体感振动音乐疗法改善睡眠障碍的研究

Study on release sleep disturbance with vibroacoustic therapy

目的:探讨体感振动音乐疗法改善睡眠障碍的疗效。方法:164例经匹兹堡睡眠质量指数量表(PSQI)评定存在睡眠障碍者,同时使用症状自评量表(SCL-90)对身心状况进行评估,随机分为治疗组与对照组,治疗组除进行睡眠健康宣教外再给予音乐体感振动治疗,对照组则按照睡眠健康宣教,进行自我调节。治疗结束后进行睡眠质量及身心症状测评。结果:①治疗后治疗组PSQI总分、睡眠障碍因子、睡眠质量因子和日间功能障碍因子分低于对照组,差异有显著性意义(P<0.05);两组在入睡时间、睡眠时间、睡眠效率及安眠药物服用因子上差异无显著性意义。②治疗前两组在SCL-90各因子分上与国内常模比较,除人际关系障碍因子外其他因子均高于国内常模。治疗后治疗组在躯体化、强迫症状、抑郁、焦虑、敌对、偏执因子分低于对照组,差异有显著性意义(P<0.05);在人际关系、恐怖和精神病性这三个因子与对照组相比无明显的变化。结论:体感振动音乐疗法可以在一定程度上改善睡眠状况及身心症状。

Objective：To discuss the effect of vibroacoustic therapy in treating sleep disturbance.Method： One hundred and sixty four patients were evaluated assleep disturbance with PSQI,and their physical and mental states were assessed by SCL-90. After these assessments, they were divided into two groups： the treatment group got the vibroacoustic therapy after the sleep healthy education and the control group serf-regulation. They got assessment for their sleep quality,and physical and mental state after treatment.Result： ①After treatment, there were significant difference between the two groups in score of PSQI and sleep disturbance factors （P〈0.05）; In treatment group,the score of sleep quality and daytime function disturbance were significant lower than the control group（P〈0.01）. Both groups had no statistical differences in time of falling asleep,time of sleep,effect of sleep and the factor of taking sleeping pills. ②Compared with the scores of SCL-90 in these two groups,there have significant difference in the factors of somatization,compulsion,depression,anxiety,hostility and prejudice（P〈0.05）,but have no conspicuous variation in the factors of interpersonal relation,phonophobia and psychosis.Conclusion：The vibroacoustic therapy have identified therapeutic effect in improve sleep state and physical and mental symptoms.