at 1-day post-therapy, 2.14±0.78 vs 4.74±1.01, P=0.005; VAS score at 5-day post-therapy, 2.06±0.79 vs 4.74±1.08, P=0.004). In addition, the total PSQI score of patients who received music therapy was also significantly higher than that of the control group after therapy (total PSQI score at 1-day post-therapy, 8.50±1.69 vs 17.81±3.01, P=0.006; total PSQI score at 5-day post-chemotherapy, 9.84±3.02 vs 18.66±2.91, P=0.012). Conclusion The music therapy was an effective approach in alleviating pain and anxiety and promoting sleep quality in lung cancer patients receiving platinum-based chemotherapy. Trial registration Chinese Clinical Trial Registry (registration number: ChiCTR-TRC-13003993) Chemotherapy induces a range of physical and psychological symptoms, including pain, sleep disorders, fatigue, and anxiety. We aimed to assess the efficacy of six-step music therapy in relieving pain and anxiety and improving sleep quality in lung cancer patients receiving platinum-based chemotherapy. Between March 2013 and October 2015, we enrolled a total of 100 patients who were diagnosed with small cell lung cancer and scheduled for platinum-based chemotherapy. Patients were randomly assigned to two groups: the music therapy group (received six-step music therapy, n=50) and the control group (not received six-step music therapy, n=50). The anxiety, pain, and sleep quality of all patients were assessed using the self-rating anxiety scale (SAS), the visual analogue scale (VAS), and the Pittsburgh Sleep Quality Index (PSQI), respectively. There were no significant differences in the demographic characteristics and music background between the two groups. The SAS and VAS scores in the two groups were not statistically different before chemotherapy. However, patients in the music therapy group showed significantly lower SAS and VAS scores compared with the control group at both 1 day and 5 days after chemotherapy. (SAS score at 1-day post-therapy, 49.48±2.14 vs 61.46±8.8, P=0.011; SAS score at 5-day post-therapy, 39.73±1.79 vs 62.02±8.83, P=0.005; VAS score at 1-day post-therapy, 2.14±0.78 vs 4.74±1.01, P=0.005; VAS score at 5-day post-therapy, 2.06±0.79 vs 4.74±1.08, P=0.004). In addition, the total PSQI score of patients who received music therapy was also significantly higher than that of the control group after therapy (total PSQI score at 1-day post-therapy, 8.50±1.69 vs 17.81±3.01, P=0.006; total PSQI score at 5-day post-chemotherapy, 9.84±3.02 vs 18.66±2.91, P=0.012). The music therapy was an effective approach in alleviating pain and anxiety and promoting sleep quality in lung cancer patients receiving platinum-based chemotherapy. |
| Audience | Academic |
| Author | Yang, Nong Wang, Yichun Tang, Haoke Chen, Liping Zhang, Yongchang Yang, Ning |
| Author_xml | – sequence: 1 givenname: Haoke surname: Tang fullname: Tang, Haoke organization: Music Therapist of Department of Nursing, The Third Affiliated Hospital of Guangzhou Medical University – sequence: 2 givenname: Liping surname: Chen fullname: Chen, Liping organization: Department of Nursing, The Third Affiliated Hospital of Guangzhou Medical University – sequence: 3 givenname: Yichun surname: Wang fullname: Wang, Yichun organization: Department of Critical Care Medicine, The Third Affiliated Hospital of Guangzhou Medical University – sequence: 4 givenname: Yongchang surname: Zhang fullname: Zhang, Yongchang organization: Department of Lung Cancer and Gastroenterology, Hunan Cancer Hospital – sequence: 5 givenname: Nong surname: Yang fullname: Yang, Nong organization: Department of Lung Cancer and Gastroenterology, Hunan Cancer Hospital – sequence: 6 givenname: Ning orcidid: 0000-0002-7905-4110 surname: Yang fullname: Yang, Ning email: yangning10029@163.com organization: Department of Neurology, The Third Affiliated Hospital of Guangzhou Medical University |
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| ContentType | Journal Article |
| Copyright | The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021 COPYRIGHT 2021 Springer The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021. 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. |
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| Issue | 12 |
