正念干预训练对轻度认知障碍患者睡眠质量影响的Meta分析  

Effects of mindfulness-based intervention on sleep of patients with mild cognitive impairment:a Meta-analysis

作　　者：高振清 梁枫 王策 郭硕 GAO Zhenqing;LIANG Feng;WANG Ce;GUO Shuo(Intensive Care Unit,Affiliated Cancer Hospital of Shandong First Medical University,Jinan 250117,China)

机构地区：[1]山东第一医科大学附属肿瘤医院重症监护室,济南250117

出　　处：《中国临床护理》2024年第11期705-709,715,共6页Chinese Clinical Nursing

摘　　要：目的系统评价正念干预训练对轻度认知障碍患者睡眠质量的影响。方法计算机检索维普数据库、万方数据知识服务平台、中国知网、中国生物医学文献数据库、Cochrane Library、Embase、PubMed、Web of Science中关于正念干预训练对轻度认知障碍患者睡眠质量影响的随机对照研究。结果最终纳入文献8篇,涉及患者525例。Meta分析结果显示,正念干预训练可改善轻度认知障碍患者的睡眠质量[SMD=-0.61,95%CI(-0.98,-0.23),P=0.001]。亚组分析表明,干预周期为6~8周[SMD=-1.02,95%CI(-1.48,-0.56),P<0.001],干预时间为每次60~90 min[SMD=-0.92,95%CI(-1.44,-0.41),P<0.001],干预频率为每周1 d[SMD=-0.68,95%CI(-1.15,-0.22),P=0.004]时,正念干预训练可改善轻度认知障碍患者的睡眠质量。结论正念干预训练可改善轻度认知障碍患者的睡眠质量,推荐的正念干预训练方案是每周1 d,每次60~90 min,连续干预6~8周。Objective To systematically assess the effect of mindfulness-based intervention on sleep quality in patients with mild cognitive impairment.Methods Randomized controlled studies on the effect of mindfulness-based intervention on sleep quality in patients with mild cognitive impairment were searched in such databases as VIP,Wanfang,CNKI,Chinese Biomedical Literature Database,Cochrane Library,Embase,PubMed and Web of Science.Results A total of 8 articles and 525 patients were included.Meta-analysis results showed that mindfulness-based intervention could significantly improve the sleep quality of patients with mild cognitive impairment[SMD=-0,61,95%CI(-0.98,-0.23),P=0.001].The subgroup analysis demonstrated that the maximum effect could be achieved 60 to 90 minutes each time[SMD=-0.92,95%C1(-1.44,-0.41),P<0.001],once a week[SMD=-0.68,95%CI(-1.15,-0.22),P=0.004]for 6 to 8 weeks[SMD=-1.02,95%CI(-1.48,-0.56),P<0.001].ConclusionMindfulness-based intervention can improve the sleep quality of patients with mild cognitive impairment.The recommended training program is one day per week,60 to 90 minutes each time for 6 to 8 weeks.

关 键 词：正念 轻度认知障碍 睡眠质量 META分析 

分 类 号：R473.74[医药卫生—护理学]