Effects of Music Therapy on Sleep Quality in Patients Who Had Hematopoietic Stem Cell Transplantation
Condition: Hematologic Diseases
MeSH terms: Hematologic Diseases
Study type: Interventional

Summary: 
      In patients undergoing hematopoietic stem cell transplant; Side effects associated with
      high-dose chemotherapy and radiotherapy, night treatment and care, social isolation cause
      emotional problems and deterioration in sleep quality in this patient population. In a
      meta-analysis conducted in 2014, it was reported that music can be effective in improving
      sleep quality.

      In this study, an experimental design with pre-test - post-test control group will be used to
      evaluate the effect of music therapy on sleep quality given to patients undergoing
      hematopoietic stem cell transplantation. It will be held between December 2020 and May 2021
      at the Bone Marrow Transplantation Unit of Istanbul University-Cerrahpaşa Cerrahpaşa Medical
      Faculty Hospital. The population of the study will be the patients hospitalized in the unit
      within the specified date range and the sample number was determined as 30.
    

Detailed description: 
      Research Universe and Sample:

      The population of the study will be the patients who applied to the Bone Marrow
      Transplantation Unit of Istanbul University-Cerrahpaşa Cerrahpaşa Medical Faculty Hospital
      between December 2020 - May 2021 and accepted the study. Considering the previous years in
      the date range of the study, it is predicted that an average of 25 patients will be
      hospitalized for stem cell transplantation. In a study conducted in 2014, it was reported
      that sleep disturbance continued in the long term after the transplantation in half of the
      patients who underwent hematopoietic stem cell transplantation. In the light of this
      information, the sample size was calculated as 24 using the OpenEpi program. Considering the
      possibility of patient or treatment-related disruptions during the study, it was planned to
      include 30 patients, 15 of which were experimental and 15 were control group.

      Data Collection Tools The age, gender, type of transplant, habits and sleep of the patients
      created by the researcher during the data collection phase.

      The "Patient Identification Form", which consists of 14 questions related to patients such as
      problems, and developed by Richards in 1987, was developed by Karaman Özlü et al. "Richard
      Campbell Sleep Questionnaire", whose validity and reliability study has been made, will be
      used.

      Musical Intervention

      In determining the music to be used, a quiet music containing the sounds of nature was
      determined in consultation with the music therapist.

      It will be applied to the experimental group by using an mp3 player in the patient room,
      starting on the day before the transfer (D-1), every evening for 10 days and each session for
      30 minutes. It will be applied between 23:00 and 24:00 in the evening so as not to prevent
      the standard treatment and care of the patients. After 10 days, the sleep quality of the
      patients will be re-evaluated using the Richard Campbell Sleep Questionnaire.
    

Intervention name(s): musıc therapy
Intervention type(s): Other
Intervention description(s): calm music with nature sounds set by the music therapist
Allocation: Randomized
Intervention model: Sequential Assignment
Masking: None (Open Label)
Primary purpose: Other
Keywords: hematopoietic stem cell transplant, music therapy, sleep quality