| ObjectiveObserve the effect of TCM Five-Element music intervention on sleep quality and Psychological status of maintenance hemodialysis patients, and explore the suitable Five-Element music for the MHD patients for improving the qualities of sleep, psychological status and life.MethodsThis study selected 81 maintenance hemodialysis patients who were treated in Guang’an Men Hospital China Academy of Chinese Medicine Sciences between August 2015 and March 2015. Patients were randomly divided into control group and intervention group, control group 40 cases,41 in intervention group(TCM five lines of music group)., control group 40 cases,41 in intervention group.The control group accepted routine treatment and care. On the basis of the above treatment,in every Monday, Wednesday, Friday’s blood dialysis treatment process,intervention group broadcast recorded with different induction word of TCM by using "nursing education system", for 4 weeks,3 days a week,1 times a day,40 minutes at a time, played simple induced relaxation and imagine induced word music every Monday, played cognitive induced sleep word music every Wednesday,play disease science induced word music every Friday.The control group had no music intervention. After 4 weeks, observe the changes of the Pittsburgh sleep quality index scale (PSQI), the overall well-being scale (GWB), hospital anxiety depression scale (HAD), health survey profile changes (SF-36), and other indicators. Analyze the data by SPSS17.0, observe the effect of the before and after the intervention, to assess the effect of before and after the intervention.Results1. The Pittsburgh sleep quality index scale (PSQI)PSQI difference comparison between groups:4 weeks after intervention, by comparing two groups’PSQI total scores and each factors, we found that sleep quality, sleep time, sleep efficiency, sleep disturbance factor score and total score changes had significant differences (P<0.05), TCM Five-element music group is better than the control group. Sleep time, sleep medication, daytime function factor had no significant difference (P>0.05).PSQI comparison in each group:After the intervention in 4 weeks, TCM Five-element music group’s PSQI total score and sleep quality, sleep time, sleep time, sleep efficiency, sleep disorder, daytime dysfunction factor points had improved significantly (P<0.05), the hypnotic drug factor had no obvious change (p>0.05). The control group’s PSQI total score and each factor score had no significant change (P>0.05).2. The hospital anxiety depression scale (HAD)HAD difference comparison between two groups:After 4 weeks intervention, two groups HAD total scores and depression factor scores had significant difference (P<0.05), The intervention group was better than the control group. Anxiety factor change had no significant difference (P>0.05)HAD comparison in the group:After the 4 weeks intervention, in intervention group, HAD total score, depression and anxiety factor had improved significantly than before (P<0.05). after 4 weeks, the control group HAD total score and two factors had no significant change than before (P>0.05).3. Health survey profiles (SF-36)SF-36 difference comparison between two groups:After 4 weeks intervention, between the two groups, the changes of physical, physiological function, energy status, social function, emotional function, mental health had significant difference (P<0.05), the intervention group was better than the control group. The changes of body pain and general health factor, had no significant change between the two groups (P> 0.05).SF-36 comparison in group:After 4 weeks intervention, SF-36’s physical, physiological function and overall health, energy status, social function, emotional function, mental health factors had improved significantly compared with before(P<0.05), body pain factors had no significant difference (P>0.05). After 4 weeks, The control group each factor score had no significant difference compared with (P>0.05).Conclusions1. TCM Five-element music could improve the quality of sleep in patients with maintenance hemodialysis in a certain distance.2. TCM Five-element music has a certain effect on improving anxiety and depression of patients in maintenance hemodialysis.3. TCM Five-element music has a certaint effect on improving the quality of life in patients with maintenance hemodialysis.4. As a medium of nonverbal communication between nurses and patients, TCM Five-element music is a noninvasive intervention method, and a kind of auxiliary means in the normal treatment. The nursing staff could be independent to use the music in the maintenance hemodialysis treatment, so as to provide a good help to improve the patients’psychosomatic symptoms.Because there are many limitations, above conclusions need to be confirmed by further studies. |
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