Effect of Music Therapy on Negative Psychology, Sleep, and Quality of Life in Elderly Patients Recovering from Cerebral Infarction with Depression and Anxiety: A Retrospective Analysis.

IF 1.3 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Noise & Health Pub Date : 2024-07-01 Epub Date: 2024-09-30 DOI:10.4103/nah.nah_84_24
Ying Mao, Xumei Tao, Ge Zhang, Hounan Chen
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Abstract

Objective: To observe the effects of music therapy on negative psychology, sleep, and quality of life in elderly patients recovering from cerebral infarction accompanied by depression and anxiety.

Methods: We performed a retrospective analysis of 160 patients with convalescent cerebral infarction diagnosed between December 2022 and December 2023 in the Affiliated Brain Hospital of Nanjing Medical University. Cases from the control group (n = 76) were treated with conventional rehabilitation training. Meanwhile, the music therapy group (n = 84) cases were managed with standard and music therapy. Various measures, including polysomnography, the general quality of life questionnaire-74 (GQOL-74), the self-rating anxiety scale (SAS), and the self-rating depression scale (SDS) were collected at baseline (admission) and 4 weeks post-admission.

Results: After 4 weeks, the music therapy group exhibited higher GQOL-74 scores, lower SAS scores, and lower SDS scores (P < 0.001). Furthermore, compared with the control group, the music therapy group had shorter sleep latency, longer sleep duration, higher sleep efficiency, lower wake time, fewer wake times, shorter S1 stage, longer S3 + S4 stage, and longer REM period (P < 0.001).

Conclusions: Music therapy appears to be effective in improving negative psychology, sleep quality, and quality of life in elderly patients with comorbid depression and anxiety during recovery from cerebral infarction.

音乐疗法对脑梗塞伴有抑郁和焦虑的老年康复患者的消极心理、睡眠和生活质量的影响:回顾性分析
目的观察音乐疗法对伴有抑郁和焦虑的老年脑梗死康复患者的消极心理、睡眠和生活质量的影响:我们对南京医科大学附属脑科医院 2022 年 12 月至 2023 年 12 月期间确诊的 160 例脑梗死康复期患者进行了回顾性分析。对照组病例(n = 76)接受常规康复训练。与此同时,音乐治疗组(n = 84)的病例则接受标准治疗和音乐治疗。在基线(入院)和入院后4周收集各种测量数据,包括多导睡眠图、一般生活质量问卷-74(GQOL-74)、焦虑自评量表(SAS)和抑郁自评量表(SDS):4 周后,音乐治疗组的 GQOL-74 分数更高,SAS 分数更低,SDS 分数更低(P < 0.001)。此外,与对照组相比,音乐治疗组的睡眠潜伏期更短、睡眠持续时间更长、睡眠效率更高、觉醒时间更短、觉醒次数更少、S1 阶段更短、S3 + S4 阶段更长、快速眼动期更长(P < 0.001):音乐疗法似乎能有效改善合并抑郁和焦虑的老年脑梗塞康复患者的消极心理、睡眠质量和生活质量。
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来源期刊
Noise & Health
Noise & Health AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
2.10
自引率
14.30%
发文量
27
审稿时长
6-12 weeks
期刊介绍: Noise and Health is the only International Journal devoted to research on all aspects of noise and its effects on human health. An inter-disciplinary journal for all professions concerned with auditory and non-auditory effects of occupational, environmental, and leisure noise. It aims to provide a forum for presentation of novel research material on a broad range of topics associated with noise pollution, its control and its detrimental effects on hearing and health. It will cover issues from basic experimental science through clinical evaluation and management, technical aspects of noise reduction systems and solutions to environmental issues relating to social and public health policy.
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