针对失眠的非药物治疗趋势:一项全国性的研究
Mingee Choi1, Junbok Lee2, Jeahyung Lee3
1Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea.
PloS one
|November 7, 2025
概括
在韩国,非药物失眠治疗方法的使用不足,只有0.01%的患者最初接受了它们. 最近的变化显示了适度的增加,这表明有可能更好地融入临床实践.
科学领域:
- 睡眠医学 睡眠医学
- 临床实践研究 临床实践研究
背景情况:
- 韩国不眠症的患病率越来越高,需要了解现实世界的治疗模式.
- 推非药物治疗作为一线干预措施,但其临床应用尚未得到充分研究.
研究的目的:
- 检查韩国医生对非药物治疗失眠的现状和使用情况.
- 为了识别失眠的非药物疗法启动的模式.
主要方法:
- 对2002-2019年国家健康保险服务 (NHIS) 样本队列数据的分析.
- 包括518,119名被诊断患有失眠障碍的患者 (ICD-10代码:G47).
- 在首次诊断时对治疗类型的评估以及非药物治疗开始的时间.
主要成果:
- 只有0.01%的患者在初始诊断时接受了非药物治疗.
- 97.5%的患者在研究期间没有接受非药物治疗.
- 在2018年之后观察到的非药物治疗使用的适度增加,与保险覆盖范围的变化有关.
结论:
- 在临床指南和失眠治疗的现实实践之间存在很大的差距.
- 尽管有建议,但非药物治疗方法仍未得到充分利用.
- 最近的改进表明,有可能更好地融入日常护理.
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