Massage, Music, and Art Therapy in Hospice: Results of a National Survey.
Massage, Music, and Art Therapy in Hospice: Results of a National Survey.
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临终关怀中心的按摩、音乐和艺术治疗：全国调查结果。
DOI：
10.1016/j.jpainsymman.2014.11.295
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发表时间：
2015
影响因子：
4.7
通讯作者：
Aldridge,MelissaD
中科院分区：
文献类型：
--
作者：
Dain,AleksandraS;Bradley,ElizabethH;Hurzeler,Rosemary;Aldridge,MelissaD
补充和替代医学（CAM）为临终关怀患者提供临床益处，包括减轻疼痛和改善生活质量。然而，人们对美国收容所雇用CAM治疗师的程度知之甚少。目的报告最新的国家数据，包括艺术，按摩和音乐治疗师的临终关怀跨学科团队和CAM治疗师的人员配备不同的临终关怀的特点。方法2008年9月至2009年11月，对随机抽样的临终关怀机构（n=591;应答率为84%）进行全国横断面调查。结果29%的临终关怀机构（591个中的169个）报告雇用了艺术、按摩或音乐治疗师。在这些收容所中，74%的人雇用了按摩治疗师，53%的人雇用了音乐治疗师，22%的人雇用了艺术治疗师，42%的人希望治疗师参加跨学科的工作人员会议，这表明这些治疗师在病人的护理团队中发挥着重要作用。在调整后的分析中，较大的收容所与较小的收容所相比，雇用CAM治疗师的几率显著更高（调整后的比值比（AOR）= 6.38，95%CI 3.40，11.99），营利性收容所与非营利性收容所相比，雇用CAM治疗师的几率较低（AOR = 0.52，95%CI 0.32，0.85）。山区/太平洋地区44%的收容所报告雇用了CAM治疗师，而中南部地区为17%。不到三分之一的美国临终关怀机构雇用艺术、按摩或音乐治疗师，尽管这些服务可以为患者和家庭带来好处。山区/太平洋地区的大型收容所、非营利收容所和收容所雇用CAM治疗师的比例较高，表明获得这些重要服务的机会有差异。
Context Complementary and alternative medicine (CAM) provides clinical benefits to hospice patients, including decreased pain and improved quality of life. Yet little is known about the extent to which U.S. hospices employ CAM therapists. Objectives To report the most recent national data regarding the inclusion of art, massage, and music therapists on hospice interdisciplinary teams and how CAM therapist staffing varies by hospice characteristics. Methods A national cross-sectional survey of a random sample of hospices (n=591; 84% response rate) from September 2008 to November 2009. Results Twenty-nine percent of hospices (169 of 591) reported employing an art, massage, or music therapist. Of those hospices, 74% employed a massage therapist, 53% a music therapist, and 22% an art therapist, and 42% expected the therapist to attend interdisciplinary staff meetings, indicating a significant role for these therapists on the patient’s care team. In adjusted analyses, larger hospices compared with smaller hospices had significantly higher odds of employing a CAM therapist (adjusted odds ratio (AOR) = 6.38, 95% CI 3.40, 11.99) and forprofit hospices had lower odds of employing a CAM therapist compared with nonprofit hospices (AOR = 0.52, 95% CI 0.32, 0.85). Forty-four percent of hospices in the Mountain/Pacific region reported employing a CAM therapist versus 17% in the South Central region. Conclusion Less than one-third of U.S. hospices employ art, massage, or music therapists despite the benefits these services may provide to patients and families. A higher proportion of large hospices, nonprofit hospices and hospices in the Mountain/Pacific region employ CAM therapists, indicating differential access to these important services.
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