太极拳训练对心内科老年患者睡眠质量的影响

Effect of Tai Chi Exercise on the Sleep Quality for Older Adults with Coronary Heart Disease

目的:探讨太极拳训练对心内科老年患者睡眠质量的影响。方法:将120例冠心病患者随机分为干预组(n=60)和对照组(n=60),对照组进行心内科常规治疗与护理,干预组则在常规治疗、护理基础上接受太极拳训练,采用匹兹堡睡眠质量指数(Pittshurgh sleep quality index,PSQI)问卷评定两组患者睡眠质量的变化情况。结果:干预后,干预组PSQI各分量表得分(睡眠质量、入睡时间、睡眠障碍、安眠药物和日间功能)及总分改善程度均显著优于对照组(P<0.05),但睡眠时间、睡眠效率差异无统计学意义(P>0.05)。结论:太极拳训练具有改善冠心病患者睡眠质量的作用。

Objective： The objective of this study was to assess the effect of Tai Chi exercise on the sleep quality for older adults with coronary heart disease. Methods： A total of 120 eligible participants will be randomly allocated into intervention group （n=60） and control group （n=60）. The participants in the control group obtained routine treatment and nursing of heart medicine, at the same time the others in the intervention group received a 12-week Tai Chi exercise training with a frequency of three days per week and 60 minutes per day besides receiving treatment and nursing as the control group. The sleep quality measured through the Pittsburgh sleep quality index in the two groups was measured at baseline, and end of 12-week in- tervention. Results： After the intervention, Tai Chi could significantly decrease PSQI global score and 5 PSQI component subscales, including sleep quality, sleep latency, sleep disturbance, use of sleeping medications and daytime dysfunction during the 7 components of the PSQI（P〈0.05）, while there were no significant differences on sleep efficiency and sleep duration （P〉0.05）. Conclusions： The results show that the Tai Chi group in improving the sleep quality of older adults with coronary heart disease are superior to control group.