{"title":"基于冥想的身心干预对睡眠质量差的老年人的影响：随机对照试验的荟萃分析。","authors":"Yue Li, Jiaxing Tang, Gaopeng Chen","doi":"10.1080/15402002.2025.2475911","DOIUrl":null,"url":null,"abstract":"<p><strong>Aims and objective: </strong>This study aims to evaluate the effect of meditation-based mind-body interventions (MBIs) (Mindfulness, Tai Chi, Yoga, and Qigong) for older adults with poor sleep quality.</p><p><strong>Background: </strong>Poor sleep quality exerts negative impact on life quality of old adults. The meditation-based mind-body interventions, with merits of simplicity, practicality, accessibility, and widespread dissemination, have been widely used to improve sleep in the older adults. However, the effects of MBIs on sleep quality of old adults are largely unknown.</p><p><strong>Method: </strong>A comprehensive systematic review and meta-analysis were carried out following the PRISMA-P guidelines. Embase, PubMed, CINAHL, PsycINFO, Cochrane Library, Web of Science, and CNKI databases were searched to gather randomized controlled trials (RCTs) on the effects of MBIs on older adults with poor sleep quality. Study quality was evaluated by the Cochrane Risk of Bias tool.</p><p><strong>Results: </strong>This study included 11 randomized controlled trials (with 1,052 participants) published between 2008 and 2023. Compared to the control group, there was a significant improvement in sleep quality (SMD= -0.66, 95%CI [-0.894, -0.426], P<0.00001), depression (SMD=-1.60, 95% CI [-1.89, 0.23], P=0.005), and anxiety (SMD= -1.46, 95% CI [-3.67, 0.75], P=0.026) for older adults with poor sleep quality. 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引用次数: 0
摘要
目的与目的：本研究旨在评估以冥想为基础的身心干预（mbi）（正念、太极、瑜伽和气功）对睡眠质量差的老年人的影响。背景：睡眠质量差会对老年人的生活质量产生负面影响。以冥想为基础的身心干预具有简单、实用、可及、传播广泛等优点，已被广泛应用于改善老年人睡眠。然而，mbi对老年人睡眠质量的影响在很大程度上是未知的。方法：根据PRISMA-P指南进行全面的系统评价和荟萃分析。我们检索了Embase、PubMed、CINAHL、PsycINFO、Cochrane Library、Web of Science和CNKI数据库，收集了关于mbi对睡眠质量差的老年人影响的随机对照试验（rct）。采用Cochrane偏倚风险工具评价研究质量。结果：本研究纳入了2008年至2023年间发表的11项随机对照试验（1052名参与者）。与对照组相比，干预组睡眠质量有显著改善（SMD= -0.66, 95%CI[-0.894, -0.426]）。结论：以冥想为基础的身心干预可显著改善睡眠质量较差的老年人的睡眠质量。然而，需要更多的证据来支持这一点。注册：本研究的方案已在PROSPERO注册（CRD42023445082）。https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=445082.Prospero注册号：CRD42023445082。
The Effect of Meditation-Based Mind-Body Interventions on Older Adults with Poor Sleep Quality: A Meta-Analysis of Randomized Controlled Trials.
Aims and objective: This study aims to evaluate the effect of meditation-based mind-body interventions (MBIs) (Mindfulness, Tai Chi, Yoga, and Qigong) for older adults with poor sleep quality.
Background: Poor sleep quality exerts negative impact on life quality of old adults. The meditation-based mind-body interventions, with merits of simplicity, practicality, accessibility, and widespread dissemination, have been widely used to improve sleep in the older adults. However, the effects of MBIs on sleep quality of old adults are largely unknown.
Method: A comprehensive systematic review and meta-analysis were carried out following the PRISMA-P guidelines. Embase, PubMed, CINAHL, PsycINFO, Cochrane Library, Web of Science, and CNKI databases were searched to gather randomized controlled trials (RCTs) on the effects of MBIs on older adults with poor sleep quality. Study quality was evaluated by the Cochrane Risk of Bias tool.
Results: This study included 11 randomized controlled trials (with 1,052 participants) published between 2008 and 2023. Compared to the control group, there was a significant improvement in sleep quality (SMD= -0.66, 95%CI [-0.894, -0.426], P<0.00001), depression (SMD=-1.60, 95% CI [-1.89, 0.23], P=0.005), and anxiety (SMD= -1.46, 95% CI [-3.67, 0.75], P=0.026) for older adults with poor sleep quality. However, there was no statistically significant difference in the treatment effect for stress (SMD= -4.45, 95% CI [-10.24, 1.35], P=0.196).
Conclusion: Meditation-based mind-body interventions significantly improved the sleep quality of older adults with poor sleep quality. Nevertheless, more evidence is needed to support this.
Registration: The protocol for this study was registered with PROSPERO (CRD42023445082). https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=445082.
期刊介绍：
Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.
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