Non-pharmacological Intervention to Reduce Sleep Disturbance Among Elderly: A Randomized Controlled Trial Study

IF 0.9 Q4 GERIATRICS & GERONTOLOGY
Jamileh Amirzadeh Iranagh, Firouz Mohammadi, Parviz Salem Safi, Vahid Ayoughi, Ali Sedghiani, Saeed Razi
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Abstract

Objectives This study aims to assess the effect of music therapy (MT) and sleep hygiene (SH) education on sleep disorders of the elderly in Urmia, Iran. Methods & Materials This is a randomized controlled clinical trial. Participants were 150 older adults referred to health centers in Urmia, Iran. They were divided into three groups of SH+MT, SH, and control using the block randomization method. To measure their sleep quality, the standard Pittsburgh sleep quality index (PSQI) was used. The intervention was conducted for two months. Data analysis was conducted in SPSS software, version 21. To know the baseline difference in the qualitative variables among the three groups, chi-square test was used. Kolmogorov Smirnov test was used to check the normality of data distribution and then one-way ANOVA test was used to compare the seven dimensions of PSQI among the three groups. Results The comparison of seven PSQI dimensions showed that subjective sleep quality (F=14.34, P=0.0001), sleep latency (F=10.05, P=0.0001), sleep duration (F=21.91, P=0.0001), habitual sleep efficiency (F=24.98, P=0.0001), sleep disturbances (F=15.37, P=0.0001), use of sleep medication (F=1.840, P=0.04) and daytime drowsiness (F=1.181, P=0.02) were significantly different among the three groups. The combination of SH education and MT improved the sleep quality of participants more than the SH education alone. Conclusion It seems that sleep disorders of the elderly can be reduced by teaching sleep hygiene and listening to favorite music before going to sleep.
非药物干预减少老年人睡眠障碍:一项随机对照试验研究
目的探讨音乐疗法和睡眠卫生教育对伊朗乌尔米娅地区老年人睡眠障碍的影响。方法与材料:随机对照临床试验。参与者是伊朗乌尔米娅保健中心的150名老年人。采用分组随机法将患者分为SH+MT组、SH组和对照组三组。采用标准匹兹堡睡眠质量指数(PSQI)来衡量他们的睡眠质量。干预进行了两个月。数据分析采用SPSS软件21版。为了解三组间定性变量的基线差异,采用卡方检验。采用Kolmogorov Smirnov检验检验数据分布的正态性,然后采用单因素方差分析检验比较三组间PSQI七个维度的差异。结果PSQI 7个维度的比较显示,三组患者主观睡眠质量(F=14.34, P=0.0001)、睡眠潜伏期(F=10.05, P=0.0001)、睡眠持续时间(F=21.91, P=0.0001)、习惯性睡眠效率(F=24.98, P=0.0001)、睡眠障碍(F=15.37, P=0.0001)、睡眠药物使用情况(F=1.840, P=0.04)、日间嗜睡(F=1.181, P=0.02)差异均有统计学意义。SH教育与MT相结合比单独SH教育更能改善参与者的睡眠质量。结论通过睡眠卫生教育和睡前听喜欢的音乐,可以减少老年人的睡眠障碍。
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来源期刊
Salmand-Iranian Journal of Ageing
Salmand-Iranian Journal of Ageing GERIATRICS & GERONTOLOGY-
CiteScore
2.00
自引率
18.20%
发文量
20
审稿时长
4 weeks
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