音乐疗法联合正念认知疗法对造血干细胞移植患者睡眠的影响

打开文本图片集

The Impact of Music Therapy Combined with Mindfulness-based Cognitive Therapy onSleep in Patients Undergoing Hematopoietic Stem Cell Transplantation

HUANGYanzhen，XUChunmei

（Department of Hematology，The First Affiliated Hospital of Xiamen University，Xiamen 36lO03，China）

AbstractObjective：Toexploretheeficacyof individualized music therapycombined with mindfulnessbasedcognitive thrapy （MBCT）onpatientsundergoinghematopoieticstemcelltransplantation.Methods：Atotalof8OpatientswhoreceivedhmatopoieticstemcelltransplantationintheFirstAfliatedHospitalof XiamenUniversityfromJanuary2O23toDecember224wereselectedandrandomlydividedintoacontrolgroupandanobservationgroupbytherandomnumbertablemethod，with4Ocases in each group.Thecontrol groupreceived routine nursing，whiletheobservation group was given individualized musictherapy combined with MBCTnursingonthebasisof thecontrolgroup.Beforeandafter4weeksof intervention，Polysomnography（PSG）parameters（totalsleptime，spatency，sleepeiciencywakeningfrequency）fatiguestatusPiperatigueScale-RevisedP R）]，sleepqualityPitsburgh SleepQualityIndex（PSQI）]andemotional stateProfleof Mood States（POMS）]wereevaluated inthe two groupsofpatients.Results：After4 weeksof intervention，thePSGslepparameters inthetwo groups were bettrhan those before intervention，and the scores of PFS-R，PSQI and POMS were reduced compared with thoseat baseline（ P<0.05 ）. Furthercomparison between groups showed thatthePSG sleepparameters intheobservation groupwere beter，andthescoresof PFS-R，PSQI and POMS were lower compared to the control group （ P<0.05 ）. Conclusion： Individualized music therapy combined with MBCTcanimproveemotionalstates，enhanceslpquality，educenightawakeningsandrelievefatigueinpatientswith hematopoietic stem cell transplantation.

KeywordsHematopoieticstemcel tansplantation；Musictherapy；Mindfulness-basedcognitivetherapy；Fatigue；Sleepquali ty；Emotional state；Pitsburgh Sleep Quality Index; Piper Fatigue Scale-Revised;Profile of Mood States 中图分类号：R473.5;R454.3;R395.4;R338.63 文献标识码：A doi：10.3969/j. issn. 2095 - 7130.2025.10.062

造血干细胞移植是血液系统疾病的重要治疗手段，但患者常因治疗不良反应、免疫抑制及心理压力出现严重疲乏和睡眠障碍[1]。（剩余4068字）