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健脑操练习与认知行为疗法对提高医科大学生睡眠质量的效果比较研究

Effectiveness of Brain Gym Exercises Over Cognitive Behavioural Therapy in Improving Sleep Quality Among Healthcare University Students: A Comparative Study.

作者信息

Thakre Vaishnavi M, Deshmukh Mitushi, Gibbs Joel

机构信息

Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.

Psychology, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.

出版信息

Cureus. 2024 Apr 17;16(4):e58463. doi: 10.7759/cureus.58463. eCollection 2024 Apr.

DOI:10.7759/cureus.58463
PMID:38765356
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11100550/
Abstract

Background More than half of healthcare university students are believed to experience inadequate sleep. The application of brain gym exercises is a relatively new concept that has shown potential for addressing a variety of cognitive and perceptual deficits. Nevertheless, its use in managing sleep disorders is still in the early stages. Though cognitive behavioral therapy (CBT) is still the standard treatment for sleep management, recent research suggests that brain gym exercises may help with sleep disorders like insomnia. Independent studies have demonstrated the efficacy of CBT and brain gym activities in treating sleep disorders. Yet, there remains a paucity of studies directly comparing these two methods in treating individuals with sleep disturbances. Aim and objectives To ascertain the effectiveness of brain gym exercises over cognitive behavioral therapy in improving sleep quality among healthcare university students. Method The experimental study comparing brain gym exercises and cognitive behavioral therapy interventions was conducted in Wardha, Maharashtra, India, from March 2023 to December 2023, with 60 subjects selected after considering inclusion and exclusion criteria. The protocol was administered for 4 weeks for 30 minutes per day. The baseline outcome measures were the insomnia severity index (ISI) and the Pittsburgh sleep quality index (PSQI). The outcome measure was used before and after 4 weeks of interventions to evaluate the outcome of the protocol. The software used in the analysis was SPSS 27.0 version and GraphPad Prism 7.0 version, and p<0.05 was considered as the level of significance. Result Post-treatment, evidence was observed for ISI (20.55, P = 0.0001) and PSQI (18.09, P = 0.0001) in Group A. Post-rehabilitation evidence was observed in Group B for ISI (19, P=0.0001) and PSQI (16.64, P=0.0001). The findings revealed a significantly higher mean difference between Group A and Group B, showing a considerable improvement in outcome measure scores within Group A relative to Group B. Conclusion The statistical analysis demonstrates a notable improvement in the pre-and post-scores of the ISI and PSQI following four weeks of brain gym exercises. In comparison, cognitive behavioral therapy showed comparatively less effectiveness in addressing insomnia. The observed improvement in sleep quality among students highlights that brain gym exercises have the potential to be a non-pharmacological alternative for managing mild to moderate insomnia.

摘要

背景 据信,超过一半的医科大学生睡眠不足。健脑操练习的应用是一个相对较新的概念,已显示出解决各种认知和感知缺陷的潜力。然而,其在管理睡眠障碍方面的应用仍处于早期阶段。虽然认知行为疗法(CBT)仍然是睡眠管理的标准治疗方法,但最近的研究表明,健脑操练习可能有助于治疗失眠等睡眠障碍。独立研究已经证明了CBT和健脑操活动在治疗睡眠障碍方面的有效性。然而,直接比较这两种方法治疗睡眠障碍患者的研究仍然很少。

目的 确定在提高医科大学生睡眠质量方面,健脑操练习相对于认知行为疗法的有效性。

方法 2023年3月至2023年12月,在印度马哈拉施特拉邦瓦尔达进行了一项比较健脑操练习和认知行为疗法干预的实验研究,根据纳入和排除标准选择了60名受试者。该方案每天实施30分钟,持续4周。基线结果测量指标为失眠严重程度指数(ISI)和匹兹堡睡眠质量指数(PSQI)。在干预4周前后使用该结果测量指标来评估方案的效果。分析中使用的软件是SPSS 27.0版本和GraphPad Prism 7.0版本,p<0.05被视为显著性水平。

结果 治疗后,A组观察到ISI(20.55,P = 0.0001)和PSQI(18.09,P = 0.0001)的证据。B组在康复后观察到ISI(19,P = 0.0001)和PSQI(16.64,P = 0.0001)的证据。研究结果显示,A组和B组之间的平均差异显著更高,表明A组相对于B组在结果测量分数上有相当大的改善。

结论 统计分析表明,经过四周的健脑操练习,ISI和PSQI的前后得分有显著改善。相比之下,认知行为疗法在治疗失眠方面显示出相对较低的有效性。学生睡眠质量的观察改善突出表明,健脑操练习有可能成为管理轻度至中度失眠的非药物替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2d1/11100550/e4dc5b1ac34a/cureus-0016-00000058463-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2d1/11100550/4aedae0e738e/cureus-0016-00000058463-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2d1/11100550/e4dc5b1ac34a/cureus-0016-00000058463-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2d1/11100550/4aedae0e738e/cureus-0016-00000058463-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2d1/11100550/e4dc5b1ac34a/cureus-0016-00000058463-i02.jpg

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