睡眠养生教育干预社区老年人睡眠质量的疗效观察

Effect of Sleep Healthcare Education Intervention on the Sleep Quality for the Elderly in the Community

目的观察采用睡眠养生干预社区老年人睡眠质量的效果与影响。方法采用便利抽样方法调查148名社区常住老年人的睡眠质量,筛选睡眠质量差[匹兹堡睡眠质量指数(PSQI)≥7分]的70例随机分组进行研究。试验组采用睡眠养生知识教育、睡前三部曲的干预措施,对照组不采取任何干预措施。一个月后重复测量。结果试验组老年人干预后睡眠质量与干预前比较改善明显(P<0.01),与对照组比较差异有统计学意义(P<0.01),试验组睡眠质量各成分改变程度从高到低排序为日间功能障碍、睡眠障碍、主观睡眠质量、入睡时间、睡眠时间、睡眠效率。结论基于中医学理论和老年人体质特点,应用睡眠养生干预社区常住老年人睡眠质量,效果改善明显,且干预方法简便易行,符合社区中医药"简、便、验、廉"的特点要求。

Objective To observe the effects of sleep healthcare intervention on the sleep quality for the elderly in the community.Methods 148 aged people of permanent residence in the community were randomly selected in the investigation of sleep quality.70 cases of poor sleep quality were screened[Pittsburg sleep quality index（PSQI）≥7]and divided randomly into groups.In a trial group,the intervention measures such as sleep healthcare education and three-step program before sleep were adopted.In control group,no any intervention was used.The detection was repeated one month later.Results In trial group,PSQI was improved apparently after intervention for the elderly as compared with that before the intervention（P〈0.01）.The significant difference in the data presented as compared with those in control group（P〈0.01）.The sequence of the improvement degree for individual items in PSQI,from high to low was daytime dysfunction,sleep disturbances,subjective sleep quality,sleep latency,sleep duration and sleep efficiency.Conclusion Based on the theory of traditional Chinese medicine and the constitution characteristic of the elderly,the sleep healthcare intervention achieves the apparent improvements on the habitual sleep quality for the elderly in the community.The intervention method is practical and coincident with the requirement characteristics as simplification,convenience,acceptance and low expenditure in traditional Chinese medicine.