Wednesday, August 7, 2013

戲劇治療在洗腎時可改善心情並減輕疼痛

曼哈頓報導-對於腎臟病患者,創意能帶給他們一些紓緩
堪薩斯州立大學的研究學者正在探索戲劇治療對慢性血液析離病患之效果,他們是世界上首先研究此題材的學者。
此研究是Jamie Ansley碩士班論文的一部分,她在2013春季畢業於戲劇系,專攻戲劇治療。Ansley之前擔任醫院裡的職業小丑,她有一位家庭成員即將洗腎。洗腎治療是用機器來移除血液中的廢物、液體,然後讓乾淨的血液流回身體。
戲劇治療應用了戲劇與劇場的技巧達到療效。採用戲劇治療後初步研究結果顯示了心情改善和痛苦減少的趨勢。此研究為曼哈頓當地的公益基金戲劇治療基金所資助且贏得了2013 Heartland Kidney 會議的競賽。

血液析離病患必須遵守嚴格的治療療程且通常一個禮拜要去二至三次診所,每次治療時間則至少為四小時。Ansley花了兩學期在曼哈頓的洗腎中心與患者們在被治療時一起工作。
病患們坐在診療室裡有很多時間。有些選擇看電視,看書或睡覺。另外一些則無可避免地開始思考人生的煩惱。
病患們在被治療時無法移動,因此Ansley帶了輔助工具如圖片、遊戲、引導想像力的圖片與音樂。她會藉由發問來幫助病患以口頭的方式即興一個場景、故事或角色。某些病患創造了偵探的角色和包含了死亡、寂寞跟友情的故事場景。
Sally Bailey,戲劇治療的教授跟系主任,她說:「戲劇治療創造出各種美妙的暗喻及開啟的距離效果使人們能談論他們的問題。他們可以創造出與自己處理類似問題的角色,並且成功處理問題。這帶給了他們希望。戲劇治療是充滿力量的並且幫助他們對生活更有掌控力。」
病患在每次診療前後填寫問卷加上研究前後的六十五個項目的心情評估紀錄。他們描述戲劇治療是一種愉悅的方式來渡過治療時間並把憂慮帶走。他們也意識到戲劇治療減輕了疼痛還改善了心情。
Ansley給了患者們一人一本私人手冊,裡面有他們的故事跟一些他們創意作品的紀錄
她之前在洛杉磯Starlight 兒童基金會裡紐約分會的紐約市跟中西部分會的密耳瓦基市當小兒科加護病房的醫院小丑。她想在維斯康辛州的醫院裡做一位戲劇治療師並與需要洗腎病患一起工作。
Ansley說:「有了些事情可期待、發掘了一個新天賦並發現到一個對創意的熱情可以改變一個人對人生的看法。戲劇治療是一個邀請,邀請你來玩還有發現嶄新的可能性。」


她在1996年畢業於伊利諾利州BellevilleBelleville Township高中,2000年畢業於聖路易士的Webster大學。
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Drama therapy improves mood, reduces pain during hemodialysis

MANHATTAN -- For patients with kidney failure, getting creative may provide some relief.
Kansas State University researchers are exploring the effects of drama therapy on patients undergoing chronic hemodialysis and are the first in the world to study the topic.
The research is part of a master's thesis by Jamie Ansley, a spring 2013 graduate in theatre with a concentration in drama therapy. Ansley, a former professional hospital clown, has a family member who will soon be receiving dialysis treatments. The treatment for kidney failure uses a machine that removes wastes and fluid from blood, and then returns clean blood to the body.
Preliminary results of the study show trends in improving mood and reducing pain after using drama therapy, which is the use of drama and theater to achieve healing outcomes. The research, supported by Manhattan-based nonprofit The Drama Therapy Fund, won the poster contest at the 2013 Heartland Kidney Conference in Overland Park.
Hemodialysis patients must follow a strict treatment schedule and typically visit a clinic two or three times a week for up to four hours per visit. Ansley worked with patients at a Manhattan dialysis clinic during treatment sessions in the fall and spring semesters.
"Patients are sitting there with a lot of time on their hands," she said. "Some choose to watch TV, read or fall asleep. Others inevitably start to think about their worries in life."
Patients could not move during treatment, so Ansley brought prompts like pictures, games, guided imagery and music. She asked questions to help patients verbally improvise a scene, story or character. Some patients created a detective character, and story themes included death, loneliness and friendship.
"Drama therapy creates a wonderful metaphor and distancing effect for people so that they can talk about their problems," said Sally Bailey, professor and director of the drama therapy program at the university. "They can create characters who are dealing with similar issues and succeed, which gives them hope for themselves. It's empowering and helps them feel more in control of their lives."
Patients completed surveys before and after each session, and a 65-item Profile of Mood States assessment before and after the study. They reported that drama therapy was an enjoyable way to pass the time during treatment and took their mind off of their worries. They also perceived that the therapy reduced their pain and improved their mood.
Ansley gave patients a personalized book of their stories, along with recordings of some of their creative work.
She previously worked for Los Angeles-based Starlight Children's Foundation for its New York City and Midwest chapters as a hospital clown in pediatric intensive care units in New York City and Milwaukee, Wis. Ansley wants to work as a drama therapist with patients undergoing hemodialysis at a hospital or clinic in Wisconsin.
"Having something to look forward to, discovering a new talent and finding a passion for creativity can change a person's perception of his or her life," Ansley said. "Drama therapy is an invitation to have some fun and discover new possibilities."
She is a 1996 graduate of Belleville Township High School West in Belleville, Ill., and a 2000 graduate of Webster University in St. Louis.

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