在患有慢性阻塞性肺病和失眠的成年人中,行为干预和症状集群变化
Jeehye Jun1, Chang Park2, Cynthia Fritschi2
1Red Cross College of Nursing, Chung-Ang University, Seoul, South Korea.
Heart & lung : the journal of critical care
|November 17, 2023
概括
失眠的认知行为疗法 (CBT-I) 有助于减少COPD和失眠患者的症状负担. 这种干预措施对随着时间的推移管理多个同时出现的症状有希望.
科学领域:
- 肺部医学 肺部医学
- 睡眠医学 睡眠医学
- 行为健康 行为健康
背景情况:
- 慢性阻塞性肺病 (COPD) 和失眠经常同时发生,导致复杂的症状负担.
- 缺乏对这一群体症状集群变化的纵向研究.
研究的目的:
- 探索COPD和失眠的成年人的纵向症状集群概况.
- 评估行为干预与这些症状集群概况变化的关联.
主要方法:
- 91名患有COPD和失眠的成年人参加了一项针对失眠的认知行为疗法 (CBT-I) 和COPD教育的随机试验.
- 隐形形状和过渡分析确定了症状集群形状 (低,中,高负担) 和随时间的变化.
- 多项逻辑回归评估了干预对症状集群过渡的影响.
主要成果:
- 在基线,干预后和3个月后的随访中,确定了三个不同的症状群概况 (低,中,高负担).
- 高症状负担组中的个体显示出更大的过渡到较低负担类.
- CBT-I干预显着与向较低症状负担组的过渡有关.
结论:
- 有或没有COPD教育的CBT-I显示出降低COPD和失眠患者症状负担的潜力.
- 研究结果支持开发量身定制的干预措施,以管理这个患者群体同时出现的症状.
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