【摘要】

目的：探讨音乐干预对抑郁症患者睡眠质量和消极情绪的影响。
方法：将符合标准的100例有睡眠障碍的抑郁症患者随机分为实验组50例和对照组50例，实验组采用个体化音乐干预和常规治疗和护理，对照组采用常规治疗和护理
方法，一个月后比较两组之间的差异，干预结束3个月之后进行随访。
结果：①与对照组相比，实验组在匹兹堡睡眠质量指数(Pittsburgh sleep quality index，PSQI)总分和五个因子（主观睡眠质量、入睡时间、睡眠效率、睡眠障碍、催眠药物）上均有显著改善（P<0.05）；而在睡眠时间和日间功能维度没有得到明显改善（P>0.05）。②实验组消极情绪较对照组明显减少（P<0.01）；③随访
结果表明3个月之后两组患者的睡眠质量和消极情绪没有显著性差异。
结论：音乐干预能有效提高抑郁症患者的睡眠质量，其消极情绪亦得到明显缓解，但是，此种疗效并没有持续性。

【Abstract】

Objective：To evaluate the effect of music intervention on the negative emotion and sleep quality in depressive patients.
Methods：100 patients with depression were randomly divided into the music intervention group（n = 50）and the control group（n = 50）. The patients in the control group were given routine nursing care；the patients in the music intervention group were additionally provided individualized music intervention. The intervention effect was compared between the two groups after one month and follow-up after three months.
Results：①There were statistically significant differences in the comparison of the scores of subjective sleep quality，sleep latency，sleep efficiency，sleep disorders，used sleep medication between the two groups（P<0.05）.②The scores of SAS and SDS were lower in the observation group than the control group after the intervention（P<0.01）.③After three months,　there were not statistically significant differences between two groups both in sleep quality and the negative emotion.
Conclusion  ：The music intervention can effectively relieve the negative mood and improve sleep quality of the depressive patients,　but the effects are not lasting.