Presently, Associate Professor of General Surgery, All India Institute of Medical Sciences, Mangalagiri; and Formerly, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
Int J Yoga Therap. 2023 Jan 1;33(2023). doi: 10.17761/2023-D-22-00011.
The COVID-19 pandemic has led to a surge of mental health disturbances and the subsequent use of various mind-body therapies. Although evidence supports the benefits of yoga for mental health in a variety of disease states, information on its effects among healthcare workers during the COVID-19 epidemic is scarce. Therefore, this study evaluated and compared the efficacy of relaxation to music and yoga nidra on the mental health of frontline healthcare workers during the pandemic. This open-label randomized trial was conducted at a Level III COVID-19 care center. In the Relaxation-to-Music Group, participants received deep relaxation music, whereas those in the Yoga Nidra Group performed yoga nidra practices; both interventions were delivered through a YouTube platform and were to be done daily for 30 minutes during the healthcare workers' 2-week duty periods. The primary outcomes were measured using scores of the Patient Health Questionnaire (PHQ)-9, Generalized Anxiety Disorder (GAD)-7 scale, and Insomnia Severity Index (ISI) at the end of the duty period. A total of 79 healthcare workers were randomly divided into two groups: (1) Relaxation-to-Music (n = 40) and (2) Yoga Nidra (n = 39). Demographics; clinical characteristics; and PHQ-9, GAD-7, and ISI scores of the two groups were comparable at baseline. In the Yoga Nidra Group, PHQ-9 scores decreased significantly (5.17 ± 4.25 to 3.03 ± 2.40, p = 0.002) compared to the Relaxation-to-Music Group (5.68 ± 4.73 to 4.34 ± 2.90, p = 0.064). Similarly, GAD-7 scores decreased significantly in the Yoga Nidra Group (4.93 ± 3.27 to 2.33 ± 2.56, p < 0.001) compared to the Relaxation-to-Music Group (4.84 ± 3.94 to 4.03 ± 3.56, p = 0.123). ISI scores also decreased significantly in the Yoga Nidra Group (6.10 ± 3.53 to 3.03 ± 2.88, p < 0.001) compared to the Relaxation-to-Music Group (6.09 ± 5.37 to 5.93 ± 5.95, p = 0.828). In this study, yoga nidra practice was more helpful than relaxation to music in reducing depression, anxiety, and insomnia among frontline COVID-19 healthcare workers during their duty periods.
在 COVID-19 大流行期间，心理健康问题大量涌现，随后各种身心疗法的应用也有所增加。尽管有证据表明瑜伽对各种疾病状态下的心理健康有益，但关于其在 COVID-19 流行期间对医护人员影响的信息却很少。因此，本研究评估并比较了放松音乐和瑜伽睡眠对大流行期间一线医护人员心理健康的影响。这是一项在三级 COVID-19 护理中心进行的开放标签随机试验。在放松音乐组中，参与者接受深度放松音乐，而瑜伽睡眠组则进行瑜伽睡眠练习；两种干预措施均通过 YouTube 平台提供，医护人员在两周值班期间每天进行 30 分钟。主要结局指标是在值班期末使用患者健康问卷（PHQ-9）、广泛性焦虑障碍（GAD-7）量表和失眠严重程度指数（ISI）的评分来衡量。共有 79 名医护人员被随机分为两组：（1）放松音乐组（n = 40）和（2）瑜伽睡眠组（n = 39）。两组在基线时的人口统计学特征、临床特征和 PHQ-9、GAD-7 和 ISI 评分相似。瑜伽睡眠组的 PHQ-9 评分显著下降（5.17 ± 4.25 降至 3.03 ± 2.40，p = 0.002），而放松音乐组的 PHQ-9 评分仅略有下降（5.68 ± 4.73 降至 4.34 ± 2.90，p = 0.064）。同样，瑜伽睡眠组的 GAD-7 评分显著下降（4.93 ± 3.27 降至 2.33 ± 2.56，p < 0.001），而放松音乐组的 GAD-7 评分仅略有下降（4.84 ± 3.94 降至 4.03 ± 3.56，p = 0.123）。瑜伽睡眠组的 ISI 评分也显著下降（6.10 ± 3.53 降至 3.03 ± 2.88，p < 0.001），而放松音乐组的 ISI 评分无明显变化（6.09 ± 5.37 至 5.93 ± 5.95，p = 0.828）。在这项研究中，瑜伽睡眠练习在减少 COVID-19 医护人员值班期间的抑郁、焦虑和失眠方面比放松音乐更有效。
