Lu Mei-Jou, Chen Wan-Yi, Li Dian-Jeng
Department of Nursing, Shu-Zen Junior College of Medicine and Management, Kaohsiung City 82144, Taiwan; Department of Nursing, School of Nursing, Fooyin University, Kaohsiung City 83102, Taiwan.
Department of Nursing, Shu-Zen Junior College of Medicine and Management, Kaohsiung City 82144, Taiwan.
Arch Psychiatr Nurs. 2022 Oct;40:1-7. doi: 10.1016/j.apnu.2022.04.001. Epub 2022 Apr 12.
Patients with schizophrenia often suffer from sleep disturbance. Music therapy, as a non-invasive intervention, may have benefit on sleep problem in such population. Our study aimed to investigate the efficacy of music therapy on sleep disturbance among patients with schizophrenia.
This prospective study recruited participants with schizophrenia along with sleep disturbances in the chronic wards. Patients in the control group received standard care, and those in the intervention group received additional music therapy before sleeping at night for four weeks. The Pittsburgh Sleep Quality Index (PSQI) was used to measure the severity of sleep disturbance. The generalized estimating equation (GEE) was used to analyze measure the difference of change in PSQI scores between both groups at the baseline and four weeks later. It was also applied to find the predictors of treatment efficacy within intervention group.
A total of 66 (31 in control group and 35 in intervention group) participants were recruited. After adjusting with the demographic variables, the change of PSQI among intervention group was significantly more than the change among control group (Group × time; Estimate = -7.05, p < 0.001), indicating the efficacy of music therapy. In addition, irreligious patients and those with chronic medical disease predicted better efficacy. Whereas, elderly patients had compromising efficacy of music therapy.
Music therapy demonstrated its merit on sleep disturbance among patients with schizophrenia. Whereas, healthcare workers should consider the variability of severity in schizophrenia during clinical practice.
精神分裂症患者常伴有睡眠障碍。音乐疗法作为一种非侵入性干预措施，可能对这类人群的睡眠问题有益。我们的研究旨在调查音乐疗法对精神分裂症患者睡眠障碍的疗效。
这项前瞻性研究在慢性病房招募了伴有睡眠障碍的精神分裂症患者。对照组患者接受标准护理，干预组患者在夜间睡前额外接受四周的音乐疗法。匹兹堡睡眠质量指数（PSQI）用于测量睡眠障碍的严重程度。广义估计方程（GEE）用于分析两组在基线和四周后PSQI评分变化的差异。它还被用于寻找干预组内治疗效果的预测因素。
共招募了66名参与者（对照组31名，干预组35名）。在对人口统计学变量进行调整后，干预组PSQI的变化显著大于对照组（组×时间；估计值=-7.05，p<0.001），表明音乐疗法的疗效。此外，无宗教信仰的患者和患有慢性疾病的患者预测疗效更好。然而，老年患者音乐疗法的疗效较差。
音乐疗法在精神分裂症患者的睡眠障碍方面显示出其优点。然而，医护人员在临床实践中应考虑精神分裂症严重程度的变异性。
