基于工作场所的睡眠健康计划对德国武装部队成员睡眠的影响。

Effects of a Workplace-Based Sleep Health Program on Sleep in Members of the German Armed Forces.

机构信息

Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Competence Center of Sleep Medicine at Campus Benjamin Franklin, Berlin, Germany.

German Armed Forces Office, Applied Military Psychology and Research Group, Hamburg, Germany.

出版信息

J Clin Sleep Med. 2019 Mar 15;15(3):417-429. doi: 10.5664/jcsm.7666.

DOI:10.5664/jcsm.7666

PMID:30853042

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6411175/

Abstract

STUDY OBJECTIVES

To develop and evaluate a brief manual-based sleep health program within the workplace health promotion of the German Armed Forces.

METHODS

The sleep health program comprised four weekly group sessions. Sixty-three members (48 males) were randomly allocated to either a treatment group or a waiting control group matching for age, sex, and baseline Pittsburgh Sleep Quality Index (PSQI). The control group had to wait before participating in the sleep health program until the treatment group finished the intervention. Sleep was assessed by ambulatory polysomnography (PSG) as well as with evening and morning protocols at baseline (t0), directly after the treatment group participated in the sleep health program (t1), and after the control group finished participation (t2). The PSQI, the Insomnia Severity Index (ISI), and the Epworth Sleepiness Scale (ESS) were applied at the same three time points, and during a 3-month follow-up evaluation (t3).

RESULTS

Fifty-seven out of the 63 randomized individuals (42 males, mean age = 40.6 years; complete PSG data: n = 36; complete questionnaire data: n = 39) participated in the sleep health program. Objective wake after sleep onset, sleep efficiency, latency to persistent sleep, self-reported sleep latency, restfulness, PSQI, and ISI scores improved with medium or large effects in both groups. ESS scores decreased with moderate effects in the treatment group only.

CONCLUSIONS

The sleep health program had a positive and stable effect on objective and self-reported sleep parameters, and it is suitable as a preventive measure in members of the German Armed Forces.

CLINICAL TRIAL REGISTRATION

Registry: ClinicalTrials.gov; Title: Development and Evaluation of a Sleep-coaching Program; Identifier: NCT02896062; URL: https://clinicaltrials.gov/ct2/show/record/NCT02896062.

摘要

研究目的

在德国武装部队的工作场所健康促进中开发和评估一个简短的基于手册的睡眠健康计划。

方法

睡眠健康计划包括每周四次小组会议。63 名成员（48 名男性）被随机分配到治疗组或等待对照组，按年龄、性别和基线匹兹堡睡眠质量指数（PSQI）匹配。对照组必须等待治疗组完成干预后才能参加睡眠健康计划。通过动态多导睡眠图（PSG）以及基线时的晚间和清晨方案（t0）、治疗组直接参加睡眠健康计划后（t1）以及对照组完成参与后（t2）评估睡眠。PSQI、失眠严重程度指数（ISI）和 Epworth 嗜睡量表（ESS）在相同的三个时间点（t3）以及 3 个月随访评估时应用。

结果

63 名随机个体中有 57 名（42 名男性，平均年龄=40.6 岁；完整 PSG 数据：n=36；完整问卷数据：n=39）参加了睡眠健康计划。客观的睡眠后觉醒、睡眠效率、持续睡眠潜伏期、自我报告的睡眠潜伏期、睡眠舒适度、PSQI 和 ISI 评分在两组中均有中或大的改善。只有治疗组的 ESS 评分有中度下降。