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The Study of Improvement of sleeping pattern by Relaxation method (progressive muscle relaxation)

放松法（渐进式肌肉放松）改善睡眠模式的研究

基本信息

批准号：
10672198
负责人：
KOITABASHI Kikuyo
金额：
$ 1.47万
依托单位：
Gunma University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1998
资助国家：
日本
起止时间：
1998 至 1999
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10672198/
关键词：
Progressive Muscle Relaxation HRV EEG State Trait Anxiety Inventory Sleeping Pattern Sleep Evaluation Questionnaire Healthy Young Adult 入院患者睡眠評価尺度感情プロフィール検査 STAI不安尺度身体感覚尺度入院(成人)患者 STAI不安テスト健康女性睡眠障害

项目摘要

The purpose of this study were to examine the effects of progressive muscle relaxation (PMR) by analyzing physiological and sensory responses which brought up by this relaxation technique ; and to consider the clinical use of the PMR technique by analyzing case reports which improved the quality of sleeping pattern.In the preliminary study, we examined the relaxation responses, which was brought up by the PMR, on 23 healthy young adults (average age was 20.8). Items for evaluation of responses were heart rate variability (HRV), EEG, muscle relaxation sensory scale and Spilberger's State Trait Anxiety Inventory (STAI). The result revealed greater prolongation of the RR interval and the elevation of CVrr in the experimental group (PMR) than the control group (rest in bed group). The experimental group showed the momentary elevation of LF/HF followed by immediate drop that suggested the reflection of accelerated sympathetic nerve. In EEG, the result showed decrease in α, β wave and increa … More se in θ wave. Subjective responses scale also showed greater increase in muscle relaxation sensory perception and decreased in anxiety scale scores among experimental group. There for, it was suggested that the PMR technique could get the effective relaxation responses.Using the same PMR method, we analyzed the improvement of quality in sleeping pattern for 56 hospitalized patients (sample size of the control group was 30, average age of 59.4 ; and the experimental group was 26, average age of 57.2). All samples were cancer patients. For evaluation index we used the sleep evaluation questionnaire (SEQ) and the STAI and the free writing self-reports. As a result, there were no quantity change in sleeping pattern, but they showed quickness in falling to sleep, easiness in sleeping after interruption, and increased sense of balance in body and mind on awakening. Frequency of awakening during nights varied among samples ; decreased in some cases and no changed or increased in others. They were greatly influenced by symptoms, which were responses of treatments and examinations.Both the preliminary study and the clinical study were conducted after getting informed consents from samples. There are some limitations in generalization, but we can suggest the possibility of improvement in quality of the sleeping pattern by using relaxation technique. We expect the follow-up survey and development of the clinical application methods of this technique. Less

本研究的目的是通过分析渐进式肌肉放松技术（PMR）引起的生理和感觉反应，来检验PMR的效果;并通过分析改善睡眠质量的病例报告来考虑PMR技术的临床应用。在初步研究中，我们检查了PMR所带来的放松反应，23名健康青年（平均年龄20.8岁）。反应评估项目为心率变异性（HRV）、脑电图、肌肉松弛感觉量表和Spilberger状态特质焦虑量表（STAI）。结果显示，实验组（PMR）RR间期延长和CVrr升高均明显大于对照组（卧床休息组）。实验组出现LF/HF短暂升高，随后立即下降，提示交感神经反射加快。脑电图表现为α、β波减少， ...更多信息 θ波中的se。主观反应量表也显示实验组的肌肉放松感觉有更大的增加，焦虑量表得分下降。采用同样的PMR方法，对56例住院患者（对照组30例，平均年龄59.4岁;实验组26例，平均年龄57.2岁）的睡眠质量改善情况进行分析。所有样品均为癌症患者。评价指标采用睡眠评价问卷（SEQ）、睡眠状态问卷（STAI）和自由书写自评量表。结果，睡眠模式没有数量上的变化，但他们表现出入睡快，中断后睡眠容易，醒来时身心平衡感增加。在夜间觉醒的频率各不相同的样本，在某些情况下，减少和其他没有变化或增加。初步研究和临床研究均在获得样本知情同意后进行。概括起来有一些局限性，但我们可以建议通过使用放松技术来改善睡眠模式的质量。我们期待该技术临床应用方法的后续研究和发展。少