催眠音乐治疗改善农村癌症患者负面情绪及睡眠质量的效果

Effect of hypnotic music therapy on improving negative emotions and sleep quality in rural cancer patients

目的探讨催眠音乐治疗改善农村地区癌症住院患者负面情绪及睡眠质量的应用效果。方法选取2019年8月至2020年8月赣州市肿瘤医院收治的60例原居住地是农村的Ⅰ~Ⅲ期癌症住院患者作为研究对象,采用随机数字表法将其分为对照组(30例)与观察组(30例)。对照组患者采用常规干预,观察组患者在对照组基础上增加催眠音乐治疗,4周后评估效果。干预前后采用症状自评量表(SCL-90)和匹兹堡睡眠质量指数(PSQI)比较两组患者整体情绪及睡眠质量的情况。结果干预前,两组患者的SCL-90、PSQI总分及各因子评分比较,差异无统计学意义(P>0.05);干预后,对照组患者的SCL-90、PSQI总评分及各因子分与干预前比较,差异无统计学意义(P>0.05);干预后,观察组患者的SCL-90总分、躯体化、人际关系敏感、焦虑、抑郁、恐怖、敌对、偏执各项评分均低于对照组,差异有统计学意义(P<0.05),两组患者的强迫症状因子比较,差异无统计学意义(P>0.05)。观察组患者干预后的睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能各因子评分及总分均低于对照组,差异有统计学意义(P<0.05)。结论催眠音乐治疗用于农村癌症住院患者中能调整患者的整体情绪,提高患者的睡眠质量,值得在临床中应用推广。

Objective To investigate the application effect of hypnomusic therapy on improving negative emotions and sleep quality of cancer inpatients in rural areas.Methods From August 2019 to August 2020,60 inpatients with stageⅠ-Ⅲcancer whose original residence was rural areas were selected as the research objects,and were divided into control group(30 cases)and observation group(30 cases)by random number table method.The control group used usual intervention,and the observation group added hypnomusic therapy to the control group,and the effect was evaluated after 4 weeks.The symptom check list-9(SCL-90)and the pittsburgh sleep quality index(PSQI)were used before and after the intervention to compare the overall mood and sleep quality of the two groups.Results Before the intervention,there were no statistically significant differences in PSQI scores and all factors of SCL-90 scores between the two groups(P>0.05).After intervention,there were no statistical significances in SCL-90,PSQI total score and each factor score of control group compared with before intervention(P>0.05).After intervention,the scores of SCL-90,somatization,interpersonal sensitivity,anxiety,depression,terror,hostility and paranoia in the observation group were lower than those in the control group,with statistical significances(P<0.05).There was no significant difference in obsessive symptom factor between the two groups(P>0.05).The scores and total scores of sleep quality,sleeping time,sleeping time,sleep efficiency,sleep disorders,hypnotic drugs and daytime dysfunction in the observation group were lower than those in the control group after intervention,and the differences were statistically significant(P<0.05).Conclusion Hypnotic music therapy can adjust the overall mood of rura cancer inpatients and improve the sleep quality of patients,which is worthy of clinical application and promotion.