心理疏导及聆听音乐对体外循环手术患者术前睡眠质量的影响

Effect of psychological counseling and listening to music on sleep quality of the car- diopulmonary bypass patients before surgery

目的探讨心理疏导及聆听音乐对体外循环手术患者术前睡眠质量的影响。方法将46例需行体外循环手术的患者按随机数字表法分为干预组和对照组各23例，对照组按体外循环术前常规护理进行护理，包括术前健康教育、呼吸训练、床上大小便训练及生活指导等，干预组在常规护理的基础上进行心理疏导及聆听音乐，分别采用匹兹堡睡眠质量指数问卷（Pittsburgh sleep quality index，PSQI）作为评定工具评价两组患者睡眠质量情况。结果入院时两组患者睡眠质量评分比较（P〉0．05），差异无统计学意义；干预组患者经进行心理疏导及聆听音乐后，术前睡眠质量明显改善，两者比较（P〈0．01），差异有统计学意义。结论心理疏导及聆听音乐可提高体外循环手术患者术前的睡眠质量。

Objective To explore the effect of psychological counseling and listening to music on sleep quality of the cardiopulmo- nary bypass patients before surgery. Methods A total of 46 patients who required cardiopulmonary bypass surgery were randomly divided in- to intervention group and control group, each group was 23 cases. The patients in control group were received routine care according to car- diopulmonary bypass surgery, including preoperative health education, breathing training, toilet training on bed, living guidance and so on. The patients in intervention group were received psychological guidance and listening to music on the basis of routine care. The sleep quality of all patients was evaluated by Pittsburgh sleep quality index. Results Compared with the scores of sleep quality of the two groups＇patients in admitting （ P 〉 0. 05 ） , the difference was not significant ; the preoperative sleep quality was significant improved after intervention in in- tervention group, the difference was significant （ P 〈 0. 01 ） . Conclusions Psychological counseling and listening to music can improve the sleep quality of cardiopulmonary bypass patients before surgery.