摘要
目的探讨基于正念的失眠认知疗法在老年非器质性失眠症中的应用效果。方法选取2021年3月至2023年3月收治的老年非器质性失眠症患者105例,随机数字表法分为对照组52例和研究组53例,对照组采取常规干预,研究组采取基于正念的失眠认知疗法。统计比较2组失眠知识知晓率、服药依从性及干预前后多导睡眠参数、五因素正念觉知量表(FFMQ)评分、匹兹堡睡眠质量指数(PSQI)。结果干预后,研究组失眠知识总知晓率、服药依从性均优于对照组(P<0.05);与对照组比较,干预3、6周后研究组FFMQ评分较高,PSQI评分较低(P<0.05);与对照组比较,干预3、6周后研究组睡眠效率较高、睡眠总时间较长,睡眠潜伏期较短、觉醒次数较少(P<0.05)。结论基于正念的失眠认知疗法应用于老年非器质性失眠症可提升正念水平,改善睡眠质量,提高服药依从性,延缓疾病进程。
Objective To explore the application value of mindfulness-based cognitive therapy for insomnia in elder-ly patients with non-organic insomnia.Methods A total of 105 elderly patients with non-organic insomnia treated from March 2021 to March 2023 were selected and divided into control group(n=52)and research group(n=53)by random number table method.The control group received conventional intervention,and the research group received mindfulness-based cognitive therapy for insomnia.The awareness rate of insomnia knowledge,medication compliance,polysomnography parameters before and after the intervention,Five-factor Mindfulness Awareness Scale(FFMQ)score,and Pittsburgh Sleep Quality Index(PSQI)were measured and compared in the two groups.Results After intervention,the total awareness rate of insomnia knowledge and medication compliance of the research group were better than those of the control group(P<0.05).Compared with the con-trol group,FFMQ score of the research group was higher and PSQI score was lower at 3 and 6 weeks after intervention(P<0.05).Compared with the control group,the research group had higher sleep efficiency,longer total sleep time,shorter sleep latency and fewer awakenings at 3 and 6 weeks after intervention(P<0.05).Conclusion The application of mindfulness-based cognitive therapy for insomnia in elderly patients with non-organic insomnia can enhance the level of mindfulness,im-prove sleep quality,improve medication compliance,and delay the disease process.
作者
何兰英
何风英
李平
赵栋
孙岩
HE Lanying;HE Fengying;LI Ping;ZHAO Dong;SUN Yan(Physical Therapy Center,the Eighth Hospital of Shijiazhuang City,Shijiazhuang 050000,China;Department of Public Health,Shijiazhuang Hospital of Traditional Chinese Medicine,Shijiazhuang 050000,China)
出处
《临床误诊误治》
CAS
2024年第12期74-78,共5页
Clinical Misdiagnosis & Mistherapy
基金
河北省卫生健康委员会医学科学研究项目(20231700)。
关键词
入睡和睡眠障碍
老年人
正念
认知疗法
服药依从性
多导睡眠图
五因素正念觉知量表
匹兹堡睡眠质量指数
Sleep initiation and maintenance disorders
Elderly
Mindfulness
Cognitive therapy
Medication compliance
Polysomnography
Five-factor mindfulness awareness scale
Pittsburgh sleep quality index
作者简介
何兰英,本科,医师。主要从事精神分裂症、双相情感障碍等方向研究。
