People with insomnia: experiences with sedative hypnotics and risk perception.
People with insomnia: experiences with sedative hypnotics and risk perception.
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DOI：
10.1111/hex.12388
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发表时间：
2016-08
期刊：
影响因子：
--
通讯作者：
Saini B
中科院分区：
文献类型：
--
作者：
Cheung JM;Bartlett DJ;Armour CL;Ellis JG;Saini B
镇静催眠药是治疗失眠的重要组成部分，建议短期使用。临床医生的标准做法是告知患者仅在“需要时”使用药物，但这些药物的使用通常是长期的。人们对标准标签/说明书对促进使用适当药物治疗失眠的影响知之甚少。探索与使用药物/补充睡眠辅助治疗失眠相关的患者用药信念、经验和行为实践。澳大利亚悉尼的专业睡眠/心理学诊所和普通社区。对51名失眠症患者进行了半结构化访谈，使用一系列问题来评估他们与失眠药物使用相关的经验，信念和当前实践。访谈录音，逐字转录，并进行框架分析，以确定新兴的主题。参与者对补充剂和药物的安全性和有效性持有独特的观点，但并没有直观地转向药物来解决他们的睡眠问题。由于当前说明书和标签中的矛盾性，通过有形的服药线索确认药物使用。剂量调整、药物替代和延迟药物使用等做法可能是心理依赖的重要驱动因素。目前的标签和说明不一定促进镇静催眠药的质量使用，由于患者的解释的变化。明确药物给药的时间、数量和频率以及失眠症状识别将在优化药物治疗在失眠管理中的作用方面发挥重要作用。
Sedative hypnotics form an important part of managing insomnia and are recommended for short‐term use. It is standard practice for clinicians to inform the patient to use medications only ‘when required’, but the use of these medications is often chronic. Little is known about the impact of standard labelling/instructions on promoting appropriate medication use for managing insomnia. To explore patient medication‐taking beliefs, experiences and behavioural practices relating to the use of pharmacological/complementary sleep aids for insomnia. Specialist sleep/psychology clinics and the general community in Sydney, Australia. Semi‐structured interviews were conducted with 51 people with insomnia using a schedule of questions to gauge their experiences, beliefs and current practices relating to insomnia medication use. Interviews were audio‐recorded, transcribed verbatim and subjected to Framework Analysis to identify emergent themes. Participants held distinctive views about the safety and efficacy of complementary and pharmacological agents but do not intuitively turn to medications to resolve their sleep complaint. Medication use was affirmed through tangible medication‐taking cues due to the ambivalence in current instructions and labelling. Practices such as dosage modification, medication substitution and delaying medication use might be important drivers for psychological dependence. Current labelling and instructions do not necessarily promote the quality use of sedative hypnotics due to the variability in patient interpretations. Clarifying the timing, quantity and frequency of medication administration as well as insomnia symptom recognition would play a significant role in optimizing the role of pharmacotherapy in the management of insomnia.
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影响因子：
5.7
作者：
Davis, Terry C.;Federman, Alex D.;Wolf, Michael S.
通讯作者：
Wolf, Michael S.
影响因子：
4.7
作者：
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4.8
作者：
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DOI：
10.1046/j.0269-4727.2003.00523.x
发表时间：
2003-12-01
影响因子：
2
作者：
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通讯作者：
Roughead, EE
影响因子：
2.4
作者：
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通讯作者：
Verstraete, Alain G.