Effects of nurse-led brief behavioral treatment for insomnia in adults: a randomized controlled trial.

IF 3.5 3区医学 Q1 CLINICAL NEUROLOGY Journal of Clinical Sleep Medicine Pub Date : 2024-11-01 DOI:10.5664/jcsm.11256

Kai-Mei Chang, Chia-Jou Lin, Ya-Wen Jan, Christopher J Gordon, Hsin-Chien Lee, Chun-Ying Shih, Delwyn J Bartlett, Yen-Chun Fan, Hsiao-Yean Chiu

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Abstract

Study objectives: We examined the effects of nurse-led brief behavioral treatment for insomnia (BBTI) on insomnia severity, sleep status, daytime function, quality of life, psychological distress levels, treatment response, and insomnia remission in young and middle-aged Asian adults with insomnia symptoms.

Methods: This 2-parallel, randomized controlled trial recruited 42 participants with insomnia symptoms randomly allocated to the nurse-led BBTI group or sleep hygiene group. The outcome measurements included the Insomnia Severity Index, sleep diary, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, Brief Fatigue Inventory, RAND-36 Health Status Inventory, and the Depression, Anxiety, and Stress Scale-21. The measurement time points included baseline, the end of each week of the intervention period, and 1-month follow-up.

Results: Compared with the sleep hygiene group, participants in the BBTI group had significantly improved insomnia severity, sleep onset latency, sleep efficiency, sleep quality, daytime sleepiness, and the mental components of quality of life after completing nurse-led BBTI immediately and 1 month later (P < .05). In addition, 52.4% and 71.4% of the participants achieved remission after completing nurse-led BBTI immediately and 1 month later, which was significantly higher than in the sleep hygiene group (14.3%, P = .02; 14.3%, P < .001, respectively).

Conclusions: We suggested the relative effects of BBTI on declined insomnia severity and improved sleep status among young and middle-aged Asian adults with insomnia symptoms and confirmed the benefits of nurse-led BBTI in alleviating insomnia. Nurses should incorporate BBTI into insomnia care further to enhance the daytime function and quality of life of the population with insomnia symptoms.

Clinical trial registration: Registry: ClinicalTrials.gov; Name: Effects of Nurse-led Brief Behavioral Treatment for Insomnia: A Feasibility Randomized Controlled Trial; URL: https://clinicaltrials.gov/study/NCT05310136; Identifier: NCT05310136.

Citation: Chang K-M, Lin C-J, Jan Y-W, et al. Effects of nurse-led brief behavioral treatment for insomnia in adults: a randomized controlled trial. J Clin Sleep Med. 2024;20(11):1763-1772.

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护士指导的简短行为治疗对成人失眠症的影响：随机对照试验。

研究目的研究护士指导的失眠简短行为治疗（BBTI）对有失眠症状的亚洲中青年成人的失眠严重程度、睡眠状况、日间功能、生活质量（QoL）、心理压力水平、治疗反应和失眠缓解的影响：这项两两平行的随机对照试验招募了 42 名有失眠症状的参与者，他们被随机分配到由护士指导的 BBTI 组或睡眠卫生（SH）组。结果测量包括失眠严重程度指数、睡眠日记、匹兹堡睡眠质量指数、埃普沃斯嗜睡量表、简明疲劳量表、兰德-36健康状况量表以及抑郁、焦虑和压力量表-21。测量时间点包括基线、干预期每周结束时和一个月的随访：与SH组相比，BBTI组的参与者在完成护士指导的BBTI后，失眠严重程度、睡眠开始潜伏期、睡眠效率、睡眠质量、白天嗜睡以及QoL的精神部分均有明显改善（P < 0.05）。此外，52.4%和71.4%的参与者在完成护士指导的BBTI后立即和一个月后病情得到缓解，明显高于SH组（分别为14.3%，p = 0.02；14.3%，p < 0.001）：我们认为，BBTI 对有失眠症状的亚洲中青年失眠严重程度的减轻和睡眠状态的改善有相对的效果，并证实了护士指导的 BBTI 在缓解失眠方面的益处。护士应进一步将BBTI纳入失眠护理中，以提高失眠症状人群的日间功能和生活质量：临床试验注册ClinicalTrials.gov; Name：临床试验注册：注册表：ClinicalTrials.gov；名称：护士主导的失眠症简短行为治疗的效果：一项可行性随机对照试验; URL: https://clinicaltrials.gov/study/NCT05310136; Identifier：NCT05310136。

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来源期刊

Journal of Clinical Sleep Medicine CLINICAL NEUROLOGY-

CiteScore

6.20

自引率

7.00%

发文量

321

审稿时长

1 months

期刊介绍： Journal of Clinical Sleep Medicine focuses on clinical sleep medicine. Its emphasis is publication of papers with direct applicability and/or relevance to the clinical practice of sleep medicine. This includes clinical trials, clinical reviews, clinical commentary and debate, medical economic/practice perspectives, case series and novel/interesting case reports. In addition, the journal will publish proceedings from conferences, workshops and symposia sponsored by the American Academy of Sleep Medicine or other organizations related to improving the practice of sleep medicine.