在心脏手术后,哪些非药物睡眠干预措施最有效? :一个网络的元分析
Sueyeon Lee1, Chang Gi Park2, Pei Chen3
1Sueyeon Lee, PhD, RN Marcella Niehoff School of Nursing, Loyola University Chicago, Maywood, Illinois.
The Journal of cardiovascular nursing
|October 20, 2025
概括
认知行为疗法 (CBT) 是改善心脏手术后睡眠质量的最有效的非药物干预. 这一发现支持将CBT纳入常规术后护理,以改善患者的康复和福祉.
科学领域:
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 心理学 心理学 心理学
背景情况:
- 睡眠障碍是心脏手术后经常出现的并发症.
- 像CBT和放松等非药物干预措施是有希望的,但它们的比较有效性是未知的.
研究的目的:
- 通过网络元分析 (NMA) 对心脏手术后患者改善睡眠质量的多种非药物干预方法进行比较.
- 确定最有效的干预措施,以改善这一群体的睡眠.
主要方法:
- 根据PRISMA-NMA指南,在2025年2月对六个数据库进行了系统的文献搜索.
- 包括随机对照试验 (RCT),通过匹兹堡睡眠质量指数测量睡眠质量.
- 使用STATA进行了网络元分析,以对干预措施进行排名.
主要成果:
- 分析了1944名参与者的19项研究,评估了包括CBT,放松和芳香疗法在内的干预措施.
- 非药物干预显著改善了心脏手术后的睡眠质量 (SMD 1.02).
- 认知行为疗法 (CBT) 显示出最高的疗效 (SUCRA 88.5%).
结论:
- 认知行为疗法 (CBT) 对治疗术后睡眠障碍具有临床价值.
- 建议在心脏手术恢复中实施CBT的标准指南.
- 进一步的研究应该探索不同类型手术的CBT模型和干预措施.
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