被动舒缓音乐疗法对老年轻度认知障碍睡眠情况的影响  

Effect of passive soothing music therapy on sleep status in elderly with mild cognitive impairment

作　　者：蔡飞亚 陈非 蒋平静 周艳 曹国兴[1] CAI Feiya;CHEN Fei;JIANG Pingjing(Department of Early Intervention on Mental illness,Chongqing Mental Health Center,Chongqing 401147,China)

机构地区：[1]重庆市精神卫生中心早期干预二科,重庆401147

出　　处：《国际精神病学杂志》2024年第1期139-142,共4页Journal Of International Psychiatry

基　　金：重庆市科卫联合医学科研项目,(编号:2020FYYX049)。

摘　　要：目的探讨被动式舒缓音乐对改善老年轻度认知障碍患者睡眠情况的临床疗效。方法将61例老年轻度认知障碍患者随机数字表分为实验组和对照组,对照组予以常规健康教育,实验组在常规健康教育的基础之上,予以被动式聆听为期6周,每周5次,每次30分钟的舒缓音乐治疗,采用阿森斯失眠量表对干预前和干预6周后的睡眠情况进行评估。结果治疗前对照组和实验组的阿森斯失眠量表得分差异无统计学意义,治疗后实验组的阿森斯失眠量表得分明显低于对照组,差异有统计学意义,且效应量较大(Cohen’s d值:1.271)。实验组治疗后阿森斯失眠量表得分明显(P<0.01)高于本组治疗前。对照组治疗前后的阿森斯失眠量表得分差异无统计学意义。结论被动式聆听舒缓音乐对老年轻度认知障碍患者的睡眠有较好的改善作用。Objective To explore the clinical effect of passive soothing music on improving sleep condition in elderly patients with mild cognitive impairment.Methods A total of 61 elderly patients with mild cognitive impairment were randomly divided into the experimental group and the control group.The control group was given routine health education,while the experimental group was given passive listening therapy of 30 minutes of soothing music 5 times a week for 6 weeks on the basis of routine health education.The sleep conditions before and after the intervention were assessed with the Athens Insomnia Scale.Results Before treatment,there was no statistically significant difference in the scores of Athens insomnia scale between the control group and the experimental group.After treatment,the scores of Athens insomnia scale in the experimental group were significantly lower than those in the control group,and the difference was statistically significant(Cohen's d value:1.271).The scores of Athens insomnia scale in the experimental group after treatment were significantly higher than those before treatment(P<0.01).There was no significant difference in the scores of Athens insomnia scale before and after treatment in the control group.Conclusion Passive listening to soothing music has a better effect on sleep improvement in elderly patients with mild cognitive impairment.

关 键 词：音乐治疗 老年人 轻度认知障碍(MCI) 睡眠 临床疗效 

分 类 号：R749.055[医药卫生—神经病学与精神病学]