认知行为治疗失眠的整合在膝关节骨关节炎和失眠患者的最佳实践护理:一个随机对照试验协议
Céline Labie1,2, Nils Runge1,2, Olivier Mairesse3,4
1Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Brussel, Belgium.
Physical therapy
|December 29, 2023
概括
这项研究测试了对失眠的认知行为疗法 (CBTi) 与膝关节骨关节炎 (KOA) 护理相结合. 结合CBTi与KOA最佳实践护理,可以改善患有这两种疾病的患者的疼痛和生活质量.
科学领域:
- 风湿病学和肌肉骨系统疾病
- 睡眠医学 睡眠医学
- 行为治疗是一种行为疗法.
背景情况:
- 膝关节关节炎 (KOA) 是全球肌肉骨疼痛的普遍原因之一.
- 失眠经常与KOA同时发生,并加剧疼痛严重程度.
- 目前的指导方针强调了对KOA的病理特异性,以患者为中心的护理.
研究的目的:
- 评估将失眠认知行为疗法 (CBTi) 整合到最佳实践KOA护理 (BPC) 的临床和成本效益.
- 将CBTi + BPC与BPC与生活方式教育在KOA和失眠患者中进行比较.
- 评估对疼痛,睡眠,身体功能和生活质量的影响.
主要方法:
- 一个双臂随机对照试验 (RCT),涉及128名患有KOA和失眠的患者.
- 干预组接受了物理治疗师主导的BPC加CBTi会话.
- 对照组接受了BPC加上一般生活方式信息会议. 主要结局:6个月后疼痛严重程度的变化.
主要成果:
- 研究方案概述了评估疼痛严重程度在6个月后变化的主要结果的方法.
- 二次结果包括疼痛,睡眠,焦虑,抑郁,身体活动,功能,炎症生物标志物和生活质量.
- 除了RCT,还将进行成本效益分析.
结论:
- 这是第一个研究CBTi和BPC对KOA失眠患者的联合疗效的RCT.
- 预计结果将为优化KOA护理途径的临床决策提供信息.
- 结果将支持决策者管理个性化和相关疾病特异性的KOA治疗策略.
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