失眠症患者对失眠认知行为疗法干预的体验

目的:探索并分析失眠症患者对失眠认知行为疗法(CBT-I)干预后的体验.方法:采用目的抽样,选取2018年8月至2019年2月在某睡眠医学中心进行CBT-I治疗的21 例失眠症患者为研究对象,对其进行半结构式访谈、录音转录,并应用Colaizzie7步分析法对资料进行整理分析.结果:分析出7个主题:改善睡眠,增强对失眠的接纳和抗干扰能力;减轻催眠药物依赖;提高生命质量;提升自我效能;增强自我调节能力;团队的分享和支持促进行为的改变;遇到的挑战.结论:了解患者进行CBT-I干预后的真实体验,有助于增加医护人员对其的认识,不断地完善今后的治疗方案,促进其专业化发展.

Experience of Cognitive Behavioral Therapy Intervention For Patients with Insomnia

Objective:Exploring and analyzing the experience of insomnia patients after intervention in cognitive behavioral therapy for insomnia.Methods:By objective sampling,21 insomnia patients who underwent CBT-I at a sleep medical center from August 2018 to February 2019 were selected as subjects.Patients were interviewed and recorded by semi-structured interview.Colaizzie seven steps analysis was used to analyze the data.Results:Seven themes were emerged:improve sleep,enhance the acceptance of insomnia and antiinterference ability;reduce hypnotic dependence;improve the quality of life;improve self-efficacy;enhance self-regulation;team sharing and support to promote behavioral change;challenges.Conclusion:Understanding the real experience of patients after CBT-I is helpful increase the awareness of medical staff,and constantly improve the future treatment strategy to promote its professional development.