失眠症患者对失眠认知行为疗法干预的体验(1)

http://www.100md.com 2020年1月1日 《世界睡眠医学杂志》 20201

     摘要 目的：探索并分析失眠症患者对失眠认知行为疗法(CBT-I)干预后的体验。方法：采用目的抽样，选取2018年8月至2019年2月在某睡眠医学中心进行CBT-I治疗的21例失眠症患者为研究对象，对其进行半结构式访谈、录音转录，并应用Colaizzie7步分析法对资料进行整理分析。结果：分析出7个主题：改善睡眠，增强对失眠的接纳和抗干扰能力;减轻催眠药物依赖;提高生命质量;提升自我效能;增强自我调节能力;团队的分享和支持促进行为的改变;遇到的挑战。结论：了解患者进行CBT-I干预后的真实体验，有助于增加医护人员对其的认识，不断地完善今后的治疗方案，促进其专业化发展。

    关键词 失眠;失眠认知行为疗法;体验

    Experience of Cognitive Behavioral Therapy Intervention For Patients with Insomnia

    CHEN Tianyu1，ZHENG Shuchuan2，YAN Xiaona1，XU Xiuying2

    (1 Fujian University of Traditional Chinese Medicine，Fuzhou 350108，China; 2 Xiamen Xianyue Hospital，Xiamen 361012，China)

    Abstract Objective：Exploring and analyzing the experience of insomnia patients after intervention in cognitive behavioral therapy for insomnia.Methods：By objective sampling，21 insomnia patients who underwent CBT-I at a sleep medical center from August 2018 to February 2019 were selected as subjects.Patients were interviewed and recorded by semi-structured interview.Colaizzie seven steps analysis was used to analyze the data.Results：Seven themes were emerged：improve sleep，enhance the acceptance of insomnia and antiinterference ability;reduce hypnotic dependence;improve the quality of life;improve self-efficacy;enhance self-regulation;team sharing and support to promote behavioral change;challenges.Conclusion：Understanding the real experience of patients after CBT-I is helpful increase the awareness of medical staff，and constantly improve the future treatment strategy to promote its professional development.

    Keywords Insomnia; Cognitive behavioral therapy for insomnia;Experience

    中圖分类号：R338.63文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.01.050

    失眠是指患者对睡眠时间和(或)质量不满足并影响日间社会功能的一种主观体验[1]，其可影响人们的身心健康，增加不良事件的风险[2]。失眠认知行为疗法(CBT-I)是WHO推荐的治疗失眠症的一线方法，但目前世界范围内应用率却不足1%[3]，一方面由于专业人员的短缺、治疗周期长、成本高等，另一方面也由于患者和医护人员对其认识不足[4]。本研究旨在通过对CBT-I干预后的失眠患者进行深度访谈，探索患者干预后的体验，以期为专业人员完善今后的干预方案提供借鉴。(陈添玉 郑书传 闫晓娜 徐秀瑛)

第 1 2 3 页 下一页

    百拇医药网 http://www.100md.com/html/paper/2095-7130/2020/01/51.htm