Nursing Department, Yangyuan Street Wuhan University of Technology community health service center, Wuhan 430000, Hubei, China.
Institute of Burns, Wuhan Third Hospital (Tongren Hospital of WuHan University), Wuhan 430000, Hubei, China.
Noise Health. 2024;26(122):294-299. doi: 10.4103/nah.nah_32_24. Epub 2024 Sep 30.
To analyze the impact of using music therapy to improve the sleep quality and mental health of nurses who suffer from circadian rhythm sleep disorders.
Our retrospective analysis included 360 nurses with circadian rhythm sleep disorders from 20 different departments who worked in Wuhan Third Hospital for more than 1 year from May 2022 to May 2023. A total of 180 nurses with circadian rhythm sleep disorders were classified as the control group (received melatonin receptor agonist Melatonin Receptor Type 2 [MT2]). The other 180 cases were classified into the observation group (received melatonin receptor agonist MT2 + music therapy). After six courses of treatment, the clinical efficacy, Self-Assessment Anxiety Scale (SAS) score, Self-rating Depression Scale (SDS), and Pittsburgh Sleep Quality Index Scale (PSQI) score of the two groups of nurses were compared.
Before treatment, no statistically significant differences in baseline treatment and SAS, SDS, and PSQI scores were found between the two groups. After treatment, the total effective rate of treatment in the observation group was 85.56%, which was significantly higher than the 50.56% in the control group (P < 0.001). After treatment, the SAS, SDS and PSQI scores of the observation group were lower than those of the control group (P < 0.05). The SAS, SDS and PSQI scores of both groups were lower after treatment than they were before treatment (P < 0.05).
Implementing music therapy for nurses with circadian rhythm sleep disorders caused by shifts can improve sleep quality and reduce negative emotions. It is a clinical strategy with clinical application value and a certain promotion value.
分析音乐疗法对改善昼夜节律睡眠障碍护士睡眠质量和心理健康的影响。
我们的回顾性分析纳入了 2022 年 5 月至 2023 年 5 月在武汉市第三医院工作 1 年以上的 360 名昼夜节律睡眠障碍护士，这些护士来自 20 个不同科室。共有 180 名昼夜节律睡眠障碍护士被分为对照组（接受褪黑素受体激动剂 MT2），另外 180 例被分为观察组（接受褪黑素受体激动剂 MT2+音乐疗法）。经过 6 个疗程的治疗，比较两组护士的临床疗效、焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分和匹兹堡睡眠质量指数（PSQI）评分。
治疗前，两组护士的基线治疗及 SAS、SDS 和 PSQI 评分均无统计学差异。治疗后，观察组的总有效率为 85.56%，明显高于对照组的 50.56%（P<0.001）。治疗后，观察组的 SAS、SDS 和 PSQI 评分均低于对照组（P<0.05）。治疗后两组的 SAS、SDS 和 PSQI 评分均低于治疗前（P<0.05）。
对因轮班而导致昼夜节律睡眠障碍的护士实施音乐疗法，可以改善睡眠质量，减轻负性情绪，是一种具有临床应用价值和一定推广价值的临床策略。
