在日本初级保健医生实践中治疗失眠的治疗策略:一个基于Web的问卷调查调查
Masahiro Takeshima1, Hitoshi Sakurai2, Ken Inada3
1Department of Neuropsychiatry, Akita University Graduate School of Medicine, Akita City, Japan.
BMC primary care
|June 18, 2024
概括
日本的初级保健医生经常使用新的催眠药,而不是二类药物治疗失眠. 然而,对失眠的认知行为疗法 (CBT-I) 很少使用,这表明需要更好的医生教育和可访问的CBT-I选项.
科学领域:
- 睡眠医学 睡眠医学
- 主要护理实践的初级护理实践
- 药物治疗 药物治疗
背景情况:
- 在引入新型催眠药后,初级保健医生 (PCP) 对失眠的管理仍然不清楚.
- 新的催眠药包括素受体对抗剂和黑激素受体激动剂.
- 这项研究调查了日本初级保健中失眠治疗策略.
研究的目的:
- 检查日本初级保健医生目前用于治疗失眠的治疗策略.
- 评估PCP熟悉和利用各种失眠管理选项,包括新的催眠药和心理治疗.
- 为了确定潜在的障碍和促进者采用认知行为治疗失眠 (CBT-I).
主要方法:
- 在日本对117名初级保健医生进行了基于Web的问卷调查.
- 医生报告了对不眠症管理选项的熟悉程度在二进制尺度上 (不熟悉/熟悉).
- 治疗实施被评估使用九点的利克尔特等级 (从来没有/经常处方/执行).
主要成果:
- 诸如Suvorexant,Lemborexant和Ramelteon之类的新型催眠药很熟悉,并且经常用于睡眠开始和维持.
- 被调查的医生很少开班佐地亚zepines的处方.
- 对失眠的认知行为疗法 (CBT-I) 的熟悉程度较低 (约. 40%),执行不频繁 (平均1.5-1.6分).
- 单组件心理疗法比CBT-I (2.6-3.4分) 更为熟悉,并且实施程度略高.
结论:
- 日本的初级保健医生主要使用新型催眠药,而不是二胺,用于失眠药物治疗.
- 对失眠的认知行为疗法 (CBT-I) 在日本的初级保健机构中未得到充分利用.
- 促进CBT-I使用可能包括教育PCP,实施简要或数字CBT-I,并促进与CBT-I专家的合作.
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