介膜呼吸放松训练和认知行为疗法对老年人睡眠质量的比较:一项随机临床试验
AliAkbar Kakuei1, Ali Ravari2, Tayebeh Mirzaei3
1School of Nursing and Midwifery, Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Sleep & breathing = Schlaf & Atmung
|March 14, 2025
概括
隔膜呼吸和对失眠的认知行为疗法 (CBT-I) 在老年人中显著改善了睡眠质量. 干预后四周改善最显著,在八周后没有观察到持续的好处.
科学领域:
- 老年学是一门学科.
- 睡眠医学 睡眠医学
- 行为治疗是一种行为疗法.
背景情况:
- 失眠是一种影响老年人群的普遍睡眠障碍.
- 有效的非药物干预对于改善老年人睡眠质量至关重要.
研究的目的:
- 评估腹膜呼吸放松训练和失眠认知行为疗法 (CBT-I) 对老年人睡眠质量的有效性.
- 为了比较这两种干预措施对对照组的影响.
主要方法:
- 一个三臂随机临床试验,涉及99名被诊断患有失眠的老年患者.
- 干预包括一个为期四周的团体CBT-I计划和每天晚上练习的腹膜呼吸训练计划.
- 使用匹兹堡睡眠质量问卷在基线,四周和干预后八周评估睡眠质量.
主要成果:
- 隔膜呼吸和CBT-I干预措施都导致睡眠质量得分显著下降 (p < 0.001).
- 在干预结束四周后,睡眠质量的最实质性的改善被观察到.
- 在八周的随访期间,睡眠质量得分没有进一步显著下降.
结论:
- 隔膜呼吸放松训练和CBT-I在提高老年人睡眠质量方面是有效的.
- 这些非药理学方法为老年人群的失眠管理提供了可行的选择.
相关概念视频
Insomnia
78
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
78
Management of Insomnia
229
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
229
Behavior Therapy
37
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
37
Nightmares and Night Terrors
68
Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
Nightmares...
Nightmares...
68
REM Sleep Behavior Disorder
127
REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
RBD is significantly associated with...
127
Cognitive Therapy
52
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
52


