Actitudes ante el insomnio de los médicos de AP de Mallorca / Attitudes to insomnia by Primary Care physicians of Majorca (Spain)
Aten. prim. (Barc., Ed. impr.)
; 48(6): 374-382, jun.-jul. 2016. tab, ilus, graf
Artigo
em Espanhol
| IBECS
| ID: ibc-153912
Biblioteca responsável:
ES1.1
Localização: BNCS
RESUMEN
OBJETIVOS:
Describir la conducta actual en el manejo clínico del insomnio de los médicos de AP (MAP).DISEÑO:
Estudio descriptivo transversal. Emplazamiento Área sanitaria de Mallorca, 2011-2012. PARTICIPANTES MAP, se excluyó a médicos residentes, de urgencias y pediatras. Mediciones Cuestionario autoadministrado con variables sociodemográficas, profesionales, formación en insomnio, preferencias de prescripción y su manejo clínico.RESULTADOS:
Respondieron 322 de 435 médicos (74%). Un 55% eran mujeres, con una media de edad de 48 años y una media de años de profesión de 21 años. La mayoría considera el insomnio como un problema importante de salud y refiere interrogar sobre hábitos del sueño y su repercusión sobre la vida diaria. Un tercio ha recibido formación los últimos 5 años. Un 0,6% deriva a los pacientes al psiquiatra y un 1,9% al psicólogo. El tratamiento farmacológico más prescrito son benzodiacepinas (33,4%) y fármacos Z (25,7%); el 69,4% declara revisarlo al mes de su inicio. Refieren prescribir higiene del sueño un 85,1%, plantas medicinales un 15,1% y terapia cognitivo-conductual (TCC) un 14,2%. El 70% consideraba esta terapia efectiva y aplicable por médicos y enfermeros. Los de mayor edad prescriben con menor frecuencia benzodiacepinas y las mujeres más medidas de higiene del sueño y plantas medicinales.CONCLUSIONES:
La mayoría de los MAP consideran el insomnio como un problema importante de salud que manejan ellos mismos. Los tratamientos más empleados son higiene del sueño, benzodiacepinas y fármacos Z. La TCC es considerada efectiva pero escasamente utilizadaABSTRACT
OBJECTIVES:
To describe the current clinical management of insomnia by family physicians.DESIGN:
Cross-sectional study.SETTING:
Majorca Health Area, 2011-2012.PARTICIPANTS:
Family physicians (FP). Paediatricians, resident physicians and emergency physicians were excluded. Measurements Using a self-administered questionnaire, the following variables were collected social, demographic, professional, training in insomnia, prescription preferences, and its clinical management.RESULTS:
A total of 322 of 435 physicians answered (74%), of whom 55% were female. The mean age was 48 years with a mean of 21 years in the profession. Most of them consider insomnia as a major health problem, and refer to asking patients about sleep habits and its impact on daily life. About one third have been trained in insomnia in the last 5 years. Very few (0.6%) refers patients to a psychiatrist, and 1.9% to a psychologist. The most prescribed drugs are benzodiazepines (33.4%) and Z drugs (25.7%), with 69.4% of them claiming to have checked the treatment after month of onset. Most refer to advice about sleep hygiene measures (85.1%), 15.1% prescribe herbal remedies, and 14.2% behavioural cognitive therapy (CBT). Seven out of ten physicians consider CBT as effective and applicable by both physicians and nurses. The older FPs prescribe benzodiazepines with less frequency, while female FPs prescribe more sleep hygiene measures and herbal remedies.CONCLUSIONS:
Most FPs consider insomnia as a major health problem, in which they usually get involved. The most commonly used treatments are sleep hygiene advice, followed by benzodiazepines and Z drugs. The CBT is considered effective but not widely used
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Contexto em Saúde:
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
Problema de saúde:
Arranjos de Entrega
Base de dados:
IBECS
Assunto principal:
Prescrições de Medicamentos
/
Conhecimentos, Atitudes e Prática em Saúde
/
Distúrbios do Início e da Manutenção do Sono
/
Antidepressivos
Tipo de estudo:
Estudo observacional
/
Estudo de prevalência
/
Pesquisa qualitativa
/
Fatores de risco
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Aten. prim. (Barc., Ed. impr.)
Ano de publicação:
2016
Tipo de documento:
Artigo
Instituição/País de afiliação:
Centro de Salud Calviá/España
/
Instituto de Investigación Sanitaria de Palma (idSPA)/España