心力衰竭患者失眠的简短行为治疗的初步随机试验。
Pilot randomized trial of brief behavioral treatment for insomnia in patients with heart failure.
机构信息
Departments of Psychology and Internal Medicine, Institute for Behavioral Medicine Research, The Ohio State University, Columbus, OH, United States.
出版信息
Heart Lung. 2019 Sep-Oct;48(5):373-380. doi: 10.1016/j.hrtlng.2019.06.003. Epub 2019 Jun 27.
BACKGROUND
Insomnia is prevalent among patients with heart failure (HF) and is associated with reduced physical and mental functioning, including possible exacerbation of cognitive deficits.
OBJECTIVES
This study evaluated the effects of Brief Behavioral Treatment for Insomnia (BBTI) on insomnia and related factors among HF patients.
METHODS
Twenty-three HF patients with insomnia (70% women; 65% white; M = 55.7 ± 11.3 years; NYHA Class II = 70%) were randomized to a behavioral intervention (BI; n = 12) or sleep monitoring (SM; n = 11) group. Sleep, cognitive functioning, quality of life, distress, self-care, and functional status were assessed pre- and post-intervention.
RESULTS
BI participants experienced reduced insomnia and increased sleep quality and efficiency, with 58% demonstrating clinically meaningful improvements in insomnia and 25% achieving remission of insomnia symptoms. Depression and anxiety also improved in BI participants.
CONCLUSIONS
BBTI was tolerated well within this symptom-limited patient population and was associated with reduced symptoms of insomnia and distress.
背景
失眠在心力衰竭（HF）患者中较为普遍，与身体和精神功能下降有关，包括认知缺陷的可能恶化。
目的
本研究评估了简短行为治疗失眠（BBTI）对 HF 患者失眠及相关因素的影响。
方法
23 名患有失眠症的 HF 患者（70%为女性；65%为白人；M=55.7±11.3 岁；NYHA 分级 II=70%）被随机分为行为干预（BI；n=12）或睡眠监测（SM；n=11）组。在干预前后评估睡眠、认知功能、生活质量、痛苦、自我护理和功能状态。
结果
BI 组患者的失眠症状减轻，睡眠质量和效率提高，58%的患者失眠症状有临床意义的改善，25%的患者失眠症状缓解。BI 组患者的抑郁和焦虑也有所改善。
结论
在这个症状受限的患者群体中，BBTI 耐受良好，与失眠和痛苦症状的减轻有关。
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