音乐疗法结合瑜伽对肺癌放化疗患者睡眠状况的影响

Effects of Music Therapy Combined with Yoga on Sleep Status in Patients with Lung Cancer Receiving Chemotherapy

目的：通过比较肺癌放化疗患者疲乏状况、睡眠质量和生活质量的改变,探究结合瑜伽运动的音乐疗法对改善肺癌放化疗患者睡眠状况的影响。方法：选取2016年以来入院的450例肺癌放化疗患者作为研究对象,随机分为观察组和对照组各225例,观察组遵照护士指导进行结合瑜伽的音乐疗法,对照组仅进行常规的护理方式。采用癌症疲乏量表、匹兹堡睡眠质量指数量表（PSQI）、生存质量核心表对两组患者疲乏状况、睡眠质量、生活质量进行评价。结果：对照组患者的躯体疲乏、情感疲乏、认知疲乏和疲乏总分显著高于观察组（P〈0.05）;对照组匹兹堡睡眠质量指数量表中入睡时间、睡眠效率、睡眠质量、睡眠障碍、睡眠时间、白天功能、安眠药物得分以及总分显著高于观察组（P〈0.05）;对照组患者生存质量核心表功能评分显著低于观察组（P〈0.05）,症状评分显著高于观察组（P〈0.05）。结论：结合瑜伽运动的音乐疗法可以改善肺癌放化疗患者的睡眠状况,患者疲乏状况、睡眠质量和生活质量的各项指标均得到改善和提高,音乐疗法结合瑜伽的护理方法有利于患者身体健康的恢复,值得广泛推广。

Objective：To explore the effect of music therapy combined with yoga in improving the sleep status of patients with lung cancer after radiotherapy and chemotherapy by comparing the fatigue status,quality of sleep and quality of life in patients with lung cancer undergoing radiotherapy and chemotherapy before and after treatment.Methods：A total of 450 patients with radiotherapy and chemotherapy were enrolled in this study.The patients were randomly divided into observation group and control group.The control group was followed by nurses＇ combination therapy.The control group was treated with routine nursing mode.The fatigue status,quality of sleep and quality of life of the two groups were evaluated by the cancer fatigue scale,the Pittsburgh Sleep Quality Index（PSQI）and the Quality of life core table.Results：The scores of physical fatigue,emotional fatigue,cognitive fatigue and total score of fatigue in the control group were significantly higher than those in the observation group（P〈0.05）.Pittsburgh sleep quality index in sleep time,sleep efficiency,sleep quality,sleep disorders,sleep time,daytime function,sleeping pills and total scores in the control group were significantly higher than those in the observation group（P〈0.05）.Functional score of the quality of life core table in the control group were significantly lower than those in the observation group（P〈0.05）.Symptom score of the quality of life core table in the control group were significantly higher than those in the observation group（P〈0.05）.Conclusion：Music therapy combined with yoga exercise can improve the sleep status of patients with lung cancer after radiotherapy and chemotherapy.The indicators of fatigue status,quality of sleep and quality of life have been improved.Music therapy combined with yoga exercise is beneficial to the recovery of the patient＇s health.