慢性透析患者への透析中の音楽療法の試み(芸術療法)(第32回日本心身医学会総会)

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It is not rare that the patients with chronic hemodialysis suffer from various physical symptoms such as muscle pain, lumbago, fatigue, and also from emotional instabilities while receiving hemosialysis. These symptoms are often developed becaurse of 4〜5 hour restriction by hemodialysis. The purpose of this report is to present the results of indicated music listening to reduce the above mentioned symptoms throughout the whole course of hemodialysis. Subjects : Indicated for 13 patients, 4 males, 9 females who have been visiting to receive hemodialysis 3 days a week at St.Luke's International Hospital, Tokyo, Japan. Their age distribution ranges from 32 year old to 76 year old. The mean age is 53.3. Their hemodialytic experiences are from 11 months to 14 years since the beginning. Methods : A special reclining chair or bed pad with stereo and vibration called Body Sonic System was indicated for every patient throughout the whole procedure. The variety of musics were chosen by individual patient from whatever she or he wants to listen and also the patients can switch on or off whatever music they want by themselves during the listening. The questionnaire was handed out to all patients to ask their hobby of music and their impression of the music listening. Results : All of 13 patients have a hobby of listening music in their daily life. Eight of the 13 patients answered that they felt more comfortable with music listening while in hemodialysis than before without music. Five of the 13 patients answered that the music listening reduced or decreased their physical symptoms such as lumbago, back pain and general malais develooped in himodialysis. Six of the 13 patients answered that the music listening helped to induce natural sleep while in hemodialysis. Eight of the 13 patients answered that they were able to listen music more comfortably with vibration than without vibration. In one case, a 58 year old male who showed emotional instability with multiple complaints through the previous hemodialytic process, revealed dramatic recovery soon after the indication of music listening while in hemodialysis. Music listening was helpful for the patient to ventilate his negative feeling in theis case. Conclusion : Music listening during hemodialytic procedure with or without vibration was tried in this report. Music listening may reduce physical symptoms or emotional discomfort develop while in hemodialysis. Music listening with vibration, body sonic, heops patient listen music more comfortably than without it.
日本心身医学会の論文
1992-02-01

慢性透析患者への透析中の音楽療法の試み(芸術療法)(第32回日本心身医学会総会)

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