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 / 中国实用护理杂志

ABSTRACT

Objective To 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. Methods A 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. Results The 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 showedthe 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. Conclusions Music 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.