Effects of different non-pharmacological interventions on sleep quality in patients with chronic obstructive pulmonary disease:a network Meta-analysis
QI Lulu
LU Hongyan
FAN Di
GU Ruijie
LIU Jiayu
Abstract：Objective:To evaluate the effects of different non-pharmacological interventions on sleep quality in patients with COPD.Methods:Randomized controlled trials on non-pharmacological interventions to improve sleep quality in COPD patients were retrieved from Cochrane Library,PubMed,EMbase,Web of Science,CNKI,WanFang Data,VIP,CBM.The retrieval deadline was from the establishment of the database to March 2025.Two evaluators independently screened literature,extracted data,and evaluated the quality of literature using the randomized controlled trial bias risk assessment tool recommended by the Cochrane Quality Assurance Manual.R 4.4.1 software and Stata 18.0 software were used for network Meta-analysis.Results:A total of 32 articles were included,involving 11 non-pharmacological intervention methods.The results of the network Meta-analysis showed that oxygen therapy was the most effective in improving the sleep quality of COPD patients,followed by respiratory training,relaxation training,cognitive behavioral therapy,exercise,traditional Chinese medicine foot bath,acupoint massage,sleep education,transcranial magnetic stimulation,music,and routine care.In terms of improving the total sleep time of patients,oxygen therapy was the most effective,followed by acupoint massage,respiratory training,music,cognitive-behavioral therapy,exercise,and routine care.Conclusion:Existing evidence suggests that oxygen therapy,respiratory training,relaxation training,and acupoint massage are effective intervention methods for improving sleep quality in COPD patients,and could be selected according to actual conditions in clinical practice.
Keywords：non-pharmacological interventionchronic obstructive pulmonary diseasesleep qualitynetwork Meta-analysisevidence-based nursing
Publication Date：2025-11-25
Online Publishing Date：2025-11-28(First online date of this platform, not the publication date of the document)
Pages：10( 4583-4592 )