基于正念的音乐疗法对脑出血急性应激障碍伴睡眠障碍患者的影响

目的探讨基于正念的音乐疗法对脑出血急性应激障碍伴睡眠障碍患者的影响。方法将70例脑出血急性应激障碍并存睡眠障碍的患者随机分为两组,每组35例,对照组实施常规护理,干预组在常规护理的基础上进行正念舒缓音乐训练,连续干预14 d。干预前后采用多导睡眠监测(PSG)、斯坦福急性应激反应问卷(SASRQ)及匹兹堡睡眠质量指数量表(PSQI)测评两组非快动眼各期睡眠的差异、主观睡眠质量及急性应激障碍情况。结果干预后,干预组SASRQ总得分显著低于对照组,总睡眠时间占记录时间比例、NREM持续时间、3期及4期持续时间显著多于对照组(P0.05,P0.01)。结论正念音乐疗法可有效增加脑出血急性应激障碍伴睡眠障碍患者深度睡眠时间及所占比例,提高其睡眠质量,减轻患者的急性应激反应。

Effect of mindfulnessbased music therapy on cerebral hemorrhage patients with acute stress disorder and sleep disturbance

Objective To explore the effect of mindfulnessbased music therapy on cerebral hemorrhage patients with acute stress disorder and sleep disturbance. Methods Seventy cerebral hemorrhage patients with acute stress disorder and sleep disturbance were randomized into a control group and an intervention group, with 35 patients in each group. The control group accepted routine nursing, while the intervention group additionally received mindfulnessbased soothing music training for 14 days. The polysomnography (PSG), Stanford Acute Stress Reaction Questionnaire (SASRQ) and The Pittsburgh Sleep Quality Index (PSQI) were utilized before and after the intervention to measure the difference in each phase of Nonrapid Eye Movement (NREM), subjective sleep quality and acute stress response between the two groups. Results After the intervention, the total SASRQ score of the intervention group was significantly lower than that of the control group,while the proportion of the total sleep time accounting for the recorded time, NREM duration, duration of phase 3 and 4 were significantly more than those of the control group (P<0.05, P<0.01). Conclusion Mindfulnessbased music therapy could effectively increase the deep sleep time and its proportion for cerebral hemorrhage patients with acute stress disorder and sleep disturbance, improve their sleep quality, and relieve their acute stress response.