改善艾滋病毒感染者的睡眠的非药物干预措施:一个系统的叙事审查
Jingjing Meng1,2, Chunyuan Zheng2, Honghong Wang2,3
1School of Nursing, Anhui Medical University, Hefei, Anhui, China.
Frontiers in neurology
|December 21, 2023
概括
心理和物理疗法等非药物干预措施对艾滋病毒感染者 (PLWH) 睡眠障碍有短期益处. 综合睡眠测量和基于证据的协议对于可持续的改善至关重要.
科学领域:
- 睡眠医学 睡眠医学
- 艾滋病毒/艾滋病研究研究
- 行为健康干预 行为健康干预
背景情况:
- 睡眠障碍在艾滋病毒感染者 (PLWH) 中普遍存在.
- 这些干扰可能会对治疗坚持和疾病进展产生负面影响.
- 由于潜在的副作用,非药物干预措施为药物治疗提供了替代方案.
研究的目的:
- 在PLWH.研究改善睡眠的非药物干预措施的内容.
- 检查这些干预中使用的睡眠测量技术.
- 评估非药物干预对PLWH睡眠的影响.
主要方法:
- 在多个数据库中按照PRISMA指南进行了系统的文献搜索.
- 包括15项实验性研究,使用JBI批判性评估检查清单评估干预质量.
- 采用叙事合成方法来分析干预细节和复杂性.
主要成果:
- 包括的干预措施分为三个类别:心理 (6项研究),物理 (8项研究) 和基本 (1项研究).
- 心理干预包括对失眠的认知行为疗法和基于正念的认知疗法.
- 物理干预包括耳朵石膏治疗,针和运动,显示对睡眠的短期影响.
- 基本干预涉及处理速度的训练与横直流刺激.
结论:
- 心理和身体非药物干预措施在改善PLWH患者的睡眠方面表现有前途.
- 将患者报告的结果与动图相结合,可提供全面的睡眠评估.
- 未来的干预措施需要标准化的协议,以证据为基础的剂量和内容,以保持持续的疗效.
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