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NURS FPX 8045 Assessment 4 Interpretation and Synthesis of Scholarly Sources

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Capella University

NURS-FPX 8045 Doctoral Writing and Professional Practice

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Interpretation and Synthesis of Scholarly Sources

The effective management of pain and its associated symptoms in cancer patients is a paramount concern in cancer pain management. Diverse approaches to pain management and control can enhance the overall well-being of cancer patients and their families. Pain not only leads to psychological and physical disorientation but also results in adverse effects such as sleep deprivation, fatigue, depression, anxiety, heightened irritability, and impaired cognitive function. Consequently, there is a need for research into the viability of alternative pain management methods to supplement or potentially replace conventional approaches. A crucial method in pain management is music therapy, which has been shown to contribute to improved pain management scores, reduced repression, and an enhanced quality of life for cancer patients.

Article Summary

Article 1: Music Therapy in the Psychosocial Treatment of Adult Cancer Patients: A Systematic Review and Meta-Analysis

The objective of this article was to synthesize evidence on the effectiveness of music therapy across various phases of oncological treatment. A pre-registered systematic review and meta-analysis were conducted, encompassing thirty studies that investigated music therapy among adult cancer patients. The results indicated an overall positive impact on various outcomes during curative treatment, including anxiety, depression, improved quality of life, reduced pain medication intake, enhanced spiritual well-being, and decreased stress. The meta-analysis demonstrated significant effects on psychological well-being, physical symptom distress, and overall quality of life. The authors concluded that music therapy could improve health outcomes and be integrated into different phases of cancer treatment.

Article 2: Effects of Mindfulness-Based Stress Reduction Combined With Music Therapy on Pain, Anxiety, and Sleep Quality in Patients with Osteosarcoma

This study aimed to assess the effects of combining music therapy with mindfulness-based stress reduction in patients with osteosarcoma. A total of 101 patients were enrolled and randomized into control and intervention groups. Eight sessions of combined mindfulness-based stress reduction and music therapy were administered to the intervention group, while the control group received no intervention. The results demonstrated a significant alleviation of psychological and physiological complications, including reduced pain and anxiety scores and improved sleep quality. The findings suggested that music therapy, when combined with other interventions, could enhance the quality of life for cancer patients.

Article 3: Effectiveness of Five-Element Music Therapy in Cancer Patients: A Systematic Review and Meta-Analysis

This article aimed to systematically evaluate the effectiveness of five-element music therapy on anxiety, quality of life, sleep, and depression in cancer patients. The study involved 22 studies with 2053 cancer patients. The meta-analysis revealed significant differences in relieving pain, improving sleep quality, and reducing depression. However, no significant difference was observed in alleviating anxiety. The authors concluded that five-element music therapy positively impacted the quality of life, sleep, pain, and depression in cancer patients.

Evidence Synthesis

Pain is a pervasive symptom in cancer patients, significantly affecting their physical, physiological, and psychological well-being. Music therapy has been advocated as an effective intervention to improve mood, reduce anxiety, and alleviate suffering among cancer patients. Music has a measurable impact on physiological parameters such as heart rate, respiration, and blood pressure, reducing the stress hormone cortisol and promoting relaxation. It serves as an adjunct intervention to enhance the quality of life and pain management for cancer patients, as evidenced by various scholarly sources.

Safety of Music Therapy

Music therapy is a safe form of intervention with several advantages over conventional pain management methods. Unlike pharmacological interventions that may involve injections, music therapy requires no invasive procedures, reducing the risk of infection and interference with circulatory and muscular systems. Additionally, music therapy eliminates the dangers associated with overdosing, erratic medication, underdosing, and drug abuse. It is a safe and appropriate intervention that complements other pain management approaches, ultimately improving the overall quality of life for cancer patients.

Conclusion

In conclusion, the quality of life for cancer patients is profoundly impacted by the intense pain associated with the disease. Music therapy emerges as a significant, safe, and effective intervention that can be readily administered and surpasses some conventional pain-relieving methods. It not only reduces pain but also addresses associated symptoms such as depression, stress, and anxiety. Future research should focus on integrating music therapy into oncology practices to fully harness its potential positive impact.

References

Köhler, F., Martin, Z. S., Hertrampf, R. S., Gäbel, C., Kessler, J., Ditzen, B., & Warth, M. (2020). Music therapy in the psychosocial treatment of adult cancer patients: a systematic review and meta-analysis. Frontiers in Psychology, 11, 651.

Liu, H., Gao, X., & Hou, Y. (2019). Effects of mindfulness-based stress reduction combined with music therapy on pain, anxiety, and sleep quality in patients with osteosarcoma. Brazilian Journal of Psychiatry, 41(6), 540-545. https://doi.org/10.1590/1516-4446-2018-0346

Yang, T., Wang, S., Wang, R., Wei, Y., Kang, Y., Liu, Y., & Zhang, C. (2021). Effectiveness of five-element music therapy in cancer patients: a systematic review and meta-analysis. Complementary Therapies in Clinical Practice, 44, 101416.

NURS FPX 8045 Assessment 4 Interpretation and Synthesis of Scholarly Sources