一个新的失眠治疗服务:建立由实习生领导的服务的好处和挑战
Lauren Z Waterman1,2, Michael Creed2
1Health Service and Population Research, South London and Maudsley NHS Foundation Trust, London, UK.
BJPsych bulletin
|June 28, 2023
概括
一个由实习生领导的新型失眠认知行为治疗 (CBT-I) 服务,有效地治疗了英国二级护理患者的慢性失眠. 这种方法改善了睡眠和并发性精神症状,增加了治疗的可用性.
科学领域:
- 精神病学是一个精神病学.
- 心理健康 心理健康
- 睡眠医学 睡眠医学
背景情况:
- 慢性失眠是英国普遍存在的精神障碍,严重影响患者的生活质量.
- 它通常未得到充分治疗,特别是在患有并发性精神疾病的患者中.
- 失眠的认知行为疗法 (CBT-I) 是一种有效的治疗方法,但可访问性仍然是一个挑战.
研究的目的:
- 评估一组新型CBT-I服务的实施和有效性,用于二级护理中的慢性失眠患者.
- 评估由实习生领导的组CBT-I的交付可行性.
- 检查失眠严重程度的改善,并发性精神症状和整体功能.
主要方法:
- 在伦敦,为患有慢性失眠和并发性精神疾病的二级护理患者实施了一组CBT-I服务.
- 精神病学学员提供了组CBT-I,通过同行培训传播专业知识.
- 失眠严重程度指数 (ISI) 用于对失眠严重程度的基线和后续评估.
主要成果:
- 9名患者完成了组CBT-I计划,所有患者在基线呈现中度至重度的失眠 (平均ISI分数为21.6).
- 所有患者在随访时都显著改善,平均ISI得分降至6.6 (小于值或没有临床显著的失眠).
- 在并发性精神病症状和患者功能方面也观察到改善.
结论:
- 组CBT-I可以由医疗保健专业人员有效地学习和交付,而无需专门的CBT或睡眠医学培训.
- 由实习生领导的实施可以提高慢性失眠的CBT-I的可用性和可访问性.
- 促进学员领导的创新和应对官僚挑战对于更广泛的采用至关重要.
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