音乐放松疗法对机械通气重症肺炎患者睡眠质量和谵妄发生的影响

胡亚茹

【摘 要】目的：探究音乐放松疗法对机械通气治疗的重症肺炎（SP）患者睡眠质量和谵妄发生的影响。方法：随机将122例接受机械通气治疗的SP患者均分为两组。常规组接受常规治疗和护理；音乐组在对照组基础上给予音乐放松治疗护理。对比两组睡眠质量和谵妄发生情况。结果：音乐组护理后RCSQ评分和谵妄发生率明显低于常规组，谵妄持续时间明显短于常规组。结论：音乐放松疗法有助于改善机械通气治疗的SP患者睡眠质量，预防谵妄发生，缩短谵妄持续时间。

【关键词】重症肺炎；机械通气；音乐放松

Effect of Musical Relaxation Therapy on Sleep Quality and Delirium in patients with Severe Pneumonia on Mechanical Ventilation

Hu YaRu Department of Critical Care Medicine，Xingtai General Hospital， north China Medical Health Group， Xingtai Hebei 054000， China

【Abstract】Objective： To explore the effect of music relaxation therapy on sleep quality and delirium in patients with severe pneumonia（SP） treated by mechanical ventilation.Methods：122 SP cases who received mechanical ventilation were randomly divided into two groups. The routine group received routine treatment and nursing；The music group was given music relaxation therapy on the basis of the control group. The sleep quality and the occurrence of delirium were compared between the two groups.Results：The RCSQ score and the delirium incidence after nursing in the music group were lower than those in the conventional group， and the duration of delirium was shorter than that in the conventional group. Conclusion：Music relaxation therapy can help improve the sleep quality of SP patients treated with mechanical ventilation， prevent the occurrence of delirium， and shorten the duration of delirium.

【Key？Words】Severe pneumonia； Mechanical ventilation； Music relaxation

受呼吸困难、插管不适、疼痛等影响，機械通气治疗者往往存在睡眠障碍和谵妄[1-2]。睡眠障碍和谵妄的发生会延长拔管时间，增加患者死亡风险。故，做好机械通气治疗的重症肺炎（SP）睡眠障碍和谵妄预防缓解十分必要。鉴于此，本研究将音乐放松疗法应用于机械通气的SP患者日常护理中，以期为患者睡眠功能改善和谵妄症预防提供新的方法。

1.1 一般资料

选择2019年5月至2021年2月在本院接受机械通气治疗的SP患者122例为对象。纳入标准：经临床症状检查、影像学和实验室检查等综合分析确诊；原发性SP；机械通气时间>7d；入院前睡眠障碍或精神类疾病。排除标准：深度昏迷；存在听力功能障碍。随机分组法将其分为两组。常规组，男33例，女28例，年龄39岁～77岁，平均年龄（59.6±5.9）岁，APACHEⅡ评分11分～31分，平均评分（19.6±4.4）分，受教育程度：初中及以下26例，高中和中专及以上35例。音乐组，男30例，女31例，年龄42岁～78岁，平均年龄（60.3±5.8）岁，APACHEⅡ评分10分～32分，平均评分（19.3±4.4）分，受教育程度：初中及以下28例，高中和中专及以上33例。……