检查在初级保健中整合更公平的失眠治疗选择的障碍和建议
Ivan Vargas1, Mara Egeler1, Jamie Walker1
1Department of Psychological Science, University of Arkansas, Fayetteville, AR, United States.
Frontiers in sleep
|August 30, 2024
概括
大多数初级保健提供者缺乏对失眠认知行为疗法 (CBT-I) 的培训,这是领先的失眠治疗方法. 这种差距有助于忽视睡眠健康和差距,特别是在少数群体中.
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
- 健康差异 在健康上的差异
背景情况:
- 慢性和急性失眠在一般人群中非常普遍,在初级保健机构中更为如此.
- 在初级保健提供者之间,关于诊断和治疗睡眠障碍的知识和培训差距很大.
- 失眠的认知行为疗法 (CBT-I),推的第一线治疗,通常不熟悉或不被初级保健医生使用.
研究的目的:
- 审查忽视睡眠健康和失眠治疗背后的原因.
- 确定这种忽视是如何加剧睡眠健康差异的,特别是对于种族和少数民族.
- 探索在初级保健中增强对行为睡眠干预措施的准入的潜在策略.
主要方法:
- 文献综述和综合现有关于睡眠健康,失眠治疗和初级保健实践的研究.
- 分析导致失眠治疗不足的因素.
- 检查不充分治疗对健康公平的影响.
主要成果:
- 初级保健提供者往往缺乏足够的知识和培训,以证据为基础的失眠治疗,如CBT-I.
- 在初级保健机构中对睡眠健康的关注不足,导致弱势群体在睡眠质量和治疗机会方面的显著差异.
- 现有的医疗保健系统和培训模式对有效的失眠管理构成障碍.
结论:
- 解决初级保健中的知识和培训缺陷对于改善失眠管理至关重要.
- 需要进行系统性改变,以将行为睡眠干预措施纳入常规的初级保健.
- 需要有针对性的努力来减少睡眠健康差异,并确保公平获得有效的失眠治疗.
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