护士为癌症幸存者的失眠提供简短的行为治疗:一个随机对照试验
Suzanne S Dickerson1, Misol Kwon2,3,4, Gregory E Wilding5
1University at Buffalo School of Nursing, The State University of New York, 301E Wende Hall, 3435 Main St, Buffalo, NY, 14214, USA. sdickers@buffalo.edu.
Journal of cancer survivorship : research and practice
|November 26, 2024
概括
在癌症幸存者中,护士为失眠提供简短的行为治疗 (BBTI) 显著降低了失眠的严重程度,并改善了睡眠质量. 这种干预措施为幸存者护理中失眠症状提供了有效的管理.
科学领域:
- 在瘤学瘤学.
- 睡眠医学 睡眠医学
- 行为科学 行为科学
背景情况:
- 失眠是癌症幸存者中普遍存在的问题.
- 需要有效的管理策略来改善生存期间的生活质量.
- 失眠简要行为治疗 (BBTI) 是一种潜在的治疗方法.
研究的目的:
- 为了评估护士提供的BBTI与注意力控制相比,在癌症幸存者中减少失眠严重性的有效性.
- 评估BBTI对睡眠质量和其他睡眠参数的影响.
主要方法:
- 一项随机对照试验,涉及132名癌症幸存者患有失眠 (失眠严重性指数得分≥8).
- 参与者被分配到BBTI或健康饮食注意力控制组.
- 收集的数据包括人口统计数据,睡眠问卷,睡眠日记和在基线和1,3,12个月后的动作图.
主要成果:
- 与对照组相比,BBTI显著降低了失眠严重程度,改善了睡眠质量.
- 一个月后,55.1%的BBTI组实现了失眠缓解 (ISI ≤8),对照组为43.3%.
- 在睡眠效率,睡眠开始延迟和1个月睡眠开始后醒来方面也观察到改善.
结论:
- 护士提供的BBTI是一种有效的干预措施,可以减少失眠的严重程度,并提高癌症幸存者的睡眠质量.
- 将BBTI整合到幸存者护理中可以有效地管理失眠症状,并解决严重的未满足需求.
- 这种方法有望改善患有失眠的癌症幸存者的整体健康状况.
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