失眠与医疗保健利用之间的关联:对文献的范围审查
Kolade Olatunde1, Susan Patton2
1Department of Public Policy/Health Policy, University of Arkansas, Fayetteville, AR, USA.
American journal of lifestyle medicine
|March 5, 2025
概括
失眠显著增加了医疗保健的利用率和成本. 早期识别和治疗失眠等睡眠障碍,可以减轻这些负担,改善整体幸福感.
科学领域:
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 失眠是一种普遍存在的睡眠障碍,对健康有重大影响.
- 它与医疗保健利用率增加和不良健康结果有关.
- 对失眠的有效管理策略对于公共健康至关重要.
研究的目的:
- 对有关失眠和医疗保健利用之间的关联进行现有研究的全面审查.
- 确定对失眠对医疗保健资源消费的影响的研究程度.
- 综合关于失眠和医疗费用之间的关系的发现.
主要方法:
- 由Joanna Briggs研究所的方法指导的五个阶段的范围审查.
- 通过2022年搜索主要数据库 (PubMed,HINARI,Google Scholar,Cochrane),并通过手动搜索进行补充.
- 包括从124个经过审查的参考资料中选择的23项研究的描述性和探索性分析.
主要成果:
- 在失眠和医疗保健利用率和成本增加之间发现了强有力的积极关联.
- 失眠与工作缺勤,工作表现下降,残疾和生活不满有关.
- 严重的持续性失眠的人群没有寻求治疗,突出了护理方面的差距.
结论:
- 管理失眠可能会降低医疗保健利用率和相关成本.
- 需要改善对失眠患者的识别和管理策略.
- 需要进一步的研究,以建立最有效的失眠检测和治疗方法.
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