护士支持的失眠自我指导的认知行为疗法:一项随机临床试验
Christi S Ulmer1,2, Corrine I Voils3,4, Amy S Jeffreys1
1Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs, Durham, North Carolina.
JAMA internal medicine
|September 9, 2024
概括
在护士的支持下,针对失眠的自我指导的认知行为疗法 (CBTi) 干预显著减少了退伍军人的失眠严重程度,改善了退伍军人的睡眠结果. 这种方法扩大了这一群体获得有效的失眠治疗的机会.
科学领域:
- 睡眠医学 睡眠医学
- 行为健康 行为健康
- 临床试验 临床试验
背景情况:
- 失眠的认知行为疗法 (CBTi) 是失眠障碍的黄金标准,但面临着访问限制.
- 退伍军人经常经历并发性精神健康状况和睡眠困难,需要方便的治疗选择.
研究的目的:
- 为了评估护士支持的,自我指导的CBTi干预的有效性.
- 为了降低失眠严重程度,并提高退伍军人失眠障碍的睡眠结果.
主要方法:
- 一个随机临床试验,涉及178名退伍军人患有失眠障碍.
- 干预包括每周六次护士支持电话和CBTi手册阅读.
- 在8周和6个月使用失眠严重性指数和睡眠日记/动图评估结果.
主要成果:
- 与对照组相比,护士支持的CBTi组在8周内显示出不眠症严重性指数得分的显著降低 (3.7分),持续到6个月.
- 观察到睡眠开始延迟,睡眠开始后醒来和睡眠效率有所改善.
- 在干预组中,抑郁和疲劳的显著减少,治疗反应和缓解的几率增加.
结论:
- 护士支持的,自我指导的CBTi有效地减少了退伍军人失眠的严重程度,并改善了退伍军人的睡眠结果.
- 这种干预提供了一种可行的替代方案,以扩大对CBTi的获取,特别是对于患有精神健康并发症的人群.
- 研究结果表明,这种修改后的CBTi协议与其他适应方法相比,尽管效果不如治疗师提供的CBTi.
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