直接运用心理学治疗睡眠障碍：创新医院和医疗服务中的护理模式
直接运用心理学治疗睡眠障碍：创新医院和医疗服务中的护理模式
Direct to psychology for sleep disorders: Innovating models of care in the hospital and health service
——《健康心理学杂志》2025年第30卷第5期——
【摘要】为在澳大利亚布里斯班一家三级医院的多学科睡眠障碍服务中实施“直接心理学失眠”治疗方案，项目制定了一项实施科学原则和方法，以重新设计护理模式 (MoC)。项目组与12名多学科工作人员共同举办了一场共识小组研讨会，采用名义小组技术 (NGT)，旨在制定新的MoC。研讨会探讨了“直接心理学”治疗方案的纳入和排除标准，包括患者流程和促成因素。团队最终批准了一项利益相关方可接受且满足服务水平要求的MoC。研究结果强调，患者的纳入或排除应由睡眠医生团队和一位具备行为睡眠医学专业知识的高级心理学家监督。此外，还考虑了通过初级保健提供者转诊的患者是否需要持续护理。研讨会还确定了MoC变革面临的障碍和风险，并为MoC的改进提供了参考。
【关键词】睡眠，睡眠障碍，失眠，阻塞性睡眠呼吸暂停综合征，阻塞性睡眠呼吸暂停综合征，辅助医疗主导，直接面向心理学，睡眠心理学，健康心理学，行为睡眠医学，护理模式再设计
[Abstract] A ‘Direct to Psychology Insomnia’ pathway was developed for implementation within a multidisciplinary sleep disorders service in a tertiary hospital in Brisbane, Australia. The project was informed by implementation science principles and methodology to re-design the model of care (MoC). A consensus group workshop using the Nominal Group Technique (NGT) with 12 multidisciplinary staff was undertaken to develop the new MoC. The workshop explored inclusion and exclusion criteria for a Direct to Psychology pathway including patient flow and enablers. The team endorsed a MoC that was acceptable to stakeholders and addressed service-level imperatives. The findings highlighted that patient inclusion or exclusion should be overseen by the Sleep Physician team and an Advanced Psychologist with behavioural sleep medicine expertise. Continuum of care for patients referred via primary care providers was considered. Barriers and risks to the MoC changes were identified which informed the refinement of the MoC.
[Key words] sleep, sleep disorders, insomnia, OSA, obstructive sleep apnoea, allied health led, direct to psychology, sleep psychology, health psychology, behavioural sleep medicine, model of care re-design
论文原文：Sara Winter, Sara Crocker, Irene Szollosi, et al. (2025) . Direct to psychology for sleep disorders: Innovating models of care in the hospital and health service. Journal of Health Psychology, Volume 30, Issue 5, Pages 989–1003.
https://doi.org/10.1177/13591053241267272
（需要英文原文的朋友，请联系微信：millerdeng95或iacmsp）
