改良易筋经对社区睡眠障碍老年人睡眠质量的影响

Modified Yi Jin Jing Efficacy on Sleep Quality of Elderly People with Sleep Disorders in Community

目的:探讨改良易筋经对改善社区睡眠障碍老年人睡眠的疗效,观察易筋经对不同年龄组老年人睡眠质量的影响,为社区睡眠障碍老年康复提供理论与试验依据。方法:对92例上海市社区睡眠障碍老年人使用匹兹堡睡眠质量指数量表(PSQI)评定睡眠质量,用生活质量量表(SF-36)对生活状况进行评估,以类试验的方法按社区分为试验组和对照组,并按年龄分为高龄组和低龄组,每组23例。试验组除进行健康宣教外进行改良易筋经锻炼,对照组则进行健康宣教。各组干预时间均为12周,干预结束后均进行睡眠质量和生活质量测评。结果:干预后试验高龄组在PSOI总分、睡眠质量、睡眠效率、睡眠障碍等方面得分值均有降低,差异具有统计学意义(P<0.05);试验低龄组在PSQI总分、睡眠质量、入睡时间、睡眠效率、睡眠障碍等方面得分均有降低,差异具有统计学意义(P<0.05)。与对照组比较,试验组的PSQI总分、睡眠时间、睡眠效率以及生理健康总评(PCS)和心理健康总评(MCS)评分方面干预前后差值比较,差异均有统计学意义(P<0.05)。结论:改良易筋经对睡眠障碍老年人睡眠状况及生活质量有一定的积极作用。

Objective：To explore the effect of modified Yi Jin Jing on improving sleep in elderly patients with sleep disorders and to compare the effect of modified Yi Jin Jing on sleep quality of the elderly in different age groups, so as to provide theoretical and experimental evidence for elderly rehabilitation of sleep disorders in communities. Methods：A total of ninety-two elderly people with sleep disorders in Shanghai community were divided into experimental group（modified Yi Jing Jing group） and control group according to the community. The subjects were divided into the elder group and the younger age group by age, with 23 cases in each group. Both groups received 12 weeks＇ health education. In addition, the experimental group regularly conducted the excise of modified Yi Jin Jing for at least 12 weeks. The sleep quality and quality of life were measured with PSQI and SF-36 before and after intervention. Results：After intervention, the scores of PSQI, sleep quality factor, sleep efficiency factor, sleep disturbance factor and so on were reduced in the experimental elderly group, with a statistically significant difference（P〈0.05）. The scores of PSQI, sleep quality factor, sleep time factor, sleep efficiency factor and sleep disorder factor were reduced in the experimental younger group, with a statistically significant difference（P〈0.05）. The difference of PSQI total score, sleep time score, sleep efficiency score, PCS and MCS score before and after intervention in the experimental group was statistically significant（P〈0.05） compared with the control group.It was suggested that the improvement of PSQI total score, sleep time score, sleep efficiency score, PCS and MCS score were significantly different from those in the control group. Conclusion：Modified Yi Jin Jing has a positive effect on improving sleep status and quality of life in elderly people with sleep disorders.