A Comparison Study on the Effectiveness of Acceptance and Commitment Therapy and Sleep Hygiene Education on Sleep Quality and Physiological Parameters in Older Adults

IF 0.9 Q4 GERIATRICS & GERONTOLOGY
Reza Mottaghi, A. Maredpour, Shirali Karamin
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Abstract

Objectives Due to the high prevalence of insomnia and physiological problems in the elderly, this study aims to compare the effects of acceptance and commitment therapy (ACT), sleep hygiene education (SHE) and their combination on sleep quality and physiological parameters (blood pressure, heart rate, and oxygen saturation in the blood) in the elderly. Methods & Materials This is a quasi-experimental study with a pre-test/post-test/follow-up design using a control group. The study population consists of the elderly members of Jahandidegan center in Shiraz, Iran in 2018. Using a convenience sampling method and based on the inclusion and exclusion criteria, 80 subjects were selected and randomly divided into four groups, three experimental groups (ACT, SHE, and ACT+SHE) and one control group. The SHE and ACT programs each were presented for four weeks. The control group was put on a waiting list. The subjects were assessed with Pittsburgh Sleep Quality Index, a mercury sphygmomanometer, and a pulse oximeter. Data analyses were conducted in SPSS v. 23 using a two-way mixed analysis of variance and multivariate analysis of covariance. Results Participants had a mean age of 70.41±4.05 years. the changes in sleep quality, systole blood pressure, and oxygen saturation in three experimental groups were significant after intervention (P<0.001). The highest effect on sleep quality was related to the combined therapy (0.83), followed by SHE (0.67) and ACT (0.60). Conclusion All three treatment methods (ACT, SHE, and combined therapy) can improve the sleep quality and consequently systolic blood pressure and oxygen saturation in the blood of the elderly. Each of these methods are useful and can improve their psychological and physical health, where the combined therapy has superiority. Training and applying these methods are recommended for health care workers in elderly care.
接受承诺治疗与睡眠卫生教育对老年人睡眠质量及生理指标影响的比较研究
目的针对老年人失眠和生理问题的高患病率,本研究旨在比较接受与承诺治疗(ACT)、睡眠卫生教育(SHE)及其联合治疗对老年人睡眠质量和生理参数(血压、心率、血氧饱和度)的影响。方法与材料本研究为准实验研究,采用前测/后测/随访设计,采用对照组。研究人群包括2018年伊朗设拉子Jahandidegan中心的老年成员。采用方便抽样方法,根据纳入和排除标准,将80名受试者随机分为4组,3个实验组(ACT、SHE、ACT+SHE)和1个对照组。SHE和ACT课程各有四周的时间。对照组被放在等候名单上。采用匹兹堡睡眠质量指数、水银血压计和脉搏血氧计对受试者进行评估。数据分析在SPSS v. 23中使用双向混合方差分析和多变量协方差分析进行。结果患者平均年龄70.41±4.05岁。三组患者干预后睡眠质量、收缩压、血氧饱和度变化均有统计学意义(P<0.001)。对睡眠质量影响最大的是联合治疗(0.83),其次是SHE(0.67)和ACT(0.60)。结论ACT、SHE及联合治疗均能改善老年人的睡眠质量,从而改善老年人的收缩压和血氧饱和度。这些方法都是有用的,可以改善他们的心理和身体健康,其中联合治疗有优势。建议对从事老年护理的卫生保健工作者进行培训和应用这些方法。
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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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