| Keywords | Sleep quality Chemotherapy Small cell lung cancer Six-step music therapy Anxiety Pain |
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| PublicationTitle | Supportive care in cancer |
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| References | Osthus, Aarstad, Olofsson, Aarstad (CR14) 2011; 36 Arruda, Garcia, Garcia (CR2) 2016; 19 Kordovan, Preissler, Kamphausen, Bokemeyer, Oechsle (CR11) 2016; 19 CR19 CR16 CR15 Wintner, Giesinger, Zabernigg, Sztankay, Meraner, Pall, Hilbe, Holzner (CR25) 2013; 109 CR13 Iwase, Kawaguchi, Tokoro, Yamada, Kanai, Matsuda, Kashiwaya, Okuma, Inada, Ariyoshi, Miyaji, Azuma, Ishiki, Unezaki, Yamaguchi (CR7) 2015; 10 Wang, Fu (CR23) 2014; 14 Zung (CR26) 1971; 12 King (CR10) 1997; 24 Archie, Bruera, Cohen (CR1) 2013; 21 CR3 Potvin, Bradt, Kesslick (CR17) 2015; 52 CR5 Karagozoglu, Tekyasar, Yilmaz (CR9) 2013; 22 Lai, Li, Lee (CR12) 2012; 21 Stanczyk (CR22) 2011; 16 CR24 CR20 Kangas, Bovbjerg, Montgomery (CR8) 2008; 134 Ferrer (CR6) 2007; 44 Dupuis, Robinson, Boodhan, Holdsworth, Portwine, Gibson, Phillips, Maan, Stefin, Sung (CR4) 2014; 61 Robb (CR18) 2000; 37 Simmons, Macleod, Laird (CR21) 2012; 6 6152_CR19 6152_CR16 AA Osthus (6152_CR14) 2011; 36 6152_CR15 MM Stanczyk (6152_CR22) 2011; 16 6152_CR13 D Wang (6152_CR23) 2014; 14 S Kordovan (6152_CR11) 2016; 19 6152_CR5 6152_CR3 SL Robb (6152_CR18) 2000; 37 N Potvin (6152_CR17) 2015; 52 HL Lai (6152_CR12) 2012; 21 S Karagozoglu (6152_CR9) 2013; 22 LM Wintner (6152_CR25) 2013; 109 AJ Ferrer (6152_CR6) 2007; 44 6152_CR24 S Iwase (6152_CR7) 2015; 10 6152_CR20 P Archie (6152_CR1) 2013; 21 WW Zung (6152_CR26) 1971; 12 LL Dupuis (6152_CR4) 2014; 61 CP Simmons (6152_CR21) 2012; 6 MA Arruda (6152_CR2) 2016; 19 M Kangas (6152_CR8) 2008; 134 CR King (6152_CR10) 1997; 24 |
| References_xml | – volume: 36 start-page: 361 year: 2011 end-page: 368 ident: CR14 article-title: Health-related quality of life scores in long-term head and neck cancer survivors predict subsequent survival: a prospective cohort study publication-title: Clin Otolaryngol doi: 10.1111/j.1749-4486.2011.02342.x – volume: 37 start-page: 2 year: 2000 end-page: 21 ident: CR18 article-title: Music assisted progressive muscle relaxation, progressive muscle relaxation, music listening, and silence: a comparison of relaxation techniques publication-title: J Music Ther doi: 10.1093/jmt/37.1.2 – volume: 19 start-page: 943 year: 2016 end-page: 948 ident: CR2 article-title: Evaluation of the effects of music and poetry in oncologic pain relief: a randomized clinical trial publication-title: J Palliat Med doi: 10.1089/jpm.2015.0528 – ident: CR16 – volume: 19 start-page: 394 year: 2016 end-page: 399 ident: CR11 article-title: Prospective study on music therapy in terminally ill cancer patients during specialized inpatient palliative care publication-title: J Palliat Med doi: 10.1089/jpm.2015.0384 – volume: 109 start-page: 2301 year: 2013 end-page: 2308 ident: CR25 article-title: Quality of life during chemotherapy in lung cancer patients: results across different treatment lines publication-title: Br J Cancer doi: 10.1038/bjc.2013.585 – volume: 61 start-page: 1506 year: 2014 end-page: 1512 ident: CR4 article-title: Guideline for the prevention and treatment of anticipatory nausea and vomiting due to chemotherapy in pediatric cancer patients publication-title: Pediatr Blood Cancer doi: 10.1002/pbc.25063 – volume: 22 start-page: 39 year: 2013 end-page: 50 ident: CR9 article-title: Effects of music therapy and guided visual imagery on chemotherapy-induced anxiety and nausea-vomiting publication-title: J Clin Nurs doi: 10.1111/jocn.12030 – volume: 24 start-page: 41 year: 1997 end-page: 48 ident: CR10 article-title: Nonpharmacologic management of chemotherapy-induced nausea and vomiting publication-title: Oncol Nurs Forum – ident: CR19 – volume: 134 start-page: 700 year: 2008 end-page: 741 ident: CR8 article-title: Cancer-related fatigue: a systematic and meta-analytic review of non-pharmacological therapies for cancer patients publication-title: Psychol Bull doi: 10.1037/a0012825 – volume: 21 start-page: 745 year: 2012 end-page: 756 ident: CR12 article-title: Effects of music