初级保健是失眠患者寻求帮助的第一线。

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Isabel Torrens Darder, Rosmary Argüelles-Vázquez, Patricia Lorente-Montalvo, Maria Del Mar Torrens-Darder, Magdalena Esteva
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引用次数: 10

摘要

背景:虽然失眠是一种非常常见的疾病,但很少有人寻求医疗帮助。目的:确定向医疗保健专业人员咨询失眠问题的比例,并调查寻求帮助的原因。方法:对西班牙马略卡岛初级卫生保健单位466名成年人进行电话调查后诊断为失眠症的99名患者进行描述性研究。数据是通过面谈和随后对电子病历的审查获得的。结果:39例(39.8%)患者至少咨询过一次卫生保健专业人员;36名(92.2%)向全科医生咨询。只有12.2%的人在他们的医疗记录中登记了失眠诊断。失眠咨询与分析的任何社会人口学变量、焦虑、抑郁或合并症无关。此外,它与睡眠质量、持续时间和睡眠效率没有关联。临床失眠患者(OR, 2.48;95% CI, 1.03-5.94),那些更担心的人(OR, 2.93;95% CI 1.08-7.95)或感觉其他人注意到失眠对他们生活质量的影响(or, 2.48;95% CI, 1.02-19.08)更倾向于寻求医疗帮助。服用睡眠药物的患者要求医疗救助的可能性高出21.54倍(95% CI, 7.34-63.20)。结论:对于患者和医生来说,失眠都是一个被低估的问题。当患者决定咨询失眠问题时,他们首先会去看全科医生,绝大多数人都会服用药物来解决睡眠问题。咨询最多的是那些失眠更严重的人和那些更担心的人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Primary care is the frontline for help-seeking insomnia patients.

Primary care is the frontline for help-seeking insomnia patients.

Background: Although insomnia is a very common disorder, few people seek medical help.

Objectives: To determine the proportion of people who consult a healthcare professional about insomnia and examine reasons for help seeking.

Methods: Descriptive study of 99 patients diagnosed with insomnia following a telephone survey of 466 adults assigned to a primary healthcare unit in Majorca (Spain). Data were obtained from interviews and subsequent review of electronic medical records.

Results: Thirty-nine patients (39.8%) consulted at least once with one health care professional; 36(92.2%) consulted a general practitioner. Only 12.2% had an insomnia diagnosis registered in their medical record. Insomnia consultation was not associated with any sociodemographic variables analysed, anxiety, depression or comorbidities. Also, there was no association with sleep quality, duration, and sleep efficiency. Patients with clinical insomnia (OR, 2.48; 95% CI, 1.03-5.94), those who were more worried (OR, 2.93; 95% CI 1.08-7.95) or felt that others noticed the impact of insomnia on their quality of life (OR, 2.48; 95% CI, 1.02-19.08) are more likely to seek medical help. Patients taking sleep medication were 21.54 (95% CI, 7.34-63.20) times more likely to have asked for medical assistance.

Conclusion: Insomnia is an under-reported problem for both patients and doctors. When patients decide to consult for insomnia problems, they first go to the GP, and the vast majority take medications for their sleep problem. Those who consult most are people with more severe insomnia and those who are more worried.

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来源期刊
European Journal of General Practice
European Journal of General Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL
CiteScore
5.10
自引率
5.90%
发文量
31
审稿时长
>12 weeks
期刊介绍: The EJGP aims to: foster scientific research in primary care medicine (family medicine, general practice) in Europe stimulate education and debate, relevant for the development of primary care medicine in Europe. Scope The EJGP publishes original research papers, review articles and clinical case reports on all aspects of primary care medicine (family medicine, general practice), providing new knowledge on medical decision-making, healthcare delivery, medical education, and research methodology. Areas covered include primary care epidemiology, prevention, diagnosis, pharmacotherapy, non-drug interventions, multi- and comorbidity, palliative care, shared decision making, inter-professional collaboration, quality and safety, training and teaching, and quantitative and qualitative research methods.
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