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音乐对老年人抑郁和睡眠质量的影响:一项随机对照试验。

Effects of music on depression and sleep quality in elderly people: A randomised controlled trial.

机构信息

Alice Lee Centre for Nursing Studies, National University of Singapore, Block E3A, Level 3, 7 Engineering Drive 1, Singapore 117574, Singapore.

出版信息

Complement Ther Med. 2010 Jun-Aug;18(3-4):150-9. doi: 10.1016/j.ctim.2010.02.004.

DOI:10.1016/j.ctim.2010.02.004
PMID:20688261
Abstract

OBJECTIVES

To determine the effect of music on sleep quality in elderly people. In addition, we aimed to examine if there were effects on vital signs and depression levels.

BACKGROUND

Sleep disturbances and depression are common in older people, and their impacts on this group, along with its conventional treatment, merit our attention as our population ages. Conventional pharmacological methods might result dependence and impairment in psychomotor and cognitive functioning. Listening to music, which is a non-pharmacological method, might reduce depression and promote sleep quality.

DESIGN

A randomised controlled study was conducted during the period December 2006 to January 2007.

SETTING

At participants' homes in Hong Kong.

PARTICIPANTS

In total, 42 elderly people (21 using music and 21 controls) completed the study after being recruited in one community services centre.

INTERVENTION

Participants listened to their choice of music for 30min per week, for 4 weeks.

MAIN OUTCOME MEASURES

Blood pressure, heart rate, depression levels and sleep quality variables were collected once a week for 4 weeks.

RESULTS

In the experimental group, there were statistically significant reductions in geriatric depression scores and sleep quality at week 4. In the control group, there were no statistically significant reductions in depression and improvement of sleep quality over the 4 weeks. However, for all the outcome measures, no significant differences were found between groups over the 4 weeks.

CONCLUSIONS

The findings contribute to knowledge about the effectiveness of soft slow music used as an intervention to improve depression and sleep quality in elderly people. Whilst there were no statistical differences between groups, there was some indication that music yielder higher improvement on some of the parameters, which are worthy of further investigation in larger trials.

摘要

目的

探究音乐对老年人睡眠质量的影响。此外,我们还旨在研究音乐是否对生命体征和抑郁水平有影响。

背景

睡眠障碍和抑郁在老年人中很常见,随着人口老龄化,这些问题及其常规治疗方法值得我们关注。传统的药物治疗方法可能会导致依赖和心理运动及认知功能障碍。听音乐是一种非药物治疗方法,可能有助于缓解抑郁并提高睡眠质量。

设计

这是一项于 2006 年 12 月至 2007 年 1 月期间进行的随机对照研究。

地点

在香港参与者的家中。

参与者

共有 42 名老年人(实验组 21 名,对照组 21 名)在一个社区服务中心完成招募后完成了研究。

干预

实验组每周听 30 分钟自选音乐,共 4 周。

主要观察指标

每周收集一次血压、心率、抑郁水平和睡眠质量变量,共 4 周。

结果

实验组的老年抑郁量表评分和睡眠质量在第 4 周时有统计学意义的降低。对照组在 4 周内抑郁水平和睡眠质量没有统计学意义的改善。然而,在 4 周内,两组间所有的观察指标均无显著差异。

结论

本研究结果为使用柔和舒缓音乐作为干预措施改善老年人抑郁和睡眠质量的有效性提供了一定的知识依据。虽然组间无统计学差异,但音乐对某些参数的改善似乎有一定的提示作用,这值得在更大规模的试验中进一步研究。

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