intervention with nursing presence and recorded music on psycho-physiological indices of cancer patient caregivers publication-title: J Clin Nurs doi: 10.1111/j.1365-2702.2011.03916.x – ident: CR3 – ident: CR15 – volume: 10 start-page: e0134022 year: 2015 ident: CR7 article-title: Assessment of cancer-related fatigue, pain, and quality of life in cancer patients at palliative care team referral: a multicenter observational study (JORTC PAL-09) publication-title: PLoS One doi: 10.1371/journal.pone.0134022 – volume: 21 start-page: 2609 year: 2013 end-page: 2624 ident: CR1 article-title: Music-based interventions in palliative cancer care: a review of quantitative studies and neurobiological literature publication-title: Support Care Cancer doi: 10.1007/s00520-013-1841-4 – ident: CR13 – volume: 16 start-page: 170 year: 2011 end-page: 172 ident: CR22 article-title: Music therapy in supportive cancer care publication-title: Rep Pract Oncol Radiother doi: 10.1016/j.rpor.2011.04.005 – ident: CR5 – volume: 14 start-page: 49 year: 2014 end-page: 55 ident: CR23 article-title: Symptom clusters and quality of life in China patients with lung cancer undergoing chemotherapy publication-title: Afr Health Sci doi: 10.4314/ahs.v14i1.8 – volume: 12 start-page: 371 year: 1971 end-page: 379 ident: CR26 article-title: A rating instrument for anxiety disorders publication-title: Psychosomatics doi: 10.1016/S0033-3182(71)71479-0 – ident: CR24 – volume: 52 start-page: 135 year: 2015 end-page: 167 ident: CR17 article-title: Expanding perspective on music therapy for symptom management in cancer care publication-title: J Music Ther doi: 10.1093/jmt/thu056 – volume: 44 start-page: 242 year: 2007 end-page: 255 ident: CR6 article-title: The effect of live music on decreasing anxiety in patients undergoing chemotherapy treatment publication-title: J Music Ther doi: 10.1093/jmt/44.3.242 – ident: CR20 – volume: 6 start-page: 331 year: 2012 end-page: 346 ident: CR21 article-title: Clinical management of pain in advanced lung cancer publication-title: Clin Med Insights Oncol doi: 10.4137/CMO.S8360 – volume: 61 start-page: 1506 year: 2014 ident: 6152_CR4 publication-title: Pediatr Blood Cancer doi: 10.1002/pbc.25063 – volume: 22 start-page: 39 year: 2013 ident: 6152_CR9 publication-title: J Clin Nurs doi: 10.1111/jocn.12030 – volume: 21 start-page: 745 year: 2012 ident: 6152_CR12 publication-title: J Clin Nurs doi: 10.1111/j.1365-2702.2011.03916.x – ident: 6152_CR15 doi: 10.1097/PPO.0000000000000064 – volume: 44 start-page: 242 year: 2007 ident: 6152_CR6 publication-title: J Music Ther doi: 10.1093/jmt/44.3.242 – ident: 6152_CR13 doi: 10.3390/healthcare4030053 – ident: 6152_CR16 doi: 10.1093/jmt/49.1.45 – volume: 36 start-page: 361 year: 2011 ident: 6152_CR14 publication-title: Clin Otolaryngol doi: 10.1111/j.1749-4486.2011.02342.x – ident: 6152_CR3 doi: 10.1002/14651858.CD006911.pub3 – volume: 37 start-page: 2 year: 2000 ident: 6152_CR18 publication-title: J Music Ther doi: 10.1093/jmt/37.1.2 – ident: 6152_CR24 doi: 10.1089/acm.2014.0310 – volume: 19 start-page: 943 year: 2016 ident: 6152_CR2 publication-title: J Palliat Med doi: 10.1089/jpm.2015.0528 – volume: 19 start-page: 394 year: 2016 ident: 6152_CR11 publication-title: J Palliat Med doi: 10.1089/jpm.2015.0384 – ident: 6152_CR20 doi: 10.1590/0034-7167.2014670420 – volume: 16 start-page: 170 year: 2011 ident: 6152_CR22 publication-title: Rep Pract Oncol Radiother doi: 10.1016/j.rpor.2011.04.005 – volume: 10 start-page: e0134022 year: 2015 ident: 6152_CR7 publication-title: PLoS One doi: 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| SubjectTerms | Anxiety Cancer Care and treatment Chemotherapy Health aspects Lung cancer Lung cancer, Small cell Medical research Medicine Medicine & Public Health Medicine, Experimental Music therapy Nursing Nursing Research Oncology Original Article Pain Pain Medicine Rehabilitation Medicine Sleep Sleep disorders |
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| Title | The efficacy of music therapy to relieve pain, anxiety, and promote sleep quality, in patients with small cell lung cancer receiving platinum-based chemotherapy |
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