护士进修杂志2024,Vol.39Issue(5) :534-538.DOI:10.16821/j.cnki.hsjx.2024.05.016

多感官刺激联合认知行为疗法在阿尔茨海默病失眠患者中的应用

Application of multisensory stimulation combined with cognitive behavioral therapy in insomnia patients with Alzheimer's disease

杨璇 常红 乔雨晨
护士进修杂志2024,Vol.39Issue(5) :534-538.DOI:10.16821/j.cnki.hsjx.2024.05.016

多感官刺激联合认知行为疗法在阿尔茨海默病失眠患者中的应用

Application of multisensory stimulation combined with cognitive behavioral therapy in insomnia patients with Alzheimer's disease

杨璇 1常红 1乔雨晨1
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作者信息

  • 1. 首都医科大学宣武医院神经内科,北京 100053
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摘要

目的 探讨多感官刺激联合认知行为疗法在阿尔茨海默病(AD)失眠患者中的应用效果.方法 采用便利抽样法,选取2022年1-12月在首都医科大学宣武医院神经内科住院的70例AD失眠患者为研究对象,按照随机数字表将研究对象随机分为对照组和观察组,各35例.对照组给予常规护理,观察组在对照组基础上行多感官刺激联合认知行为疗法,干预前后采用匹兹堡睡眠质量指数(PSQI)和柯恩—曼斯菲尔德激越行为量表(CMAI)对2组患者的睡眠质量和激越行为进行评价.结果 干预后,观察组患者的睡眠潜伏期、睡眠时间、睡眠效率、PSQI总分和CMAI评分均低于对照组,差异均有统计学意义(P<0.05).结论 多感官刺激疗法联合认知行为疗法能改善AD失眠患者睡眠质量和激越行为,值得临床推广应用.

Abstract

Objective To investigate the application effectiveness of multisensory stimulation combined with cog-nitive behavioral therapy on insomnia patients with Alzheimer's disease(AD).Methods A total of 70 insomnia pa-tients with AD hospitalized in the department of neurology,Xuanwu Hospital,Capital Medical University from Jan-uary to December 2022 were selected as the study subjects by using the convenience sampling method and they were randomly divided into the control group and the intervention group according to the random number table method,with 35 cases each group.The control group was given conventional care,and the intervention group was given mul-tisensory stimulation combined with cognitive behavioral therapy on the basis of the control group.The Pittsburgh Sleep Quality Index(PSQI)and the Cohen-Mansfield Agitation Inventory(CMAI)were used to evaluate the sleep quality and agitation behavior of patients between 2 groups before and after the intervention.Results After the inter-vention,sleep latency,sleep duration,sleep efficiency,total PSQI,and CMAI score of patients in the intervention group had lower than those in the control group,and all differences were statistically significant(P<0.05).Conclu-sions Multisensory stimulation combined with cognitive-behavioral therapy can improve sleep quality and agitation be-havior of insomnia patients with AD,which is worthy of clinical application.

关键词

阿尔茨海默病/失眠/多感官刺激疗法/认知行为疗法/睡眠质量/激越行为/护理

Key words

Alzheimer's disease/insomnia/multisensory stimulation therapy/cognitive behavioral therapy/sleep quality/agitation behavior/nursing

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基金项目

首都医科大学宣武医院护理专项(HLQN2020010)

出版年

2024
护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCDCSCD
影响因子:2.59
ISSN:1002-6975
被引量1
参考文献量35
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