改善中风后的睡眠:数字认知行为治疗失眠的随机对照试验
Melanie K Fleming1, Tom Smejka1, Ellie Macey1
1Wellcome Centre for Integrative Neuroimaging, FMRIB, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
Journal of sleep research
|July 5, 2023
概括
针对失眠的数字认知行为疗法显著改善了中风幸存者的睡眠质量. 这种在线干预提供了一种有希望的,具有成本效益的方法来管理中风后睡眠障碍.
科学领域:
- 神经学和睡眠医学 神经学和睡眠医学
- 数字健康干预措施 数字健康干预措施
- 康复科学 康复科学 康复科学
背景情况:
- 卒中幸存者经常经历持续的睡眠障碍,影响恢复和生活质量.
- 目前对中风后失眠的治疗方法有限,需要新的治疗方法.
- 失眠的数字认知行为疗法 (dCBT-I) 提供了一个可扩展的远程交付解决方案.
研究的目的:
- 评估dCBT-I在改善社区住宿中风幸存者的失眠症状方面的疗效.
- 在一个随机对照试验中,将dCBT-I与对照干预 (睡眠卫生信息) 进行比较.
- 评估二次结果,包括睡眠延迟,情绪,自我效能,生活质量和成本效益.
主要方法:
- 一个并行组,远程传递的随机受控试验,涉及84名中风幸存者.
- 参与者被随机分配,接受dCBT-I或睡眠卫生信息.
- 主要结局指标是干预后评估的睡眠状况指标-8 (SCI-8).
主要成果:
- 与对照组相比,dCBT-I组观察到SCI-8得分的显著改善 (p ≤0.02),表明失眠严重程度降低.
- 该dCBT-I组也显示了睡眠开始延迟的减少和情绪的改善.
- 成本效益分析表明dCBT-I在控制上占主导地位,质量调整后寿命年数更高.
结论:
- 失眠的数字认知行为疗法是改善中风幸存者的睡眠的有效干预措施.
- 这些发现支持将dCBT-I整合到中风后护理途径中.
- 建议进行进一步的研究,以调查其在中风后早期阶段的使用情况,并进行更长的随访.
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