开放期刊系统

围绝经期失眠非药物干预策略:生理、心理与社会支持的协同作用

刘 连君, 张 军*, 齐 文苗, 邹 涛

摘要

围绝经期失眠(PI)是女性在生殖衰老过渡阶段的常见问题,与雌激素水平下降、神经内分泌失调、心理压力及社会支持不足等多因素密切相关。本文综述PI的生理、心理和社会影响因素,并探讨运动疗法、放松训练、认知行为疗法(CBT-I)、正念冥想及社会支持等非药物干预策略,重点分析心理、生理和社会支持的协同作用,以期为精准化干预方案的构建提供理论依据。

关键词

围绝经期;失眠;非药物干预;认知行为疗法;正念冥想

全文:

PDF

参考

[1]白文佩.绝经相关失眠临床管理中国专家共识[J].中国全科医学,2023,26(24).

[2]刘帝,冉利梅,聂四平,等.贵州地区少数民族女性围绝经期症状分布特征及影响因素[J].中国老年学杂志,2021,41(11):2417-2420.

[3]Adimi N P, Hassani S, Sadr M, et al. Sleep Disorders and Mental Health in Menopausal Women in Tehran[J]. Tanaffos, 2020,19(1):31-37.

[4]Xu H, Liu J, Li P, et al. Effects of mind-body exercise on perimenopausal and postmenopausal women: a systematic review and meta-analysis[J]. Menopause, 2024,31(5):457-467.

[5]Caruso D, Masci I, Cipollone G, et al. Insomnia and depressive symptoms during the menopausal transition: theoretical and therapeutic implications of a self-reinforcing feedback loop[J]. Maturitas, 2019,123:78-81.

[6]Baker F C, de Zambotti M, Colrain I M, et al. Sleep problems during the menopausal transition: prevalence, impact, and management challenges[J]. Nat Sci Sleep, 2018,10:73-95.

[7]Fu X, Zheng Q, Zhang N, et al. CUMS Promotes the Development of Premature Ovarian Insufficiency Mediated by Nerve Growth Factor and Its Receptor in Rats[J]. Biomed Res Int, 2020,2020:1946853.

[8]Naufel M F, Boldarine V T, Oyama L M, et al. Age and leptinemia association with anxiety and depression symptoms in overweight middle-aged women[J]. Menopause, 2019,26(3):317-324.

[9]陈素平.加味甘麦大枣汤治疗围绝经期经递质和炎症因子水平的影响[J].现代中西医结合杂志,2018,20(27).

[10]李嘉兴,林雪倩,罗雅欣,等.中国围绝经期妇女抑郁现况及其影响因素[J].现代预防医学,2021,48(22).

[11]Bromberger J T, Schott L L, Kravitz H M, et al. Longitudinal change in reproductive hormones and depressive symptoms across the menopausal transition: results from the Study of Women's Health Across the Nation (SWAN)[J]. Arch Gen Psychiatry, 2010,67(6):598-607.

[12]钟凯,胡启彩,康汉珍,等.围绝经期女性社会支持状况及影响因素研究[J].护理学报,2016,23(12).

[13]龚明俊,唐桥,谭思洁,等.运动干预对睡眠障碍的影响及作用机制研究进展[J].四川大学学报(医学版),2024,55(1).

[14]Pelit A S, Şentürk E A. Effects of health education and progressive muscle relaxation on vasomotor symptoms and insomnia in perimenopausal women: A randomized controlled trial[J]. Patient Educ Couns, 2022,105(11):3279-3286.

[15]Nowakowski S, Meers J M. Cognitive-behavior therapy for sleep disorders at midlife[J]. Menopause, 2021,28(7):833-835.

[16]Qaseem A, Kansagara D, Forciea M A, et al. Management of Chronic Insomnia Disorder in Adults: A Clinical Practice Guideline From the American College of Physicians[J]. Ann Intern Med, 2016,165(2):125-133.

[17]Riemann D, Baglioni C, Bassetti C, et al. European guideline for the diagnosis and treatment of insomnia[J]. J Sleep Res, 2017,26(6):675-700.

[18]Rusch H L, Rosario M, Levison L M, et al. The effect of mindfulness meditation on sleep quality: a systematic review and meta-analysis of randomized controlled trials[J]. Ann N Y Acad Sci, 2019,1445(1):5-16.

[19]Darehzereshki S, Dehghani F, Enjezab B. Mindfulness-based stress reduction group training improves of sleep quality in postmenopausal women[J]. BMC Psychiatry,2022,22(1):254.

[20]董虹,李桂林,孔虹.结核性脑膜炎患者社会支持与生活质量相关性的研究[J].中国医药导刊,2013(05):894-896.

[21]Seo S, Mattos M K. The relationship between social support and sleep quality in older adults: A review of the evidence[J]. Arch Gerontol Geriatr,2024,117:105179.

[22]Lam C M, Hernandez-Galan L, Mbuagbaw L, et al. Behavioral interventions for improving sleep outcomes in menopausal women: a systematic review and meta-analysis[J]. Menopause, 2022,29(10):1210-1221.

[23]Simon K C, McDevitt E A, Ragano R, et al. Progressive muscle relaxation increases slow-wave sleep during a daytime nap[J].JSleepRes,2022,31(5):e13574.


(0 摘要 Views, 0 PDF Downloads)

Refbacks

  • 当前没有refback。