Hosseini Nahid, Seylani Khatereh, Matourypour Pegah, Fakhrodini Mehrdad, Haghani Hamid, Zakerimoghadam Masoumeh
Adult Critical Care Nursing Department, Nursing and Midwifery Faculty, Tehran University of Medical Sciences, Tehran, Iran.
Associated Professor in Critical Care Nursing Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Nurs Midwifery Res. 2024 Jul 24;29(4):424-430. doi: 10.4103/ijnmr.ijnmr_385_22. eCollection 2024 Jul-Aug.
Patients with heart failure experience poor sleep quality due to the nature of disease they suffer from. The aim of this study was to investigate the effect of music on the sleep quality of patients with heart failure.
The present study is a randomized clinical trial, which was performed on 76 patients with heart failure, hospitalized in the cardiac ward of an educational hospital. These patients had obtained a score of 5 or higher on Pittsburgh's sleep quality index. The block randomization method was used to generate the allocation sequence. Thus, the number of subjects in each block was determined to be 4 people in 18 blocks. Intervention was collection of nature music played through headphones for 30 minutes over three nights, and at the end of the third night, the Pittsburgh's index was completed again by both groups. Data were analyzed using descriptive and inferential statistics.
After the intervention, the mean scores of mental quality of sleep ( = 0.007) and daily function disorders improved significantly in the intervention group ( = 0.025). Significant differences were seen between the mean scores of mental quality of sleep ( < 0.001), daily function disorders ( = 0.002), delay in falling asleep ( = 0.01), sleep disorders ( < 0.001), and use of sleeping pills ( < 0.001) before and after the intervention in the intervention group.
Playing relaxing music like nature sounds and spending time in nature after discharge can improve the sleep quality and sense of relaxation in patients with heart failure. The implementation of such affordable and amusing interventions can be proposed by nurses in heart failure patients.
心力衰竭患者因其所患疾病的性质而睡眠质量较差。本研究的目的是调查音乐对心力衰竭患者睡眠质量的影响。
本研究是一项随机临床试验，对76名在一所教学医院心脏科病房住院的心力衰竭患者进行。这些患者在匹兹堡睡眠质量指数上的得分达到5分或更高。采用区组随机化方法生成分配序列。因此，每个区组的受试者数量确定为18个区组，每个区组4人。干预措施是在三个晚上通过耳机播放自然音乐30分钟，在第三个晚上结束时，两组再次完成匹兹堡指数。使用描述性和推断性统计分析数据。
干预后，干预组的睡眠心理质量平均得分（ = 0.007）和日常功能障碍显著改善（ = 0.025）。干预组干预前后的睡眠心理质量平均得分（ < 0.001）、日常功能障碍（ = 0.002）、入睡延迟（ = 0.01）、睡眠障碍（ < 0.001）和安眠药使用情况（ < 0.001）存在显著差异。
播放如自然声音般的舒缓音乐以及出院后到大自然中放松，可以改善心力衰竭患者的睡眠质量和放松感。护士可对心力衰竭患者建议实施此类经济实惠且有趣的干预措施。
