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改良床垫对机构养老老年人肌肉骨骼疼痛及睡眠质量的影响

Effects of an adapted mattress in musculoskeletal pain and sleep quality in institutionalized elders.

作者信息

Ancuelle Victor, Zamudio Rodrigo, Mendiola Andrea, Guillen Daniel, Ortiz Pedro J, Tello Tania, Vizcarra Darwin

机构信息

Hypnos Instituto del Sueño, Clínica San Felipe, Lima, Peru.

Faculty of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru; Instituto de Gerontología, Universidad Peruana Cayetano Heredia, Lima, Peru.

出版信息

Sleep Sci. 2015 Nov;8(3):115-20. doi: 10.1016/j.slsci.2015.08.004. Epub 2015 Sep 25.

DOI:10.1016/j.slsci.2015.08.004
PMID:26779317
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4688575/
Abstract

We aimed to evaluate the impact in sleep quality and musculoskeletal pain of a Medium-Firm Mattress (MFM), and their relationship with objective sleep parameters in a group of institutionalized elders. The sample size included forty older adults with musculoskeletal pain. We did a clinical assessment at baseline and weekly trough the study period of four weeks. We employed the Pittsburgh Sleep Quality Index (PSQI) and Pain Visual Analog Scale (P-VAS). Additionally a sub-group of good sleepers, selected from PSQI baseline evaluation, were studied with actigraphy and randomized to MFM or High Firm Mattress (HFM), in two consecutive nights. We found a significant reduction of cervical, dorsal and lumbar pain. PSQI results did not change. The actigraphy evaluation found a significant shorter sleep onset latency with MFM, and a slightly better, but not statistically significant, sleep efficiency. The medium firmness mattress improved musculoskeletal pain and modified the sleep latency.

摘要

我们旨在评估中等硬度床垫（MFM）对一组机构养老老年人睡眠质量和肌肉骨骼疼痛的影响，以及它们与客观睡眠参数的关系。样本包括40名患有肌肉骨骼疼痛的老年人。在基线时以及为期四周的研究期间每周进行一次临床评估。我们采用了匹兹堡睡眠质量指数（PSQI）和疼痛视觉模拟量表（P-VAS）。此外，从PSQI基线评估中选出一组睡眠良好的老年人，连续两晚使用活动记录仪进行研究，并随机分为使用MFM组或高硬度床垫（HFM）组。我们发现颈部、背部和腰部疼痛明显减轻。PSQI结果没有变化。活动记录仪评估发现，使用MFM时睡眠开始潜伏期显著缩短，睡眠效率略有提高，但无统计学意义。中等硬度床垫改善了肌肉骨骼疼痛并改变了睡眠潜伏期。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b38/4688575/ab66f6a759e8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b38/4688575/9eb6fd8ee7a6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b38/4688575/ab66f6a759e8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b38/4688575/9eb6fd8ee7a6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b38/4688575/ab66f6a759e8/gr2.jpg

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本文引用的文献

[1]
Pain, range of motion and activity level as correlates of dynamic balance among elderly people with musculoskeletal disorder.

Ghana Med J. 2014-12

[2]
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Nat Sci Sleep. 2013-3-1

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IEEE Trans Inf Technol Biomed. 2011-9

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Effect of prescribed sleep surfaces on back pain and sleep quality in patients diagnosed with low back and shoulder pain.

Appl Ergon. 2010-6-26

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Sleep quality of older adults in nursing homes in Turkey: enhancing the quality of sleep improves quality of life.

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Appl Ergon. 2008-1

[8]
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Appl Ergon. 2008-3

[9]
Preliminary evaluation of reliability and criterion validity of Actiwatch-Score.

J Rehabil Res Dev. 2007

[10]
Practice parameters for the use of actigraphy in the assessment of sleep and sleep disorders: an update for 2007.

Sleep. 2007-4

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