个体化音乐干预对ICU肺癌患者术后睡眠质量影响的研究

摘要

Objective To evaluate the effect of individualized music intervention on sleep quality for patients in ICU after thoracotomy.Method 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 increasing individualized music intervention based on the routine postoperative care.The patients' sleep quality were assessed with Pittsburgh sleep quality index(PSQI) on the day of the ICU discharge.Result The incidence of sleep disorder in music intervention group was significantly lower than that of 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 lower that of intervention group(P＜0.05).No significant difference was found on the time to fall sleep between the two groups(P＞0.05).Conclusion Individualized music intervention can improve the quality of sleep for patients in ICU after thoracotomy.%目的 探讨个体化音乐干预对肺癌患者术后ICU期间睡眠质量的影响.方法 将240例患者随机分为观察组和对照组各120例.对照组给予常规术后护理,观察组在常规护理的基础上增加个体化音乐干预;对所有入组患者均于转出ICU当日采用匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)量表进行睡眠质量评定.结果 观察组睡眠障碍发生率(42.1％)明显低于对照组(56.3％),差异有显著意义(P＜0.05);观察组在主观睡眠质量、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能及PSQI总分方面均有所改善(P＜0.05);在入睡时间方面无改善(P＞0.05).结论 个体化音乐干预可以改善肺癌患者术后ICU期间的睡眠质量,促进伤口的修复、预防并发症,有利于患者术后恢复.