个体化音乐干预对肺癌术后患者睡眠质量及疼痛影响的研究

目的:探讨个体化音乐干预对肺癌术后患者睡眠质量及疼痛的影响。方法:将240例患者随机分为干预组和对照组各120例。对照组给予常规术后护理,干预组增加个体化音乐干预,从术后24h开始,至术后7天转出ICU结束。所有入组患者均于转出ICU当日采用PSQI量表进行睡眠质量评定;采用BPI量表于术后24h、48h、72h、96h、120h、144h、168 h评估两组患者疼痛程度,并于干预前(术后24 h)及干预后(术后168 h)评估两组患者疼痛对生活质量的影响。结果:干预组睡眠障碍发生率(42.1%)明显低于对照组(56.3%),差异有统计学义(P0.05);干预组在主观睡眠质量、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能发PSQI总分方面均有所改善(P0.05);在入睡时间方面无改善(P0.05);两组患者术后24h、48 h、72h疼痛评分无显著差异(P0.05);术后96h、120h、144h、168h干预组患者疼痛评分明显低于对照组,差异有统计学意义(P0.05);术后168h干预组患者生活质量各项评分(日常生活、情绪、活动能力、人际关系、睡眠、兴趣)均明显低于对照组,差异有统计学意义(P0.05)。结论:个体化音乐干预可以改善肺癌患者术后入住ICU期间的睡眠质量,减轻患者疼痛,有利于患者术后恢复。

Effect of individualized music intervention on sleep quality and pain of postoperative patients in ICU

Objective： To evaluate the effect of individualized music intervention on sleep quality and pain in patients after thoracotomy in ICU. Methods： A total of 240 lung cancer patients were divided into two groups. The patients in the control group received routine postoperative care, while the patients in the music intervention group received individualized music intervention based on the routine postoperative care. The patients＇ sleep quality were assessed with Pittsburgh sleep quality index （PSQI） on the discharge day from ICU. The patients＇ pain degree were assessed with the brief pain inventory （BPI） after operation 24h, 48h, 72h, 96h, 120h, 144h, 168h, and the impact of pain on quality of life were assessed before and after the intervention. Results： The incidence of sleep disorder in music intervention group was significantly lower than the control group （P〈0.05）. Compared with the control group, the subjective sleep quality, sleep time, sleep efficiency, sleep disorders, sleep medication, daytime function and PSQI score were significantly better in the music intervention group （P〈0.05）. No significant difference was found on the time to fall sleep and the scores of pain degree 24h,48h and 72h after operation between the two groups （P〉0.05）. The scores of pain degree in 72h, 96h, 120h, 144h, 168h in music intervention group were significantly lower than thai of control group（P〈0.05）; and compared with the control group, the scores of the impact on quality of life were significantly lower in the music intervention group （P〈0.05）. Conclusion： The individualized music intervention can improve the quality of sleep and relieve the pain of postoperative patients in ICU.