失眠认知行为治疗软件在睡眠障碍患者辅助治疗中的应用价值

张择予

安徽郎溪县人民医院，安徽郎溪，242199；

摘要：目的：本研究旨在评估失眠认知行为治疗软件（希迪克(郑州)智能康复设备有限公司，型号：XDK-CBTI-01）对原发性睡眠障碍患者的临床干预效果，明确其在非情绪性失眠中的辅助治疗价值。方法：采用前瞻性随机对照试验设计，共纳入原发性睡眠障碍患者130例，按随机数字表法分为试验组和对照组（各65例）。纳入标准包括年龄18～65岁、ISI≥8分、GAD-7和PHQ-9评分均＜10分。对照组接受8周标准化睡眠卫生教育，试验组在此基础上额外使用失眠认知行为治疗软件进行干预。干预前后评估失眠严重程度指数（ISI）、匹兹堡睡眠质量指数（PSQI）、广泛性焦虑量表（GAD-7）及患者健康问卷抑郁量表（PHQ-9）。结果：8周后，试验组ISI与PSQI评分较基线显著下降，且降幅均大于对照组（P＜0.001），显示睡眠质量和失眠症状显著改善。两组干预后GAD-7与PHQ-9评分差异均无统计学意义（P＞0.05）。结论：该软件可作为原发性失眠的有效辅助干预工具，具有操作简便、非药物化、可推广性强等优势，尤其适合社区和家庭场景应用。但对焦虑、抑郁等情绪症状改善有限，需结合综合管理方案。

关键词：失眠认知行为治疗软件；CBTI；睡眠障碍；ISI

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