Grotto Giulia, Martinello Michela, Buja Alessandra
Department of Pharmaceutical and Pharmacological Sciences, University of Padua, Via Marzolo, 5-35131 Padua, Italy.
Institute of Anesthesia and Intensive Care Unit, University Hospital of Padua, Via Vincenzo Gallucci, 13-35121 Padua, Italy.
Clocks Sleep. 2024 Sep 4;6(3):517-532. doi: 10.3390/clockssleep6030034.
Sleep disorders increase with age and are known risk factors for several mental and physical diseases. They also significantly contribute to a lower quality of life. Nonpharmaceutical approaches, such as cognitive behavioral therapy for insomnia, sleep hygiene advice, relaxation exercises, and physical activity programs, can be delivered directly to patients via mHealth technologies, thereby increasing the accessibility of such interventions and reducing health care-related costs. This scoping review aims to evaluate the effectiveness of mHealth interventions for improving sleep quality among older adults. Published studies in the last 10 years (2013-2023) were identified by searching electronic medical databases (PubMed, PsycINFO, CINAHL, and Scopus) in July 2023 and were independently reviewed by two different authors. The analysis of the data was performed in 2023. The research retrieved 693 records; after duplicates were removed, 524 articles were screened based on their title and abstract, and 28 of them were assessed in full text. A total of 23 studies were excluded because they did not meet the inclusion criteria in terms of population age (60 years or over) or type of intervention (mHealth-based) or because they addressed secondary insomnia. A total of five studies were included in this review, and all of them reported improvements in subjective sleep quality after the application of the mHealth interventions. Two studies also conducted objective assessments of sleep outcomes using actigraphy, reporting improvements only in some of the variables considered. Despite the limited number of available studies, these results are promising and encourage further research.
睡眠障碍随年龄增长而增加，是多种身心疾病的已知风险因素。它们还会显著降低生活质量。非药物治疗方法，如失眠的认知行为疗法、睡眠卫生建议、放松练习和体育活动计划，可以通过移动健康技术直接提供给患者，从而提高此类干预措施的可及性并降低医疗保健相关成本。本综述旨在评估移动健康干预措施对改善老年人睡眠质量的有效性。通过检索2023年7月的电子医学数据库（PubMed、PsycINFO、CINAHL和Scopus）确定了过去10年（2013 - 2023年）发表的研究，并由两位不同的作者独立进行评审。数据于2023年进行分析。该研究检索到693条记录；去除重复记录后，根据标题和摘要筛选了524篇文章，其中28篇进行了全文评估。共有23项研究被排除，因为它们在人群年龄（60岁及以上）、干预类型（基于移动健康）方面不符合纳入标准，或者因为它们研究的是继发性失眠。本综述共纳入五项研究，所有研究均报告在应用移动健康干预措施后主观睡眠质量有所改善。两项研究还使用活动记录仪对睡眠结果进行了客观评估，仅报告了部分所考虑变量的改善情况。尽管现有研究数量有限，但这些结果很有前景，并鼓励进一步研究。
