正念音乐干预对伴睡眠障碍的脑出血患者睡眠-醒觉行为及情绪的影响

The effect of mindfulness music intervention on sleep-wake behavior and mood in cerebral hemorrhage patients with sleep disorders

目的探讨正念音乐干预对伴睡眠障碍的脑出血患者睡眠-醒觉行为及不良情绪的影响。方法本研究对象为我院2019年1月~2021年1月76例伴睡眠障碍的脑出血患者,数字表法随机分为观察组与对照组。两组患者均接受血肿清除术,降压,降糖等基础治疗,对照组患者采用常规护理,观察组采用正念音乐干预。干预前后均进行多导睡眠监测(PSG),记录睡眠-醒觉行为,干预前后评价焦虑自评量表(SAS),抑郁自评量表(SDS),美国国立卫生研究院卒中量表(NIHSS),比较不良情绪以及神经功能。结果两组干预后睡眠时间增加,觉醒次数,觉醒时间降低,且干预后观察组睡眠时间高于对照组,觉醒次数,觉醒时间低于对照组(P<0.05);两组干预后SAS评分,SDS评分,NIHSS评分均显著降低,且干预后观察组均显著低于对照组(P<0.05)。结论正念音乐干预能显著改善脑出血睡眠障碍者睡眠-醒觉行为及不良情绪。

Objective To explore the effect of mindfulness music intervention on sleep-wake behavior and bad mood in cerebral hemorrhage patients with sleep disorders.Methods Seventy-six cerebral hemorrhage patients with sleep disorders in our hospital from January 2019 to January 2021 were selected and randomly divided into observation group and control group by the digital table method.Both groups of patients received emergency basic treatments such as hematoma evacuation,blood pressure reduction,and hypoglycemia.The control group received routine nursing care,and the observation group received mindfulness music intervention.Polysomnography(PSG)was performed before and after the intervention.The sleep-wake behavior was recorded,and the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),and National Institutes of Health Stroke Scale(NIHSS)were evaluated before and after the intervention.Results The sleep time of the two groups increased after intervention,the number of awakenings and the time of awakening decreased.After the intervention,the sleep time of the observation group was higher than that of the control group,and the number of awakenings and time of awakening were lower than the control group(P<0.05).The SAS score,SDS score,and NIHSS score of the two groups were significantly reduced after the intervention,and the observation group was significantly lower than the control group after the intervention(P<0.05).Conclusion Mindfulness music intervention can significantly improve the sleep-wake behavior and bad mood of cerebral hemorrhage patients with sleep disorders.