对于失眠的认知行为疗法和接受和承诺疗法的联合治疗可以改善晚期癌症患者的客观和主观睡眠报告
Sharla Wells-Di Gregorio1, Stacy Flowers2, Juan Peng3
1Division of Palliative Medicine, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Psycho-oncology
|April 9, 2025
概括
多症状干预改善了晚期癌症患者的睡眠质量并减少了失眠. 焦点计划在睡眠效率和更少的唤醒方面显示了持续的好处,这表明它有可能在这个人群中管理睡眠困难.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 睡眠医学 睡眠医学
- 在瘤学瘤学.
背景情况:
- 睡眠障碍在晚期癌症中很普遍,影响情绪,生活质量和生存率.
- 夜间醒来与失眠的严重程度有关,但其原因在这个人群中尚不清楚.
研究的目的:
- 在一个试点随机试验中,使用动图和自我报告的失眠严重程度来评估睡眠结果.
- 评估多症状干预 (Finding Our Center Under Stress - FOCUS) 与晚期癌症患者等候名单对照相比的影响.
主要方法:
- 28名晚期癌症患者参与了FOCUS干预,旨在改善睡眠和减少心理痛苦.
- 客观睡眠数据 (动图) 和主观失眠严重程度 (失眠严重程度指数) 在干预前和后收集.
主要成果:
- 虽然按时间分组的动图效应并不显著,但灵敏度分析显示,睡眠效率有所改善,入睡后清醒时间减少 (WASO),醒来次数减少,午睡次数减少.
- 一年后,失眠的严重程度显著下降,参与者达到失眠诊断值的人数减少.
- 患者报告说,干预后夜间觉醒的原因较少.
结论:
- 像FOCUS这样的多症状干预措施对于在晚期癌症患者的失眠中实现持久改善至关重要.
- 焦点干预措施在改善客观和主观睡眠指标方面表现出有效性,同时改善了焦虑和疲劳等其他症状.
- 根据这些有希望的试点发现,建议进行进一步的有效性研究.
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