Environmental scan of current strategies to decrease sedative-hypnotic drug use and promote sleep in hospital patients.
Int J Clin Pharm
; 45(5): 1062-1073, 2023 Oct.
Article
em En
| MEDLINE
| ID: mdl-37773305
ABSTRACT
BACKGROUND:
Sedative-hypnotic drugs are often initiated in hospital to manage insomnia and anxiety. Guidelines discourage their use, particularly in older adults, due to risks of falls, fractures, and delirium.AIM:
To identify publicly available resources to decrease the use of sedative-hypnotic drugs and promote sleep in hospital.METHOD:
An advanced Google search with 6 search strategies was conducted. Key websites were also identified and searched. Hospital- or community-based resources using non-pharmacologic measures to reduce sedative-hypnotic drug use and/or to promote sleep were included if they were publicly available in English within the past 5 years. Full text screening and data extraction was performed independently by 2 reviewers; a third reviewer resolved disagreements by consensus.RESULTS:
A total of 79 resources met inclusion criteria, with 65 (82.3%) providing education and 31 (39.2%) describing sleep hygiene strategies. Other resources included deprescribing (17, 21.5%), relaxation training (13, 16.5%), cognitive behavioural therapy for insomnia (9, 11.4%), and policies (7, 8.9%). The resources primarily targeted patients (59, 74.7%) followed by healthcare providers (9, 11.4%). There were 9 resources (11.4%) that applied to both community and hospital settings, and another 2 (2.5%) designed specifically for hospital.CONCLUSION:
Many resources were available to patients and healthcare providers to reduce inappropriate or ineffective use of sedative-hypnotic drugs and promote better sleep. Specific resources for the hospital setting were infrequent and recommended that clinicians stop hospital-initiated sedatives when patients are discharged. Identified resources can be adapted by healthcare organizations to develop sedative-hypnotic prescribing programs and policies.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Distúrbios do Início e da Manutenção do Sono
Tipo de estudo:
Guideline
/
Prognostic_studies
Limite:
Aged
/
Humans
Idioma:
En
Revista:
Int J Clin Pharm
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Canadá