认知行为疗法结合脑电生物反馈干预对护士亚健康失眠状态的影响

Effect of cognitive-behavioral therapy and electroencephalogram biofeedback intervention on insomnia nurses in sub-health

目的探索适合亚健康失眠护士的心理行为干预模式并评价其临床效果,为护士亚健康的防治提供参考。方法采用目的抽样的方法,抽取以失眠为主要症状的59名亚健康护士,随机分为两组。对照组(29名)给予健康教育,观察组(30名)在访谈的基础上给予认知行为疗法结合脑电生物反馈干预。干预前后采用SHSQ-25、PSQI、脑电基线测试评价其疗效。结果观察组与对照组SHSQ-25评分、PSQI评分、α脑电波波幅比较,差异有统计学意义(均P<0.01)。结论认知行为疗法结合脑电生物反馈干预模式有助于改善护士的亚健康状态,提高其睡眠质量。

Objective To explore psychobehavioral intervention for insomnia nurses in sub-health state,to evaluate its effects,and to provide basis for management of sub-health state of medical staff.Methods A total of 59 sub-health nurses with the main symptoms of insomnia were randomly assigned to an observation group of 30 and a control group of 29.The control group only received health education while the observation group received cognitive-behavioral therapy and EEG biofeedback.The designated nurses were asked to complete Suboptimal Health Status(SHSQ-25) and the Pittsburgh Sleep Quality Index(PSQI),and to complete the baseline EEG test before and after intervention.Results After the intervention,the scores of SHSQ-25 and PSQI in the observation group were lower than the control group,and there was statistically significant difference in the amplitude of α brain waves between the two groups(P<0.01 for all).Conclusion The mode of psychological and behavioral intervention can improve the symptoms of sub-health in nurses and ease insomnia.