de Paz-Montón Laura Pilar, Laredo-Aguilera José Alberto, Carmona-Torres Juan Manuel
Facultad de Fisioterapia y Enfermeria, Universidad de Castilla-La Mancha, Avda. Carlos III s/n, 45071 Toledo, Spain.
Grupo de Investigación Multidisciplinar en Cuidados (IMCU), Universidad de Castilla-La Mancha, Avda. Carlos III s/n, 45071 Toledo, Spain.
Healthcare (Basel). 2025 May 6;13(9):1078. doi: 10.3390/healthcare13091078.
Aging and its pathologies, particularly sleep problems, are increasingly affecting industrialized societies. This study aims to determine the effectiveness of different cognitive interventions for the treatment of insomnia or poor sleep quality in community-dwelling older people. : A systematic review was carried out from November 2023-July 2024 according to the standards of the Preferred Reporting Items for Systematic Review and Meta-Analyses in the databases. The following databases were consulted: Pubmed, Web of Science, and ClinicalTrials.gov. The studies included patients with sleep problems or insomnia over 60 years of age. To evaluate the quality of the studies, the Critical Appraisal Skills Program Spanish (CASPe) guide was used. Nine clinical trials with intervention groups and control groups belonging to the last 10 years were selected. They were analyzed, and the results were verified via questionnaires, scales, sleep diaries, and objective measures. In general, the implementation of the interventions improved the quality of sleep and symptoms of insomnia. Cognitive interventions have been found to be safe and useful for the treatment of insomnia and poor sleep quality in older people. Furthermore, they are feasible in terms of cost effectiveness and can be easily implemented by primary care teams.
衰老及其相关病症，尤其是睡眠问题，正日益影响着工业化社会。本研究旨在确定不同认知干预措施对社区居住的老年人失眠或睡眠质量差的治疗效果。：根据系统评价与荟萃分析的首选报告项目标准，于2023年11月至2024年7月进行了一项系统评价。查阅了以下数据库：PubMed、科学网和临床试验.gov。纳入的研究对象为60岁以上有睡眠问题或失眠的患者。为评估研究质量，使用了西班牙批判性评估技能计划（CASPe）指南。选择了过去10年中有干预组和对照组的9项临床试验。对其进行分析，并通过问卷、量表、睡眠日记和客观测量来验证结果。总体而言，干预措施的实施改善了睡眠质量和失眠症状。已发现认知干预措施对治疗老年人失眠和睡眠质量差是安全且有用的。此外，它们在成本效益方面是可行的，并且初级保健团队可以轻松实施。
