放松疗法对高龄老年失眠患者的有效性研究

Study on Relaxation Therapy for Chronic Insomnia in Elder Patients

目的:评价放松疗法对75岁以上老年人失眠状况的有效性。方法:收集90名75岁以上失眠症老年患者病例,随机分配到干预组(n=45)和对照组(n=45),采取随机对照的单盲临床试验。评测工具为匹兹堡睡眠指数量表(Pittsburgh Sleep Quality Index,PSQI)、焦虑自评量表(Self-rating Anxiety Scale,SAS)、老年抑郁量表(Geriatric Depression Scale,GDS)和幸福度量表(Memorial University of Newfoundland scale of happiness,MUNSH)。采用重复测量的方差分析评定干预疗效。结果:与对照组相比,干预组在PSQI总分(P<0.001)、SAS(P=0.022)、和GDS(P=0.001)上有统计学意义的显著优势。结论:我们的研究表明,放松疗法对缓解75岁以上老年人的失眠情况有显著疗效。

Objective： To evaluate the effectiveness of relaxation therapy for insomnia in elder patients of 75＋ years old.Methods： Ninety elder patients with insomnia of 75＋ years old were enrolled and randomly assigned to intervention group（n=45） and control group（n=45）. A randomized controlled single-blind clinical trial was adopted. The evaluation tools contained Pittsburgh sleep quality index（PSQI）, Self-Rating Anxiety Scale（SAS）, Geriatric Depression Scale（GDS） and happiness Scale. Repeated measures analysis of variance was used to assess the efficacy of the intervention. Results： Compared with the control group, the PSQI scores（P〈0.001）, SAS（P = 0.022）, and GDS（P = 0.001） of the intervention group were statistically advantageous. Conclusion： Our study demonstrated that the relaxation therapy could be beneficial for treatment of insomnia in elder patients above 75 years old.