Abstract：
OBJECTIVE: This study aimed to evaluate the management effect of music therapy on the psychological health of patients undergoing maintenance hemodialysis (MHD), with focus on improving levels of depression, anxiety and stress.
METHODS: A retrospective analysis of clinical data was conducted for 218 patients with sleep disorders accompanied by hemodialysis (HD) from January 2020 to December 2023. The subjects were categorized into a control group comprising 122 cases and an observational group comprising 96 cases. The observation group received music therapy in addition to routine management for 3 months. The psychological health status of patients was assessed using the Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS), and Hemodialysis Stressor Scale (HSS), among other indicators. t Tests, χ2 test and Wilcoxon test were performed.
RESULTS: After 3 months, the SDS and SAS scores of the observation group were significantly lower than those of the control group (P < 0.05). The scores for the \"psychological stressors,\" \"physiological stressors\" and \"social stressors\" dimensions of HSS were also significantly lower in the observation group compared with those in the control group (P < 0.05). The overall satisfaction rate of the observation group was significantly higher than that of the control group (96.88% vs. 88.52%, P = 0.022).
CONCLUSIONS: Music therapy exerted a positive effect on improving the psychological health of HD patients, particularly in reducing stress levels. This study provides clinical evidence for music therapy as a low-cost and effective adjunctive treatment.
METHODS: A retrospective analysis of clinical data was conducted for 218 patients with sleep disorders accompanied by hemodialysis (HD) from January 2020 to December 2023. The subjects were categorized into a control group comprising 122 cases and an observational group comprising 96 cases. The observation group received music therapy in addition to routine management for 3 months. The psychological health status of patients was assessed using the Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS), and Hemodialysis Stressor Scale (HSS), among other indicators. t Tests, χ2 test and Wilcoxon test were performed.
RESULTS: After 3 months, the SDS and SAS scores of the observation group were significantly lower than those of the control group (P < 0.05). The scores for the \"psychological stressors,\" \"physiological stressors\" and \"social stressors\" dimensions of HSS were also significantly lower in the observation group compared with those in the control group (P < 0.05). The overall satisfaction rate of the observation group was significantly higher than that of the control group (96.88% vs. 88.52%, P = 0.022).
CONCLUSIONS: Music therapy exerted a positive effect on improving the psychological health of HD patients, particularly in reducing stress levels. This study provides clinical evidence for music therapy as a low-cost and effective adjunctive treatment.
摘要：
目的：本研究旨在评估音乐疗法对维持性血液透析（MHD）患者心理健康的管理效果。专注于改善抑郁水平，焦虑和压力。
方法：对2020年1月至2023年12月的218例睡眠障碍伴血液透析（HD）患者的临床资料进行回顾性分析。将受试者分为包括122例的对照组和包括96例的观察组。观察组在常规管理基础上接受音乐疗法,疗程3个月。采用抑郁自评量表(SDS)评估患者的心理健康状况,焦虑自评量表(SAS),和血液透析压力源量表(HSS)，在其他指标中。t测试,进行χ2检验和Wilcoxon检验。
结果：3个月后，观察组的SDS、SAS评分明显低于对照组(P<0.05)。“心理压力源”的分数，与对照组相比，观察组HSS的“生理应激源”和“社会应激源”维度也明显降低（P<0.05）。观察组的总体满意率明显高于对照组(96.88%vs.88.52%,P=0.022)。
结论：音乐疗法对改善HD患者的心理健康有积极作用。特别是在降低压力水平。本研究为音乐疗法作为一种低成本、有效的辅助治疗提供了临床证据。
方法：对2020年1月至2023年12月的218例睡眠障碍伴血液透析（HD）患者的临床资料进行回顾性分析。将受试者分为包括122例的对照组和包括96例的观察组。观察组在常规管理基础上接受音乐疗法,疗程3个月。采用抑郁自评量表(SDS)评估患者的心理健康状况,焦虑自评量表(SAS),和血液透析压力源量表(HSS)，在其他指标中。t测试,进行χ2检验和Wilcoxon检验。
结果：3个月后，观察组的SDS、SAS评分明显低于对照组(P<0.05)。“心理压力源”的分数，与对照组相比，观察组HSS的“生理应激源”和“社会应激源”维度也明显降低（P<0.05）。观察组的总体满意率明显高于对照组(96.88%vs.88.52%,P=0.022)。
结论：音乐疗法对改善HD患者的心理健康有积极作用。特别是在降低压力水平。本研究为音乐疗法作为一种低成本、有效的辅助治疗提供了临床证据。
