对于失眠的认知行为疗法的影响,在轮班工作者中,在床上时间之前和之后的身体活动
Marcin Sochal1, Bernd Feige2, Kai Spiegelhalder2
1Department of Sleep Medicine and Metabolic Disorders, Medical University of Lodz, 90-419 Lodz, Poland.
Journal of clinical medicine
|May 14, 2025
概括
失眠的认知行为疗法 (CBT-I) 在失眠的护士中增加了体力活动 (PA). 这种干预措施显示了改善睡眠和日常活动水平的潜力,需要进一步研究.
科学领域:
- 睡眠医学 睡眠医学
- 行为科学 行为科学
- 职业健康 职业健康 职业健康
背景情况:
- 睡眠和体力活动 (PA) 呈现出双向关系,影响整体健康.
- 对睡眠障碍,特别是失眠的临床干预措施尚未广泛研究其对PA的影响.
- 失眠的认知行为疗法 (CBT-I) 是失眠的主要治疗方法.
研究的目的:
- 评估CBT-I对患有失眠的护士身体活动水平的影响.
- 探索PA变化与干预后临床结果之间的关系.
主要方法:
- 对38名轮班工作障碍和失眠的护士进行了二次分析,随机分为CBT-I或等候名单对照.
- 在干预期之前和之后,使用动图和睡眠日记测量身体活动.
- 使用线性混合模型分析CBT-I对PA参数的影响.
主要成果:
- CBT-I在床上时间 (1-2小时后) 之后的几个小时内显著增加了动图衍生的PA.
- 与对照组相比,CBT-I组报告了身体活动日数的百分比较高.
- 在CBT-I组中,在睡前一小时改善睡眠效率和增加PA之间观察到适度的正相关性.
结论:
- 这项研究提供了初步证据,表明CBT-I可能会对身体活动水平产生积极影响.
- 建议对更大的样本大小和持续的PA监测进行进一步的研究,以验证这些发现.
- 在不眠症患者中,CBT-I可能是提高睡眠质量和身体活动的潜在策略.
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