首页|正念干预对脑卒中患者睡眠障碍改善效果的Meta分析

正念干预对脑卒中患者睡眠障碍改善效果的Meta分析

扫码查看
目的 采用Meta分析评价正念干预(MBI)对脑卒中患者睡眠障碍的改善效果。方法 计算机检索Embase、PubMed、Cochrane Library、Web of Science、CINAHL、中国知网、万方、维普、中国生物医学文献数据库,检索时间为建库至2022年 10 月 31日。依照纳入和排除标准筛选文献并对纳入文献进行资料提取和质量评价,使用RevMan5。3软件进行Meta分析。结果 共纳入12 篇文献,1 006 例患者,其中观察组502 例,对照组504例。Meta分析结果显示,观察组的匹兹堡睡眠质量指数(PSQI)评分低于对照组(P<0。00001);合并结果显示,两组的总睡眠时间(TST)、醒觉次数(AT)、醒觉时间(AWT)、睡眠效率(SE)、3 期持续睡眠时间(S3)、4 期持续睡眠时间(S4)、非快速眼动睡眠期(NREM)、醒觉时间占总记录时间比例(AR)、总微醒觉次数(MAT)、快速动眼期微醒觉次数(MAT-REM)比较,差异具有统计学意义(P<0。05)。结论 MBI可在短期内缓解脑卒中患者睡眠障碍及伴随的焦虑、抑郁等负性情绪,但是能否长期从中获益尚需开展高质量、大样本、多中心随访研究。
Meta-analysis of the improvement effect of mindfulness-based intervention on the sleep disorders in stroke patients
Objective To evaluate the improvement effect of mindfulness-based intervention(MBI)on the sleep disorders in stroke patients by Meta-analysis.Methods Embase,PubMed,Cochrane Library,Web of Science,CINAHL,China National Knowledge Infrastructure,Wanfang,VIP and China Biomedical Literature Database were searched by computer from the establishment of the database to October 31,2022.The literature was screened according to the inclusion and exclusion criteria,and the data extraction and quality evaluation of the included literature were performed.Meta-analysis was performed using RevMan5.3 software.Results A total of 12 articles were included,involving 1 006 patients,including 502 cases in the observation group and 504 cases in the control group.The results of Meta-analysis showed that the Pittsburgh Sleep Quality Index(PSQI)score of the observation group was lower than that of the control group(P<0.00001).Merge results showed that,the total sleep time(TST),arousal times(AT),awakening time(AWT),sleep efficiency(SE),stage 3 continuous sleep time(S3),stage 4 continuous sleep time(S4),non-rapid eye movement sleep(NREM),arousal ratio(AR),micro-awakening times(MAT)and micro-awakening times of rapid-eye-movement sleep(MAT-REM)were compared between the two groups,and the differences were statistically significant(P<0.05).Conclusion MBI can alleviate sleep disorders and negative emotions such as anxiety and depression in stroke patients in the short term,but whether it can benefit in the long term still requires high-quality,large-sample and multi-center follow-up studies.

mindfulness-based interventionstrokesleep disordersMeta-analysis

王雪、孙婧、王春阳

展开 >

南阳市第二人民医院神经内科,河南 南阳,473012

南阳市第二人民医院护理部,河南 南阳,473012

正念干预 脑卒中 睡眠障碍 Meta分析

2020年度河南省医学科技攻关计划联合共建立项项目

LHGJ20200899

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(1)
  • 34