过度觉醒条件下音乐干预诱导睡眠的研究

Study on the effect of music intervention induce sleep under the condition of hyperarousal

目的研究音乐干预对于睡前过度觉醒以致失眠的调节作用。方法选取空军军医大学84例健康睡眠的青年男性,按照单纯随机抽样方法将受试者分为试验组和对照组,各42例。2组在睡前3 h服用咖啡片诱发睡前过度觉醒,试验组在睡前实施音乐干预,对照组不给予干预。采用匹兹堡睡眠质量指数量表(PSQI)评估主观睡眠质量,采用华为手环评估客观睡眠指标。结果干预前2组PSQI评分、睡眠个人信念与态度量表(DBAS)评分、睡眠潜伏期时间和睡眠总时间比较,差异均无统计学意义(P>0.05)。干预后,试验组PSQI评分、睡眠潜伏期时间均低于对照组,DBAS评分高于对照组,差异均有统计学意义(P<0.05);但2组在睡眠总时间上比较差异无统计学意义(P>0.05)。结论音乐干预对于睡前过度觉醒以致失眠有一定的调节作用,可以缩短入睡潜伏期,提高主观睡眠质量。

Objective To study the regulatory effect of music intervention on insomnia caused by pre-sleep excessive hyperarousal.Methods Eighty-four young men with healthy sleep in Air Force Military Medical University were selected and divided into the experimental group and control group according to the simple random sampling method,42 cases in each group.The two groups were given the coffee tablets at 3 h before bedtime to induce the pre-sleep excessive hyperarousal,the experimental group implemented the music intervention before bedtime,while the control group was not given any intervention.The Pittsburgh Sleep Quality Index(PSQI)was used to evaluate the subjective sleep quality,and the Huawei Band was used to evaluate the objective sleep indicators.Results There was no statistically significant difference in the PSQI score,Dysfunctional Beliefs and Attitudes about Sleep Scale(DBAS)score,sleep latency time and total sleep time before intervention between the two groups(P>0.05).After the intervention,the PSQI score and sleep latency time of the experimental group were lower than those of the control group(P<0.05),the DBAS score was higher than that of the control group,and the differences were statistically significant(P<0.05),but there was no statistically significant difference in the total sleep time(P>0.05).Conclusion The music intervention has a certain regulatory effect on insomnia caused by excessive awakening before going to bed,which could shorten the latency to fall asleep and improve the subjective sleep quality.