数字认知行为治疗对轮班工作睡眠障碍的护士失眠的有效性:随机对照试验的结果
Hanna A Brückner1, Johanna Ell2, Lina Kalon1
1Institute of Sustainability Psychology, Department of Health Psychology and Applied Biological Psychology, Leuphana University, Lüneburg, Germany.
International journal of nursing studies
|May 22, 2025
概括
数字疗法有效地减少了轮班工作睡眠障碍的护士的失眠严重程度. 睡眠护理干预显著改善了睡眠质量,并降低了头发皮质醇水平,为医疗保健专业人员提供了切实可行的解决方案.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 睡眠医学 睡眠医学
- 职业健康 职业健康 职业健康
背景情况:
- 轮班工作对健康,特别是睡眠有负面影响,导致护士轮班工作睡眠障碍 (SWSD).
- 传统的对失眠的认知行为疗法 (CBT-I) 由于不规则的日程安排,护士往往无法使用.
- 数字疗法为这种人群提供了一种可行的替代方案,可以为CBT-I提供治疗.
研究的目的:
- 评估数字SleepCare干预措施在被诊断为SWSD的护士中减少失眠的有效性.
- 评估SleepCare对睡眠质量,心理健康指标和头发皮质醇水平的影响.
主要方法:
- 一项随机对照试验,涉及74名患有SWSD的护士.
- 数字SleepCare干预与数字轮班工作特定心理教育的比较.
- 主要结局:在基线,8周和3个月以失眠严重性指数 (ISI) 测量失眠严重性.
- 二次结果:心理健康指标和头发皮质醇度.
主要成果:
- 与精神教育相比,SleepCare显著降低了失眠的严重程度,干预后 (d=1.11) 和随访 (d=0.97) 的效果大.
- 干预完成者在失眠严重程度上表现出更大的改善.
- 在睡眠相关的结果中发现了统计学上显著的改善,但在压力或抑郁症中没有.
- 在干预后的SleepCare组观察到头发皮质醇水平显著降低 (44%的下降).
结论:
- 数字 SleepCare 干预有效地减少了 SWSD 护士的失眠症状,达到临床上有意义的程度.
- 睡眠护理是第一个针对轮班护士需求的数字CBT-I计划之一.
- 加强治疗坚持的策略至关重要,因为完成者表现出更大的好处.
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