Effects of nurse run Cognitive Behavioural Therapy for Insomnia for inpatients with Insomnia and depression in Hong Kong

Pao Yue-kong Library Electronic Theses Database

Effects of nurse run Cognitive Behavioural Therapy for Insomnia for inpatients with Insomnia and depression in Hong Kong

 

Author: Wong, Pui-kin
Title: Effects of nurse run Cognitive Behavioural Therapy for Insomnia for inpatients with Insomnia and depression in Hong Kong
Degree: M.Sc.
Year: 2010
Subject: Hong Kong Polytechnic University -- Dissertations
Insomnia -- Treatment -- China -- Hong Kong
Depression, Mental -- Treatment -- China -- Hong Kong
Cognitive therapy.
Department: School of Nursing
Pages: ix, 103 leaves : ill. ; 30 cm.
InnoPac Record: http://library.polyu.edu.hk/record=b2352658
URI: http://theses.lib.polyu.edu.hk/handle/200/5649
Abstract: In view of strong prevalence of insomnia among people particularly mental health patients and the negative impact spreads from individual to health care and social aspect, a non-pharmacological treatment on insomnia was essential. Cognitive Behavioural Therapy for Insomnia (CBT-I) was the alternative in addition to medication treatment that research proved to have long lasting effect but no reported side effect. However, majority of studies reported CBT-I was conducted by clinical psychologists but the application was limited by shortage of clinical psychologists to perform the therapy that constituted a large service gap between treatment and patients. Moreover, the efficacy of its application in mental health inpatients in Hong Kong had never reported. This study was to explore the efficacy of cognitive-behavior therapy on sleep improvement, reduce depression level, and reduce sleep medication on mental health inpatients in Hong Kong. It aimed to improve participants' insomnia condition and promote their quality of life. One group pre- and post-treatment comparison design was adopted in this study. Measurements included Sleep Impairment Index, Sleep Diary, and Chinese version of Beck's Depression Inventory were used to examine the efficacy of Cognitive Behavioural Therapy for Insomnia. Descriptive test and inferential test were used as data analysis in this study. They examined treatment effect with main outcomes including sleep efficiency, depressive levels, sleep impairment levels, and number of sleep medication use. Results revealed significant improvement among main outcomes and the findings were similar to other studies. The aims and objectives of this study were achieved. It was indicated that psychological means could be sufficient to alleviate insomnia. Psychiatric nurses can equip themselves with sufficient knowledge and training to offer Cognitive Behavioural Therapy for Insomnia to fill the service gap.

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