《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2024, Vol. 30 ›› Issue (1): 54-60.doi: 10.3969/j.issn.1006-9771.2024.01.007
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GE Keke1, FAN Yonghong1, WANG Hangyu1, DU Lilu1, LI Changjiang1, ZOU Min1,2()
Received:
2023-10-26
Revised:
2023-12-05
Published:
2024-01-25
Online:
2024-02-04
Contact:
ZOU Min, E-mail: CLC Number:
GE Keke, FAN Yonghong, WANG Hangyu, DU Lilu, LI Changjiang, ZOU Min. Health benefit of mindfulness intervention for older adults with insomnia disorders: a systematic review[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 54-60.
Table 1
PICO framework for health benefits analysis of mindfulness intervention for older adults with insomnia disorders"
人群(Population) | 干预(Intervention) | 比较(Comparison) | 结局(Outcome) | |
---|---|---|---|---|
健康及健康相关状况 | ICD-11和ICF编码 | |||
失眠 失眠并发轻度认知障碍 年龄≥ 55岁 匹兹堡睡眠质量指数≥ 5 | ICD-11编码 07睡眠-觉醒障碍 ICF编码 b134睡眠功能 b1340 睡眠量 b1341 睡眠开始时间 b1342 睡眠维持时间 b1343 睡眠质量 b1344 涉及睡眠周期功能 | 干预属性及ICHI编码: 睡眠功能训练(ATK.PH.ZZ) 干预方法:MBTI、MBSR、MBCT、正念冥想 干预方案:干预频率、持续时间 干预场所:研究机构、健康中心、养老机构、社区卫生服务中心 | 干预前后比较 干预方式比较 干预组与对照组比较 | 1.睡眠质量: 主观测量:失眠严重程度、觉醒次数、服用安眠药频率、睡前觉醒程度、日间功能障碍 客观测量:睡眠潜伏期、入睡后清醒时间、睡眠时长 2.心理与行为健康:抑郁、焦虑、压力感知 |
Table 2
Score of PEDro scale of the included literatures"
纳入文献 | 资格标准 | 随机分配 | 分配隐藏 | 基线相似 | 被试施盲 | 治疗师施盲 | 评估者施盲 | 被试流失率< 15% | ITT意向治疗分析 | 组间统计比较 | 报告点测量和变异量值 | 总分 |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Perini等[ | √ | √ | √ | √ | √ | √ | √ | √ | 7 | |||
Shaif等[ | √ | √ | √ | √ | √ | √ | √ | √ | 7 | |||
Wong等[ | √ | √ | √ | √ | √ | √ | √ | 6 | ||||
Li等[ | √ | √ | √ | √ | √ | √ | √ | 6 | ||||
Zhang等[ | √ | √ | √ | √ | √ | √ | √ | √ | 7 | |||
Cai等[ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | 9 | |
Gallegos等[ | √ | √ | √ | √ | √ | √ | √ | √ | 7 | |||
Black等[ | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ | 9 | |
Camino等[ | √ | √ | √ | √ | √ | √ | √ | 6 |
Table 3
Basic features of included literatures"
纳入文献 | 国家 | 样本特征 | 干预策略 | 比较 | 结局 |
---|---|---|---|---|---|
Perini等[ | 新加坡 | 失眠 年龄58~80岁 对照组(n = 62) 干预组(n = 65) | 干预场所:研究机构或健康中心 干预方法:对照组采用SHEEP,干预组采用MBTI 干预频率:每次120 min,每周1次 干预时间:8周 | 与对照组比较 | 睡眠质量 ISI分数下降 PSQI得分下降 睡眠潜伏期缩短 入睡后觉醒次数减少,觉醒时间缩短 心理健康:未提及 |
Shaif等[ | 新加坡 | 睡眠困难 年龄58~80岁 对照组(n = 58) 干预组(n = 55) | 干预场所:健康中心 干预方法:对照组采用SHEEP,干预组采用MBTI 干预频率:每次120 min,每周1次 干预时间:8周 | 与对照组比较 | 睡眠质量 睡眠潜伏期缩短 入睡后觉醒时间缩短 主客观睡眠潜伏期差异减少 心理健康:未提及 |
Wong等[ | 新加坡 | 睡眠障碍 年龄58~80岁 对照组(n = 46) 干预组(n = 48) | 干预场所:研究机构或健康中心 干预方法:对照组采用SHEEP,干预组采用MBTI 干预频率:每次120 min,每周1次 干预时间:8周 | 与对照组比较 | 睡眠质量 ISI得分下降 PSQI得分下降 PSAS得分降低 N2睡眠阶段增长,睡眠时间增加 心理健康:未提及 |
Li等[ | 中国 | 失眠 年龄≥ 65岁 对照组(n = 33) 干预组(n = 35) | 干预场所:养老机构 干预方法:空白对照,干预组采用正念冥想 干预频率:每次90 min,每周2~3次 干预时间:8周 | 与对照组比较 | 睡眠质量 PSQI得分下降 服用安眠药频率减少 心理健康:未提及 |
Zhang等[ | 中国 | 慢性失眠 年龄≥ 75岁 对照组(n = 30) 干预组(n = 30) | 干预场所:医院 干预方法:空白对照,干预组采用MBSR 干预频率:每次120 min,每周1次 干预时间:8周 | 与对照组比较 | 睡眠质量 PSQI得分下降,日间功能障碍改善 心理健康 GDS得分显著降低,抑郁症状减轻 |
Cai等[ | 中国 | 轻度认知障碍并发失眠症 年龄≥ 60岁 对照组(n = 37) 干预组(n = 38) | 干预场所:养老机构 干预方法:对照组采用健康教育课程,干预组采用正念冥想 干预频率:每次90 min,每周1次 干预时间:8周 | 与对照组比较 | 睡眠质量 PSQI分数下降 ISI、AIS得分均下降 心理健康 SAS、PSS得分均降低 |
Gallegos等[ | 美国 | 睡眠障碍 年龄≥ 65岁 对照组(n = 51) 干预组(n = 67) | 干预场所:社区 干预方法:对照组无干预,干预组采用MBSR 干预频率:每次120 min,每周1次 干预时间:8周 | 与对照组比较 | 睡眠质量 PSQI得分下降 心理健康:未提及 |
Black等[ | 美国 | 睡眠障碍 年龄≥ 55岁 对照组(n = 25) 干预组(n = 24) | 干预场所:社区卫生服务中心 干预方法:对照组采用睡眠卫生教育,干预组采用正念冥想 干预频率:每次120 min,每周1次 干预时间:6周 | 与对照组比较 | 睡眠质量 PSQI得分显著降低 AIS得分降低 心理健康 BDI-Ⅱ得分显著降低 |
Camino等[ | 西班牙 | 失眠 年龄> 60岁 对照组(n = 48) 干预组(n = 48) | 干预场所:社区卫生服务中心 干预方法:对照组采用电影论坛活动,干预组采用MBCT 干预频率:每次90 min,每周1次 干预时间:8周 | 与对照组比较 | 睡眠质量 ISI得分降低 PSQI得分下降,日间睡眠改善 心理健康:未提及 |
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