按摩及音樂治療於成人慢性癌痛之實證臨床照護指引發展

Background: Chronic pain is a common symptom and discomfort of adult patients with cancer and would affect patients' physical, psychological and quality of life. Non-pharmacological adjuvant interventions such as massage or music have been often sought and inquired. Purpose: The aim of the paper was to scrutinize the evidences and to establish clinical guideline recommendations on the use of massage and music therapies for adult patients with chronic cancer-related pain. Methods: A panel group of members from a teaching-based hospital evidence research center was formed. Using the keywords group "cancer pain"、"massage" and "music therapy" to comprehensive search from Embase、Cochrane、CINAHL、PubMed、Web of Science、PsycINFO、CEPS databases to systematically synthesis the efficacy of massage and music therapies along with using GRADE tool for evaluating the level of evidence and their clinical recommendations for this population. To reach the consensus on the strength of evidence level, our working group initiates discussions on the appropriateness, level of evidence, clinical gains and losses, value and resources of the recommended content. Results: A total of 11 articles of massage therapy and 7 articles of music therapy included for review; the overall recommended levels included 2A, 1B, and 2B. Conclusions/Implications for Practice: Massage and music therapy seem to be safe for adult patients in terms of relieving chronic cancer-related pain and the authors recommended them could be considered as auxiliary supportive therapies.