Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Faculty of Medicine, Nursing and Health Sciences, School of Nursing and Midwifery, Monash University, Gippsland Campus, Churchill, Victoria, Australia.
Complement Ther Med. 2014 Feb;22(1):49-56. doi: 10.1016/j.ctim.2013.11.003. Epub 2013 Nov 14.
To examine the effects of music listening on sleep quality amongst older community-dwelling adults in Singapore.
In a randomized controlled study, a cohort of older adults (N=60) age 55 years or above were recruited in one community centre. Sleep quality, as measured by the Pittsburgh Sleep Quality Index (PSQI), was the primary outcome. Participants' demographic variables including age, gender, religion, education level, marital and financial status, any chronic illness, previous experiences of music intervention as well as depression levels were collected. Participants were asked to listen to soft, instrumental slow sedative music without lyrics, of approximately 60-80 beats per minute, and 40 min in duration, for 6 weeks. Generalized estimating equations were used to examine the effects of the intervention on the elders' sleep quality.
Significant reductions in PSQI scores were found in the intervention group (n=28) from baseline (mean±SD, 10.2±2.5) to week 6 (5.9±2.4, p<0.001), while there were no changes in the control group (n=32) from baseline (9.0±2.4) to week 6 (9.5±2.6). At week 6, the intervention group showed a better sleep quality than the control (χ(2)=61.84, p<0.001).
Notwithstanding the placebo effect, this study supports music listening as an effective intervention for older adults to improve sleep quality. Not only does this process improve their sleeping quality at old age, it also individualizes and enhances the quality of care provided by the healthcare provider as the therapeutic relationship between provider and client is being established. Contemporary gerontology is progressively characterized by collaboration between several approaches with the intent to comprehend the mental aspects of the multifarious process of ageing. Music listening is one such avenue to enhance sleep quality amongst older adults and make an essential contribution to healthy ageing.
探讨在新加坡社区居住的老年人听音乐对睡眠质量的影响。
采用随机对照研究，在一个社区中心招募了 60 名年龄在 55 岁及以上的老年人。睡眠质量采用匹兹堡睡眠质量指数（PSQI）进行评估，这是主要的结果测量指标。参与者的人口统计学变量包括年龄、性别、宗教、教育程度、婚姻和财务状况、任何慢性疾病、以前的音乐干预经历以及抑郁水平。要求参与者听大约 60-80 拍/分钟、无歌词的柔和乐器慢镇静音乐，时长 40 分钟，连续 6 周。使用广义估计方程来检验干预对老年人睡眠质量的影响。
干预组（n=28）从基线（平均±标准差，10.2±2.5）到第 6 周（5.9±2.4，p<0.001）PSQI 评分显著降低，而对照组（n=32）从基线（9.0±2.4）到第 6 周（9.5±2.6）没有变化。第 6 周时，干预组的睡眠质量优于对照组（χ(2)=61.84，p<0.001）。
尽管存在安慰剂效应，但这项研究支持听音乐是改善老年人睡眠质量的有效干预措施。这不仅改善了他们在老年时的睡眠质量，还个性化和增强了医疗保健提供者提供的护理质量，因为在建立提供者和客户之间的治疗关系。当代老年学的特点是多种方法的合作，旨在理解衰老这一多方面过程的心理方面。听音乐是提高老年人睡眠质量的一种途径，可以为健康老龄化做出重要贡献。
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