Abstract:
BACKGROUND:Insomnia is a common health problem, and most people who seek help for insomnia consult primary care. In primary care, insomnia treatment typically consists of hypnotic drugs, although cognitive behavioral therapy for insomnia is the recommended treatment. However, such treatment is currently available to few primary care patients. OBJECTIVES:To evaluate the effects of a group treatment program for insomnia led by nurses in primary care. OUTCOMES:were the Insomnia Severity Index, a 2-week sleep diary, and a questionnaire on frequency of hypnotic drug use. DESIGN:A randomized controlled trial with pre- and post-treatment assessment and a 1-year post-treatment follow-up of the intervention group. SETTINGS:Routine primary health care; 7 primary care centers in Stockholm, Sweden. PARTICIPANTS:Patients consulting primary care for insomnia were assessed for eligibility. To be included, patients had to have insomnia disorder and be 18 years or older. Patients were excluded if they if they worked night shifts or had severe untreated somatic and/or mental illness, bipolar disorder, or untreated sleep disorder other than insomnia. One-hundred and sixty-five patients 20 to 90 years were included. Most were women, and many had co-existing somatic and/or mental health problems. The post-treatment dropout rate was 20%. METHODS:The intervention was a nurse-led group treatment for insomnia based on the techniques of cognitive behavioral therapy for insomnia. The nurses had 2days of training in how to deliver the program. Ninety patients were randomized to the intervention and 75 to the control group (treatment as usual). Data from 82 in the intervention and 71 in the control group were analyzed in accordance with intention-to-treat principles. Fifty-four of the 72 in the intervention group who participated in the group treatment program were followed up after 1year. RESULTS:Mean Insomnia Severity Index score decreased significantly from 18.4 to 10.7 after group treatment but remained unchanged after treatment as usual (17.0 to 16.6). The effect size was large (1.23). Group treatment also resulted in significant improvements in all sleep diary variables (sleep onset latency, total sleep time, time awake after sleep onset, number of awakenings, and sleep quality). It also reduced hypnotic drug use. Improvements were maintained 1-year post-treatment. CONCLUSIONS:Patients with insomnia can be treated successfully with a nurse-led group treatment program in primary health care. The results support implementation of the treatment program, particularly given the need for increased access to non-pharmacological insomnia treatments.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Sandlund C,Hetta J,Nilsson GH,Ekstedt M,Westman Jdoi
10.1016/j.ijnurstu.2017.03.007subject
Has Abstractpub_date
2017-07-01 00:00:00pages
30-41eissn
0020-7489issn
1873-491Xpii
S0020-7489(17)30080-9journal_volume
72pub_type
杂志文章,随机对照试验abstract:BACKGROUND:Growth retardation during the first year of life is frequently observed in prematurely born infants. Few reports have considered the effects of maternal emotional distress and perceptions of care burden on the outcomes of these infants. OBJECTIVES:This study investigated the physical growth trajectories of ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2020.103656
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:The impact of staff perceptions of daily work pressures on burnout requires further exploration because both issues may be adversely affecting the quality of staff interactions with service users. OBJECTIVES:To use a model of 'stakeholder involvement' to develop and test a self-report instrument capturing n...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2012.06.001
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Around the world, guidelines and clinical practice for the prevention of complications associated with central venous catheters (CVC) vary greatly. To prevent occlusion, most institutions recommend the use of heparin when the CVC is not in use. However, there is debate regarding the need for heparin and evid...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2016.02.014
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:The amount and complexity of (ambulatory) day surgery is rapidly expanding internationally. Nurses have a responsibility to provide quality care for day surgery patients. To do this they must understand all aspects of the patient experience. There is dearth of research into day surgery using a sociological f...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2010.07.007
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:A high prevalence of postpartum physical symptoms and depressive symptomatology has been reported in Western countries. Although previous studies have shown postpartum physical symptoms and emotional problems are correlated, a causal relationship between the two variables has not been established. OBJECTIVE...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.02.007
更新日期:2009-09-01 00:00:00
abstract::This paper reviews the debate concerning the relationship between dietary fats and heart disease. The paper also addresses the questions "should nurses persuade patients with heart disease to follow a low-fat, low-cholesterol diet?", "If so, will patients be less liable to a heart attack?" and "are such recommendation...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(83)90016-0
更新日期:1983-01-01 00:00:00
abstract:BACKGROUND:Effective self-care is the cornerstone of the successful management of heart failure (HF). The European Heart Failure Self-care Behaviour Scale is a brief, reliable and valid scale to measure this important construct among patients with HF. Although the EHFScBS has been translated to different languages, no ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2010.08.011
更新日期:2011-04-01 00:00:00
abstract:BACKGROUND:Despite a proliferation of evidence and the development of standardised tools to improve communication at handover, evidence to guide the handover of critical patient information between nursing team leaders in the intensive care unit is limited. OBJECTIVE:The study aim was to determine the content of infor...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.05.006
更新日期:2016-09-01 00:00:00
abstract::The aim of this study was to investigate staff experiences in implementing guidelines for Kangaroo Mother Care in neonatal care. The study was part of a randomized controlled trial, the overall goal of which was to assess the impact of external facilitation. A total of eight focus group interviews were held at two int...
journal_title:International journal of nursing studies
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/j.ijnurstu.2004.05.016
更新日期:2005-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2002-03-01 00:00:00
abstract:BACKGROUND:The pregnancy process has always been medicalized with a focus on the prevention of adverse pregnancy outcomes and a lesser emphasis on enhancing women's wellbeing during the perinatal period. This trend urges healthcare professionals to consider the use of a salutogenic approach throughout the perinatal per...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2019.103398
更新日期:2020-01-01 00:00:00
abstract:AIMS:To conduct a systematic review and critically evaluate the literature on the effectiveness of multidisciplinary interventions to improve quality of life for people with Parkinson's disease. METHODS:An electronic search of the following publication databases was performed for records from 1995 to 2011: CINAHL PLUS...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2013.03.009
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Multiple chronic conditions (MCC) are highly prevalent worldwide, especially among older populations. Patient self-care and care partner (or caregiver) contributions to self-care are recommended to reduce the impact of MCC and improve patients' outcomes. OBJECTIVES:To describe patient self-care and care par...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2020.103574
更新日期:2020-03-14 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2016.01.006
更新日期:2016-05-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.12.015
更新日期:2010-08-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2008.06.008
更新日期:2008-12-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(84)90004-x
更新日期:1984-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2013.07.001
更新日期:2014-02-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2004.07.008
更新日期:2005-05-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
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更新日期:2007-08-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2004-05-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2019-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(94)e0013-9
更新日期:1995-06-01 00:00:00
abstract::Recent studies suggest that violence in health care environments, especially mental health care, appears to be increasing. Although there is a lack of cross-cultural studies to prove it, this increase in violence would seem to be an international phenomenon. The present study sought to compare the extent and nature of...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(00)00089-4
更新日期:2001-08-01 00:00:00
abstract::The aim of this study was to illuminate nurses' experiences of the encounter with elderly patients who developed acute confusional state (ACS) in orthopaedic care. Forty-eight nurses with professional background as registered (n=26) or licensed practical nurses (n=22) who took part in the nursing care of acute confuse...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(02)00109-8
更新日期:2003-05-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
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更新日期:2020-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2009-07-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2015.10.001
更新日期:2016-03-01 00:00:00