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.
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。