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Final presetentation

วันนี้...เป็นวันชิงชัย ต้องเข้าสู่สนามรบอย่างแท้จริง หลังจากอบรม Short course Biostatistic ครบ 4 เดือน ถึงเวลาจะนำเสนอโครงร่างวิจัยเสียที

วันที่ 26 พฤศจิกายน 2551 เวลา ก่อนเที่ยง นำเสนอ 15 นาที ให้ External evaluator ถามอีก 20 นาที พร้อมแล้วที่จะลงสนามรบแล้วค่ะ

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นำ Abstract มาให้ชมก่อนนะคะ

Preferred music therapy for anxiety and pain reduction in cancer patients: a randomized controlled trial.

Ubol Juangpanich, RN,APN,MSN

Abstract

Background: Overall prevalence of cancer pain prior to admission was 56.5%; in Srinagarind hospital. Cancer pain, or cancer-related pain, is strongly associated with a poor quality of life. Non-pharmacological interventions are widely used for pain control. The study found that music can decrease cancer painand anxiety. The advantage of music is safety, low course and ease of provision. However, few researches have been done to evaluate the effect of music therapy on anxiety and pain management in cancer patients

Objective: To compare pain score and anxiety score between the cancer patients receiving music therapy and no music therapy and determine the preferred music therapy on satisfactions in cancer patients who experience pain.

Design : a randomized controlled trail, experimental design.

Outcome measures: Pain, anxiety and satisfaction.

Methods: The cancer patients based on the inclusion criteria, experience of cancer related pain and pain score ≥ 4 (moderated pain), admitted at least 3 days, receiving a schedule of pain medication, age of 18 years or more, ability to understand and speak Thai, full consciousness, adequate hearing, preference to listening to music. All 112 subjects are randomly assigned to receive either music therapy (n=56) or no music therapy (n=56). This study will be used block randomization; allocation sequence will be generated by computer. Based on the obtained schedule, the number of sealed envelopes, the people, who prepare the randomized scheme, will not involve in the trial. The allocation schedule will be concealed until the end of trial. The sequence list will keep confidentially and not exposed to outcome assessors. Data are collected at chemotherapy ward Srinagarind Hospital Faculty of Medicine Khon Kaen University. The investigator will be explained the study objectives and then in the experimental group, will be selected preferences music. The patients listened to their chosen music through headphones for 30 minutes in the morning and evening for 2 days a total of four sessions. Demographic data and music preference data will be collected after the patients had agreed to participate in the study. The STAI Form X-1 will be completed before the first music therapy session and after the last music therapy session. Satisfaction for using music therapy questionnaire will be completed after the last music therapy session. VAS will be completed after listening music therapy 5 minutes in the evening for 2 days. In the control group, the patients received the same procedure lying down 30 minutes, except they did not receive music via headphones; the same instruments except satisfaction for using music therapy questionnaire.

Data analysis: The demographic data for category data, we will be reported by descriptive statistics: range, frequency, percentage. For continuing data, we will be used: mean, and standard deviation. Primary outcome, Pain score and anxiety score, estimated measure difference between 2 groups and its 95% CI and p-value for each time by using ANCOVA.

Findings: .......I will be done after this study.

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