在精神分裂症患者失眠的试点护士管理的CBT干预:一个随机临床有效性试验
David Batalla-Martin1, Maria-Antonia Martorell-Poveda2, Angel Belzunegui-Eraso3
1Nou Barris Mental Health Center, 08016 Barcelona, Spain.
Journal of clinical medicine
|October 14, 2023
概括
适应精神分裂症患者的认知行为疗法 (CBT) 在试点研究中显著改善了失眠和生活质量. 这种由护士领导的小组干预措施在心理健康环境中表现出有效性.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 护理研究 护理研究
- 睡眠医学 睡眠医学
背景情况:
- 失眠在精神分裂症患者中非常普遍,对他们的生活质量产生负面影响.
- 认知行为疗法 (CBT) 是对一般人群的失眠治疗方法.
- 需要在精神卫生服务中评估针对精神分裂症患者的适应性CBT干预措施.
研究的目的:
- 评估护士领导的组干预措施的有效性,结合CBT和精神教育治疗精神分裂症患者的失眠.
- 评估这项干预措施对参与者的健康相关生活质量的影响.
- 进行试点随机临床试验,并进行后续评估.
主要方法:
- 一项随机临床试验涉及40名被诊断患有精神分裂症和失眠的成年参与者 (失眠严重性指数 (ISI) 评分>7).
- 干预组接受护士领导的组CBT和精神教育治疗;对照组接受标准护理.
- 在6个月和9个月使用ISI,匹兹堡睡眠质量指数 (PSQI) 和EuroQol-5D (EQ-5D) 尺度进行评估.
主要成果:
- 与对照组相比,干预组的失眠严重程度 (ISI) 和睡眠质量 (PSQI) 显著改善,分别具有大和中等效果大小.
- 干预组通过EQ-VAS尺度测量健康相关生活质量的统计学显著改善.
- 护士主导的适应性CBT干预表明对失眠和生活质量都有显著的积极结果.
结论:
- 认知行为疗法适用于精神障碍患者,由护士提供,有效改善失眠.
- 这种干预也提高了精神分裂症患者的健康相关生活质量.
- 这些发现支持将适应的CBT小组干预措施纳入常规心理健康护理.
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