Clinical Nursing•Surgical Nursing
Effect of music therapy combined with aerobic exercise on the quality of sleep and quality of life after modified radical mastectomy for breast cancer patients with chemotherapy
Li Chang, Jie Zhang, Yan Wang, Xiaomei Li
Published 2017-09-01
Cite as Chin J Prac Nurs, 2017, 33(25): 1947-1951. DOI: 10.3760/cma.j.issn.1672-7088.2017.25.007
Abstract
ObjectiveTo explore the effect of music therapy combined with aerobic exercise on the quality of sleep and quality of life after modified radical mastectomy for breast cancer patients with chemotherapy.
MethodsA tolal of 166 breast cancer patients with chemotherapy after modified radical mastectomy were divided into intervention group (86 cases) and the control group (80 cases) by random digits table method. The patients in control group were received routine nursing, and the patients in intervention group were received music therapy combined with aerobic exercise on the basis of routine nursing. With Pittsburgh Sleep Quality Index (PSQI) and Functiond Assessment of Cancer Therapy-Breast (FACT-B)V4.0 as assessment tool. The quality of sleep and quality of life were measured postoperative 10 days, 1 cycle of chemotherapy, 3 cycles of chemotherapy and 6 cycles of chemotherapy and compared.
ResultsThe total score of the quality of sleep and quality of life after intervention in intervention group were (6.08±1.61), (94.13±12.39) points, those in control group were (11.00±2.10),(77.14±13.14) points, and there were significant differences between two groups (t= 8.67, 9.47, P < 0.01). Repeated measurement design result showed: the quality of sleep and quality of life in intervention group and control group had a good effect between groups (F= 81.465, 31.244, P < 0.01) and the interaction effect (F= 32.709, 12.243, P < 0.01), the measurement time was no statistical differences (F= 0.629, 0.347, P > 0.05). The score of quality of sleep in intervention group with the observation point on a downward trend, until the end of the first cycle of chemotherapy falling slowly, after falling faster. The score of quality of life in intervention group with the observation point is on the rise, until the end of the first cycle of chemotherapy and after 3 cycles of chemotherapy rise faster, slower rise during 1 to 3 cycles of chemotherapy.
ConclusionsMusic therapy combined with aerobic exercise comprehensive nursing can obviously improve the patient′s quality of sleep and the quality of life, and have good effect and interaction effect between groups, no time effect.
Key words:
Music therapy; Breast neoplasms; Quality of life; Quality of sleep; Aerobic exercise
Contributor Information
Li Chang
Jie Zhang
Yan Wang
Xiaomei Li
School of Nursing, Xi′an Jiaotong University College of Medicine, Xi′an 710061, China
