电子辅助认知行为疗法对 COVID-19 大流行期间现场护士睡眠质量和情绪的积极影响。
Positive impacts of e-aid cognitive behavioural therapy on the sleep quality and mood of nurses on site during the COVID-19 pandemic.
机构信息
Department of Neurology, Tianjin Medical University General Hospital Airport Site, Tianjin, 300000, China.
Department of Geriatric Medicine, Tianjin Medical University General Hospital Airport Site, Tianjin, 300000, China.
出版信息
Sleep Breath. 2022 Dec;26(4):1947-1951. doi: 10.1007/s11325-021-02547-1. Epub 2022 Jan 8.
OBJECTIVE
To investigate the positive impact of e-aid cognitive behavioural therapy on the sleep quality, anxiety, and depression of nurses on site during the COVID-19 pandemic.
METHODS
Nurses on site at the Tianjin Medical University General Hospital Airport Site experiencing insomnia, anxiety and depression during the COVID-19 prevention and control period, from February 2020 to April 2021, were selected and divided into either an e-aid cognitive behavioural therapy (eCBT-I) group or a control group using a randomized grouping method. The eCBT-I group was given standard eCBT-I for 6 weeks; the control group did not get any intervention. The Pittsburgh Sleep Quality Index (PSQI) and the Insomnia Severity Index (ISI) were used to evaluate the sleep quality of the subjects. The Generalized Anxiety Disorder 7-item (GAD-7) and the Patient Health Questionnaire (PHQ-9) were used to assess the subjects' anxiety and depression. Changes in sleep quality, anxiety and depression before and after treatment were compared between the two groups.
RESULTS
Of 118 nurses randomized, the PSQI and ISI scores within the eCBT-I group (n=60) were significantly lower after treatment (5.9 ± 3.9, 6.7 ± 4.5) than before treatment (10.4 ± 3.5, 12.4 ± 4.7) (p <0.05). Compared to the scores of the control group (n=58) (9.1 ± 3.9, 10.6 ± 4.1), the PSQI and ISI scores in the eCBT-I group (5.9 ± 3.9, 6.7 ± 4.5) were lower after treatment (p <0.05). The GAD-7 and PHQ-9 scores in the eCBT-I group were all lower after treatment (3.7±3.4, 4.2±4.1) than before treatment (6.7±4.9, 7.7±5.1) (p <0.05). Compared with subjects in the control group (7.1±5.6, 7.3±5.1), subjects in the eCBT-I group (3.7±3.4, 4.2±4.1) had lower scores on the GAD-7 and PHQ-9 scales after treatment (p <0.05).
CONCLUSION
eCBT-I improved the sleep quality of frontline nurses during the COVID-19 prevention and control period and relieved anxiety and depression.
目的
探讨电子辅助认知行为疗法对 COVID-19 疫情期间现场护士睡眠质量、焦虑和抑郁的积极影响。
方法
选取 2020 年 2 月至 2021 年 4 月在天津医科大学总医院机场现场参与 COVID-19 防控工作时出现失眠、焦虑和抑郁的现场护士，采用随机分组方法分为电子辅助认知行为疗法（eCBT-I）组和对照组。eCBT-I 组给予标准 eCBT-I 治疗 6 周；对照组未进行任何干预。采用匹兹堡睡眠质量指数（PSQI）和失眠严重程度指数（ISI）评估受试者的睡眠质量。采用广泛性焦虑障碍 7 项量表（GAD-7）和患者健康问卷（PHQ-9）评估受试者的焦虑和抑郁情况。比较两组治疗前后睡眠质量、焦虑和抑郁的变化。
结果
118 名护士随机分组，eCBT-I 组（n=60）治疗后 PSQI 和 ISI 评分均显著低于治疗前（5.9±3.9、6.7±4.5）（p<0.05）。与对照组（n=58）相比，eCBT-I 组治疗后 PSQI 和 ISI 评分（5.9±3.9、6.7±4.5）较低（9.1±3.9、10.6±4.1）（p<0.05）。eCBT-I 组治疗后 GAD-7 和 PHQ-9 评分均低于治疗前（3.7±3.4、4.2±4.1）（p<0.05）。与对照组相比，eCBT-I 组治疗后 GAD-7 和 PHQ-9 评分较低（3.7±3.4、4.2±4.1）（7.1±5.6、7.3±5.1）（p<0.05）。
结论
eCBT-I 改善了 COVID-19 防控期间一线护士的睡眠质量，缓解了焦虑和抑郁。
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