对目前减少镇静催眠药物使用和促进医院患者睡眠的现有策略的环境扫描
Heather L Neville1, Jenna Shaw2,3, Carter VanIderstine2,3
1Nova Scotia Health Authority, 1276 South Park Street, Halifax, Nova Scotia, B3H 2Y9, Canada. Heather.neville@nshealth.ca.
International journal of clinical pharmacy
|September 29, 2023
概括
有许多资源可以帮助患者和提供者减少镇静催眠药的使用,改善睡眠. 虽然医院特定的资源有限,但已识别的工具可以指导非药物睡眠促进策略.
科学领域:
- 老年医学 老年医学
- 药理学 药理学是指药理学的学科.
- 睡眠医学 睡眠医学
背景情况:
- 镇静催眠药经常在医院处方治疗失眠和焦虑症.
- 指导方针建议不要使用它们,特别是在老年人中,因为它们存在诸如跌倒,骨折和妄想等重大风险.
- 需要基于证据的非药物替代方案来管理医院环境中的睡眠问题.
研究的目的:
- 确定旨在减少镇静催眠药物使用的公开可访问的资源.
- 寻找促进医院患者更好的睡眠的策略.
- 评估医疗保健机构对睡眠的非药物干预措施的可用性和性质.
主要方法:
- 通过使用六种不同的搜索策略进行了广泛的谷歌搜索.
- 关键的组织网站也被系统地搜索相关资源.
- 纳入标准集中在过去五年的公开可用的英语资源上,使用非药物方法促进睡眠或降低镇静剂.
主要成果:
- 总共有79个资源符合纳入标准.
- 大多数专注于患者教育 (82.3%) 和睡眠卫生策略 (39.2%).
- 其他干预措施包括抑郁 (21.5%),放松训练 (16.5%),失眠认知行为疗法 (11.4%),政策制定 (8.9%).
结论:
- 有许多资源可用于支持患者和医疗保健提供者减少镇静催眠药的使用,提高睡眠质量.
- 专门为医院环境量身定制的资源不太常见,尽管有些人建议在出院后停止医院发起的镇静剂.
- 医疗机构可以调整这些已识别的资源,以创建有效的镇静催眠药处方计划和政策.
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