頁籤選單縮合
題名 | 失眠患者衛教介入之成效=Outcomes of Psychoeducation when Treating Insomnia |
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作者 | 趙瑩; 方喬玲; 李敏慈; 樓亞洲; 陳立奇; | 書刊名 | 北市醫學雜誌 |
卷期 | 8:3 2011.09[民100.09] |
頁次 | 頁203-217 |
分類號 | 415.939 |
關鍵詞 | 苯二氮平; 非苯二氮平; 失眠; 病患衛教; BZD; BZRA; Insomnia; Counseling; |
語文 | 中文(Chinese) |
中文摘要 | Benzodiazepines(簡稱BZD)以及與BZD作用類似的benzodiazepine receptor agonists(簡稱BZRA)是目前常用的鎮靜安眠藥。服用本類藥品常見問題,包含記憶力、認知力受損,長期使用產生耐受性和成癮性,減量或停用過程發生戒斷症狀等。因此病患如果對失眠及相關藥物知識認識不足或有錯誤認知時,容易導致藥物不當使用。本研究目的為觀察門診失眠病患對失眠及安眠藥知識認知程度,並由藥師給予病患適當衛教,觀察衛教後成效。方法:以前瞻性方式,納入台北市某區域教學醫院門診藥局同時領用兩種以上鎮靜安眠藥病患,先以問卷評量病患對鎮靜安眠藥的知識與藥物濫用程度,隨後進行衛教。知識測驗進行兩次,比較前後測結果看知識提升成效,同時追蹤衛教前後病患服用安眠藥劑量差異。結果:共50位病患,所有病患第一次接受測驗答對率63%;藥物濫用中度以上占34%。再次來院接受測驗與衛教有24人,後測結果有顯著進步(p<0.001),追蹤衛教後病患服用安眠藥結果發現有42%病患可減低劑量,整體來看平均劑量降至衛教前的92%。結論:本研究藉由藥師對失眠病患衛教,提升病患對失眠及安眠藥有更多的認識,並能依適當方法進行安眠藥減量,減少相關不良影響發生機會。 |
英文摘要 | It is common practice to prescribe benzodiazepines (BZD) and benzodiazepine receptor agonists (BZRA) as hypnotics and sedatives at general practice facilities in Taiwan. The adverse effects of such drugs, such as tolerance and addiction, may happen when patients utilize the drugs inappropriately. The purpose of this study is to analyze the outcomes when a pharmacist counseling model for insomnia patients was instituted at a general hospital. Methods: This prospective study included outpatients who were taking at least two hypnotics at a general hospital in Taipei. We evaluated the extent of patient knowledge of hypnotics and drug abuse by questionnaire, which was followed by counseling as required by each individual case. The patients were requested to fill in a questionnaire that tested their knowledge of insomnia again at their next visit. Finally hypnotic use and the results of the questionnaires before and after receiving counseling were compared. Results: A total of fifty patients were enrolled. The average percentage of correctly answered questions from the first questionnaire was 63% and 34% of patients were classified as moderate to serious drug abusers. Twenty four of the patients returned and filled in the questionnaire a second time and the average percentage of correctly answered questions had significantly improved after receiving counseling (p<0.01). We also found the average hypnotic use of these individuals had been reduced after counseling. Conclusion: In this study we found that, after patients had received counseling, they became, firstly, more knowledgeable about insomnia and hypnotics and, secondly, were able to reduce hypnotic use in an appropriate way such that adverse effects were likely to be prevented. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。