• Возможности музыкальной терапии в паллиативной медицине

Возможности музыкальной терапии в паллиативной медицине

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

Березуцкий В. И., Березуцкая М. С.
ГУ «Днепропетровская медицинская академия», г. Днепр, Украина
Днепропетровская академия музыки им. М. Глинки, г. Днепр, Украина

Представлен обзор научных исследований о применении музыкальной терапии в комплексном паллиативном лечении, опубликованных за последние пять лет. Поиск источников литературы проводился в наукометрических базах Scopus, Web of Science и PubMed. Анализ показывает, что возможности фармакотерапии в лечении пациентов хосписных отделений существенно ограничены из-за недостаточной эффективности, частых побочных эффектов и противопоказаний. Поскольку основные механизмы влияния музыки на организм человека реализуются через эмоциональное состояние и нервную систему, она все чаще служит объектом исследования в паллиативной медицине. Экспериментальные исследования демонстрируют эффективность и безопасность музыкальной терапии в качестве средства контроля психоэмоционального состояния. Доказана способность музыкальной терапии подавлять патологические адренергические влияния, что способствует стабилизации гемодинамики и снижает потребность миокарда в кислороде. Релаксирующий, седативный и обезболивающий эффект музыки позволяет уменьшать дозировки психотропных и болеутоляющих препаратов для тяжелых больных. Накопленный позитивный опыт применения музыкальной терапии при самой разнообразных нозологических формах заболеваний позволяет считать, что метод обладает огромным потенциалом и заслуживает самого широкого применения в работе учреждений паллиативной помощи практического здравоохранения.
Ключевые слова: музыкальная терапия, паллиативная медицина.

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