• Можливості музичної терапії у паліативній медицині

Можливості музичної терапії у паліативній медицині

INTERNATIONAL JOURNAL REHABLITATION AND PALLIATIVE MEDICINE.2017.1-2(5-6):108-114; doi 10.15574/IJRPM.2017.5-6.108

Березуцький В. І., Березуцька М. С.
ДУ «Дніпропетровська медична академія», м. Дніпро, Україна
Дніпропетровська академія музики ім. М. Глінки, м. Дніпро, Україна

Наведено огляд наукових досліджень щодо застосування музичної терапії у комплексному паліативному лікуванні, опублікованих в останні п`ять років. Пошук джерел літератури проводився у наукометричниї базах Scopus, Web of Science і PubMed. Аналіз показує, що можливості фармакотерапії у лікуванні пацієнтів хоспісних відділень істотно обмежені через недостатню ефективність, часті побічні ефекти і протипоказання. Оскільки основні механізми впливу музики на організм людини реалізуються через емоційний стан і нервову систему, вона все частіше служить об’єктом дослідження в паліативної медицині. Експериментальні дослідження демонструють ефективність і безпеку музичної терапії як засобу контролю психоемоційного стану. Доведено здатність музичної терапії пригнічувати патологічні адренергічні впливи, що сприяє стабілізації гемодинаміки і знижує потребу міокарда в кисні. Релаксуючий, седативний і знеболювальний ефект музики дозволяє зменшувати дозування психотропних і болезаспокійливих препаратів для важких хворих. Накопичений позитивний досвід застосування музичної терапії при різноманітних нозологічних формах захворювань дозволяє вважати, що метод має величезний потенціал і заслуговує найширшого застосування в роботі установ паліативної допомоги практичної охорони здоров’я.
Ключові слова: музикальна терапія, паліативна медицина.

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