荷兰通用实践中的失眠管理:例行护理数据库研究
Mette H Bakker1,2, Nina A Oldejans1, Jacqueline G Hugtenburg2,3
1Department of General Practice, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Scandinavian journal of primary health care
|July 20, 2023
概括
荷兰的全科医生经常处方睡眠药物,通常是不推的或重复的二二胺受体激动剂 (BZRA) 处方,尽管有指导方针支持非药物失眠管理. 这项研究突出了初级保健中常见的药物治疗实践.
科学领域:
- 一般的做法一般的做法
- 睡眠医学 睡眠医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 在一般实践中,失眠管理指南强调非药物干预.
- 人们对睡眠药物的普遍处方存在担忧,包括不推和长期使用.
研究的目的:
- 在荷兰一般实践中调查失眠管理策略.
- 专注于初级保健机构的睡眠药物处方模式.
主要方法:
- 来自荷兰21家全科医院的匿名电子病历 (EMR) 的描述性分析.
- 数据包括患者人口统计数据,咨询笔记以及诊断为"睡眠障碍" (ICPC代码P06) 的患者的睡眠药物处方.
主要成果:
- 在1089名患者中,77.0%接受了睡眠药物,64.6%在第一次咨询时被处方.
- 76.8%的人接受了二二胺受体激动剂 (BZRA),39.5%的人接受了非推药物,14.7%的人在两年内接受了超过180个BZRA药丸.
- 在48.4%的患者中,记录了非药物干预措施.
结论:
- 睡眠药物处方在荷兰的全科医院中很常见,通常是在第一次咨询时开始的.
- 处方经常涉及不推的药物和重复使用BZRA,与临床指南相反.
- 在初级保健中,建议和实际的失眠治疗实践之间存在很大的差距.
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