从指导方针到床边 - 韩国失眠治疗实践:全国性的队列研究
Daa Un Moon1, Zhaoyan Piao2, Do Hyun Lee2
1Department of Psychiatry and Psychotherapy, Charité Campus Mitte, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Frontiers in psychiatry
|September 30, 2024
概括
在韩国,药物治疗对于失眠是常见的,但对失眠的认知行为疗法 (CBT-I) 尚未得到充分使用. 研究应该探索将非药物治疗纳入实践.
科学领域:
- 睡眠医学 睡眠医学
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 失眠是一种广泛的疾病,影响生活质量,并造成巨大的经济成本.
- 国际指导方针提倡认知行为治疗失眠 (CBT-I) 作为主要治疗方法.
- 目前在韩国治疗失眠的治疗实践和指导方针的遵守需要调查.
研究的目的:
- 为了检查韩国目前的失眠治疗方式.
- 评估药理干预与非药理干预的使用情况.
- 发现已确定的治疗指南实施中的差异.
主要方法:
- 一项队列研究利用了2002年至2019年韩国国家医疗保险服务-国家样本队列 (NHIS-NSC) 的数据.
- 分析了2015年至2019年期间新诊断患有失眠的18003名患者.
- 评估了治疗模式,处方率和心理治疗索赔频率.
主要成果:
- 89.9%的患者接受了药物治疗,其中皮和二是最常被处方的药物.
- 心理治疗索赔从2015年的3.20%增加到2019年的9.14%,与诊所相比,一般医院的利用率更高.
- 治疗主要发生在临床上,观察到一致的剂量和延长的治疗持续时间.
结论:
- 在韩国,药物干预是治疗失眠的主要方法.
- 对于失眠的认知行为疗法 (CBT-I) 在临床实践中仍未得到充分利用.
- 未来的研究应该优先考虑非药物治疗的整合,并评估不同患者人口统计学中的治疗风险和疗效.
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