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below  is  considered  as  “good.”   The  Turkish  validity  and   RESULTS
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          reliability study of the scale was conducted by Ağargün et al,    Age average of the students who were included in the
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          and the internal consistency coefficient was reported as 0.80.   study was determined as 21.77 ± 1.14. A total of 71.1% of the
                                                             students were women and 28.9% were men. While examining
          Intervention                                       the residences of the students, it was determined that 57.8%
             In this study, the music to be applied to students as an   were staying at state student dormitories, and 42.2% were
          audial stimulus was determined as the tune Hejaz due to its   staying at private dormitories. The average number of
          soothing and tranquilizing effect on sleep from the night   individuals in the room was 2.26 ± 1.30.
          until morning according to literature.                Table 1 shows the comparison of the experimental and
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             Students in the experimental group (n = 20) were given   control groups according to the descriptive characteristics of the
          MP3 players loaded with the music therapy. They were asked   students included in the study. It was determined that there was
          to listen to the music therapy using supra-aural earphones   no statistically significant difference between the groups in
          approximately 1 hour before going to bed for 1 week. The   terms of gender, age, residence of the students in the experimental
          students were instructed to keep the volume of the personal   and control groups, and the number of individuals in the room,
          MP3 player to be used for listening to the music therapy   and both groups were similar (Table 1).
          below 70% and use it for 1 hour per day at most. 18,22,23    PSQI pretest mean scores of the students were determined
             Before starting to listen to music, the students were   as 10.25 ± 3.59 in the experimental group and 8.56 ± 2.73 in
          instructed to:                                     the control group. When comparing the PSQI pretest mean
                                                             scores  of  the  students  in  the  experimental  and  control
            1. Go to a silent, quiet, and dim-lit room with optimum   groups, it was determined that there was no statistically
             temperature.                                    significant  difference  between  the  groups  and  both  groups
            2. Wear casual dress or pajamas.                 were similar (P > .05, Table 2).
            3. Lie on a comfortable couch in a comfortable lying   As a result of the study, it was determined that PSQI
             position.                                       posttest mean scores of students in the experimental group
            4. Close their eyes and mentally focus on the music   who listened to music therapy decreased to 5.05 ± 3.03. On
             rather than external factors.                   the other hand, PSQI posttest mean scores of the students in
            5. Breathe regularly while listening to the music.   the control group increased to 9.08 ± 2.91 (Figure 1). When
            6. No intervention was applied to students in the control   comparing the PSQI posttest mean scores of the students in
             group  (n  =  25).  They  were  asked  to sustain their   the experimental and control groups, it was determined that
             normal sleeping habits.                         mean scores of the students in the experimental group were
                                                             lower than mean scores of the students in the control group
          Data Collection                                    and the  difference between the groups was statistically
             At the beginning of the study, the questionnaire prepared   significant (P < .001, Table 2).
          for determining the sociodemographic characteristics and
          the PSQI tests were applied to students as a pretest. One week   DISCUSSION
          after applying the pretests, the PSQI test was applied to   Musical therapy and melodies have been used in
          students as posttests, and their sleep quality was evaluated.   treatment of many psychological problems such as stress,
          The questionnaire and the PSQI test were filled out by the   depression, anxiety, anger, sorrow, insomnia, pain, and
          students and delivered to the researchers.         nausea for time immemorial. 11,24,25  As a result of this study, it
                                                             was determined that the tune Hejaz increased the sleep
          Data Analysis                                      quality of students as an audial stimulus.
             The data were analyzed on computers using SPSS version   In numerous studies conducted among different patient
          15.00 (IBM, Armonk, NY, USA). χ  analysis and a t test were   and age groups for the purpose of determining the effect of
                                      2
          used for the data analysis.                        music on sleep, it was determined that sedative music
                                                             listened tp for approximately 3 to 10 days had positive effects
          Ethical Consideration                              on sleep by increasing muscle relaxation, distraction from
             The  study  was  conducted  by  considering  informed   negative thoughts, personal control, and sense of
          consent, autonomy, confidentiality and protection of privacy,   trust. 11,12,15,24,26-29  In the study conducted by Bloch et al
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          and nonmaleficence/beneficence principles. Before starting   among patients with schizophrenia, they determined that the
          the study, at the institution where the study was conducted,   state anxiety levels and insomnia complaints of patients
          the ethical committee and students who were included in the   listening to music decreased. In the study conducted by Lafçı
          sample were informed about the objective of the study. All   and Öztunç  among patients with breast cancer, the authors
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          procedures performed in this study were in accordance with   determined that music in relaxing tunes such as Hejaz and
          the ethical standards of the institutional and/or national   Zirefkend enhanced the sleep quality of patients.
          research committee and with the 1964 Helsinki Declaration   In the study by Hui-Ling et al,  older individuals
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          and its later amendments or comparable ethical standards.   listened to relaxing music that they preferred. At the end of


           24   ALTERNATIVE THERAPIES, JUL/AUG 2020 VOL. 26 NO. 4              Kavurmaci—Music Therapy and Sleep Quality
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