Abstract:A cancer diagnosis is one of the most feared and serious life events that cause stress in individuals and families. Cancer disrupts social, physical and emotional well-being and results in a range of emotions, including anger, fear, sadness, guilt, embarrassment and shame. It may be also basic for planning effective programs of rehabilitation to promote wellness, improve physical and emotional well-being and the quality of life. Purpose of study was to assess the effectiveness music therapy on feeling of well being among experimental group.
Methods: Quasi-experimental research approach used in study, 60 samples selected 30 in control group and in experimental 30 samples selected according to convenient sampling technique in Chemotherapy ward of Krishna Hospital Karad. Structured checklist to collect demographic data used and modified Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) used to check well being of chemotherapy clients. The assessment of feeling of well being was done in both control group and experimental group. Consent was obtained from all subjects. Instrumental music was introduced to patient of experimental group and procedure was explained and they were asked to listen instrumental music, encouragement and support were given to these patient’s by the investigator during intervention for 1 hrs. Every patients feeling of well being was assessed before and after administering instrumental music and in control group and every patient was assessed for feeling of well being.
Results: Majority of clients 11 (36.66%) belongs to experimental group were within the age group of 55 – 69 years. whereas, 14 (46.67%) of clients from control group were within the age group of 39-54yrs 55–69 yrs. Both genders are equally distributed to experimental group i.e. 15 (50%) whereas, 17 (56.66%) of clients from control group were also female. Majority of clients 27 (90%) belongs to experimental group were belongs to Hindu religion, whereas, 26 (86.66%) of clients from control group were belongs to control. Majority of clients 15 (50%) belongs to experimental group had secondary education whereas, 13 (43.33%) of patients from control group had secondary education. Majority of clients 19 (63.34%) belongs to experimental group were had not working occupational status, whereas 18 (60%) patients had not working occupational status in control group. Majority of patients 17 (56.67%) from experimental group having monthly income below 5000 and in control group 19 (63.34%) having monthly income below 5000 Majority of patients 28 (93.37%) belongs to experimental group were had married marital status, whereas 25 (86.67%) patients had married marital status in control group. Majority of patients 21 (70%) belongs to experimental group were had residence in rural area, whereas 25 (83.33%) patients had residence in rural area in control group. Unpaired t test was used to test the not significant difference between pre test of control group and experimental group. The mean difference was (df=0.97) (t=0.27, p=0.79). Similarly the unpaired t test was used to test the significant difference between post test of control group and experimental group. The mean difference was (df=10.57) and (t=3.93, p=0.0002). Paired t test was used to test the significant difference between pre test and post test of control group (df= 2.73) (t=4.10,p=0.0003). The mean of pre test of control group (45.66) which was higher than mean of post test of control group (42.93). That was indicated that the feeling of well being in post test of control group was decreased.
Paired t test was used to test the significant difference between pre test and post test of experimental group (df=6.87) (t=9.64,p=0.0001). The mean of post test of experimental group (53.50) which was higher than mean of pre test of experimental group(46.63). That was indicated that the feeling of well being in post test of experimental group was increased. This means that the instrumental music was effective on feeling of well being among cancer patients.
Conclusion: The findings of the study showed that majority of the patients from control group having decreased feeling of well being after chemotherapy with receiving routine care. After intervention there is improvement in feeling of well being of patients in experimental group. So this indicates instrumental music is effective to improve feeling of well being.