Abstract
OBJECTIVE: To investigate the effects of music therapy combined with mindfulness-based stress reduction on psychological state, pain and sleep in patients with uterine adenomyosis after high-intensity focused ultrasound (HIFU) ablation. METHODS: A retrospective study was conducted on 146 adenomyosis patients admitted from January 2024 to December 2024. In accordance with nursing methods, patients were assigned to the mindfulness group (n = 68), which received mindfulness-based stress reduction care, or the combined group (n = 78), which received music therapy plus mindfulness-based stress reduction. Clinical data, visual analogue scale (VAS) scores, Self-rating Depression Scale (SDS) scores, Self-rating Anxiety Scale (SAS) scores, Pittsburgh Sleep Quality Index (PSQI) scores and EuroQol Five Dimensions Questionnaire (EQ-5D) scores were compared. RESULTS: On postoperative Day 3, the VAS scores were significantly lower in the combined group (P < 0.05), and 14 days after care, the SDS, SAS and PSQI scores were all lower than those of the mindfulness group. EQ-5D analysis revealed significant improvements in self-care and anxiety/depression in the combined group (P < 0.05). Utility values were 0.437 ± 0.153 in the mindfulness group and 0.602 ± 0.161 in the combined group (P < 0.05). CONCLUSION: Music therapy with mindfulness-based stress reduction improves anxiety management, self-care, quality of life and recovery in postoperative HIFU patients with adenomyosis and alleviates pain.