双耳差频音乐疗法对CCU冠心病患者睡眠质量及心理状态的影响

Effects of binaural differential frequency music therapy on sleep quality and psychological status in patients with coronary heart disease in CCU

目的 观察双耳差频音乐疗法对改善监护室冠心病患者的睡眠质量及心理状态的干预效果。方法 选取某市三级甲等医院CCU的冠心病患者162例,按照组间基本资料均衡可比的原则分为对照组、普通音乐组及双耳差频音乐(BBT)组,各54例。对照组给予冠心病常规护理;普通音乐组予常规护理结合普通音乐疗法;BBT组予常规护理结合BBT疗法。通过问卷评分的形式,比较3组的干预效果。结果 干预后,3组患者在1周、2周、4周3个时间点,中文版理查兹-坎贝尔睡眠表总评分均呈先逐渐上升后下降的趋势,HADS总分呈逐渐下降后缓慢回升的趋势,时间之间差异有统计学意义(P_(时间)<0.05);各时间点均以BBT组优于普通音乐组、对照组,差异有统计学意义(P_(组间)<0.05),并且随观察时间延长,组间差异逐渐增大,差异有统计学意义(P_(交互)<0.05)。结论 双耳差频音乐疗法能够有效改善CCU冠心病患者的睡眠质量和心理状态,干预效果优于普通音乐疗法。

Objective To observe the intervention eff ect of binaural diff erential frequency music therapy on improving sleep quality and psychological status of patients with coronary heart disease in the intensive care unit.Methods A total of 162 patients with coronary heart disease in CCU of a tertiary A hospital in a city were selected and divided into control group,ordinary music group,and binaural diff erential frequency music(BBT)group based on the principle of balanced and comparable basic data between the groups,with 54 cases each.The control group was given routine nursing care for coronary heart disease;The ordinary music group received routine nursing combined with ordinary music therapy;the BBT group received routine nursing combined with BBT therapy.The intervention eff ects of the three groups were compared through questionnaire scoring.Results After intervention,the total score of the Chinese version of the Richards Campbell sleep scale showed a trend of gradually increasing and then decreasing,while the total score of HADS showed a trend of gradually decreasing and then slowly increasing,with a statistically significant diff erence between the three groups at three time points:1 week,2 weeks,and 4 weeks(P<0.05);at each time point,the BBT group was superior to the ordinary music group and the control group,with a statistically significant diff erence(P<0.05);and with the prolongation of observation time,the diff erence between groups gradually increased,with statistical significance(P<0.05).Conclusion Biaural diff erential frequency music therapy can eff ectively improve the sleep quality and psychological status of patients with coronary heart disease in CCU,and the intervention eff ect is superior to ordinary music therapy.