不眠症に対する認知行動療法に基づく介入を,慢性的な痛みや不眠症の患者に対する理学療法士の実践に統合する.障壁を特定し,実施戦略を策定する
Marine Markaryan1, Céline Labie2, Sabine Verschueren3
1Health Psychology, KU Leuven, Belgium; EBMPracticeNet vzw, Belgium.
Brazilian journal of physical therapy
|August 31, 2025
まとめ
不眠症に対する認知行動療法 (CBT-I) は,理学療法に統合することができます. この研究では,慢性的な痛みと不眠症の患者のCBT-Iを実施するための障壁と戦略を特定しました.
科学分野:
- 医療の実施科学
- 物理療法の実践
- 睡眠医学
背景:
- 不眠症の認知行動療法 (CBT-I) は不眠症の主要な治療法である.
- 理学療法士はCBT-Iの 原則を教えることができます 特に慢性的な痛みと不眠が同時に起こる場合です
- CBT-Iを理学療法に統合することは,併発性疾患の管理に適したアプローチです.
研究 の 目的:
- 物理療法士の実践におけるCBT-Iの実施の障壁を特定する.
- これらの障害を克服するための効果的な戦略を策定する.
主な方法:
- 16人の関係者 (理学療法士,心理学者,一般医,患者) を含む定性研究.
- グループインタビューとオンラインアンケートで収集したデータ
- 実施研究のための統合枠組み (CFIR) を用いて,障壁を特定するテーマ分析
主要な成果:
- 33の実施障壁がすべてのCFIR領域で特定されました.
- 13の戦略が策定され,教育,構造変化,公衆啓発キャンペーンが実施された.
- 主要な戦略は,理学療法士の訓練と多分野間の協力の促進に焦点を当てた.
結論:
- 教育機関,研究機関,政策立案者,患者への関与は,CBT-Iの効果的な実施戦略に不可欠です.
- 慢性的な痛みや不眠症に対する 理学療法による CBT-I を促進するための 戦略の選択を導くものです
- 採用に成功するには,複数の利害関係者が取り組む必要があります.
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