正念减压联合音乐疗法对抑郁症合并睡眠障碍患者负性情绪、睡眠质量和生命质量的影响

The Effect of Mindfulness-based Stress Reduction Combined with Music Therapy on Negative Emotions,Sleep Quality,and Quality of Life in Patients with Depression and Sleep Disorders

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摘要目的:探讨正念减压联合音乐疗法对抑郁症合并睡眠障碍患者的影响。方法:选取2023年1月至2024年7月泉州市第三医院收治的抑郁症合并睡眠障碍患者98例作为研究对象,按照随机数字表法分为对照组和观察组,每组49组。对照组给予常规护理干预,观察组同步实施正念减压联合音乐疗法干预。采用匹兹堡睡眠质量指数评价2组护理前后睡眠质量变化情况,该量表共涉及7个评分项目,具体包括睡眠障碍、睡眠质量(主观)、睡眠效率、使用安眠药物、睡眠及入睡时间等,PSQI量表总评分0~21分,分数越高则提示睡眠质量越差;采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估2组患者的心理状态,量表为20个题目,每题1~4分,满分50分(或100),分数高者表示不良情况越严重;3)采用SF-36生命质量量表对患者生理职能、社会功能、躯体疼痛、一般健康状况进行分析。结果:干预后2组患者的负面情绪评分、睡眠质量均明显优于干预前,且观察组的负面情绪评分与各项睡眠质量评分均低于对照组,差异有统计学意义(P<0.05);观察组护理后的各项生命质量评分均高于对照组,差异有统计学意义(P<0.05)。结论:对抑郁症合并睡眠障碍患者实施正念减压联合音乐疗法进行干预,不仅可以减轻患者的睡眠障碍、缓解不良情绪,同时也可以提高患者的生命质量,具有临床借鉴意义,值得进一步推广。 Objective:To explore the effect of mindfulness-based stress reduction combined with music therapy on patients with depression and sleep disorders.Methods:A total of 98 patients with depression and sleep disorders admitted to the Third Hospital of Quanzhou City from January 2023 to July 2024 were selected as the research subjects.They were randomly divided into a control group(n=49)and an observation group(n=49)according to the random number table method.The control group received routine nursing intervention,while the observation group received simultaneous implementation of mindfulness based stress reduction combined with music therapy intervention.The Pittsburgh Sleep Quality Index(PSQI)was used to evaluate the changes in sleep quality before and after nursing care in two groups.The PSQI scale involves seven scoring items,including sleep disorders,subjective sleep quality,sleep efficiency,use of sleeping pills,sleep onset time,etc.The PSQI scale has a total score of 0 to 21 points,with higher scores indicating poorer sleep quality for the evaluated individuals.The Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to evaluate the psychological status of two groups of patients.The scale consists of 20 questions,each with 1 to 4 points,with a maximum score of 50 points(or 100 points).The higher the score,the more severe the adverse situation.The SF-36 Quality of Life Scale was used to analyze the physiological function,social function,physical pain,and general health status of patients.Results:After intervention,the negative emotions and sleep quality of both groups were significantly better than before intervention.After intervention,the negative emotion score and various sleep quality scores of the observation group were lower than those of the control group,with statistical significance(P<0.05).The quality of life scores of the observation group after nursing were significantly higher than those of the control group,with statistical significance(P<0.05).Conclusion:Implementing mindfulness-based stress reduction combined with music therapy for patients with depression and sleep disorders can not only alleviate their sleep disorders and negative emotions,but also improve their quality of life.It has clinical reference significance and is worthy of further promotion.

作者卢伟琼苏海燕邓金煌 LU Weiqiong;SU Haiyan;DENG Jinhuang(Quanzhou Third Hospital,Quanzhou 362000,China;Xiamen Xianyue Hospital,Xiamen 361000,China)

机构地区泉州市第三医院厦门市仙岳医院

出处《世界睡眠医学杂志》 2024年第11期2531-2534,共4页 World Journal of Sleep Medicine

关键词正念减压音乐疗法抑郁症睡眠障碍负性情绪睡眠质量生命质量 Mindfulness-based stress reduction Music therapy Depression Sleep disorders Negative emotions Sleep quality Quality of life