Perceived Effectiveness of Diverse Sleep Treatments in Older Adults
Perceived Effectiveness of Diverse Sleep Treatments in Older Adults
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DOI：
10.1111/j.1532-5415.2010.03247.x
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发表时间：
2011-02-01
影响因子：
6.3
通讯作者：
Richards, Kathy C.
中科院分区：
文献类型：
--
作者：
Gooneratne, Nalaka S.;Tavaria, Ashdin;Richards, Kathy C.
描述老年人用于治疗睡眠问题的不同方法以及这些方法的感知有效性。使用邮寄问卷收集有关睡眠史、人口统计学和治疗选择的信息，对睡眠障碍的治疗模式进行横断面研究。其中242人回答（67%的应答率）。测量标准化问卷，以评估睡眠参数（匹兹堡睡眠质量指数），人口统计学信息和睡眠治疗方案。研究参与者参与了各种治疗方案，以改善他们的睡眠，尝试治疗的平均次数为4.8 +/-2.9。最常用的干预措施是看电视或听广播（66.4%）和阅读（56.2%）。最常用的药物治疗是止痛药（40.1%）。处方安眠药的自我报告效果最好。大约一半的研究参与者使用酒精或非处方睡眠aids没有讨论他们的睡眠问题与他们的医生。CONCLUSION老年人经常选择治疗他们的睡眠问题，可能会恶化他们的睡眠症状。许多患者没有与他们的医疗保健提供者谈论他们的治疗选择。这些发现强调了讨论睡眠习惯和自我治疗选择以及治疗老年人睡眠障碍的重要性。
OBJECTIVESTo describe the different methods that older adults use to treat sleep problems and the perceived effectiveness of these methods.DESIGNCross-sectional study of treatment patterns for sleep disorders using a mailed questionnaire that gathered information concerning sleep history, demographics, and treatment choices.SETTINGCommunity.PARTICIPANTSCommunity-based sample of adults aged 65 and older, of whom 242 responded (67% response rate).MEASUREMENTSStandardized questionnaires to assess sleep parameters (Pittsburgh Sleep Quality Index), demographic information, and sleep treatment options.RESULTSStudy participants engaged in a variety of treatment regimens to improve their sleep, with the average number of treatments attempted being 4.8 +/- 2.9. The most commonly used interventions were watching television or listening to the radio (66.4%) and reading (56.2%). The most commonly used pharmacotherapy was pain medication (40.1%). Prescription sleeping pills had the greatest self-reported effectiveness. Approximately half of all study participants who used alcohol or over-the-counter sleep aids had not discussed their sleep problems with their doctor.CONCLUSIONOlder adults frequently choose treatments for their sleep problems that can potentially worsen their sleep symptoms. Many patients have not spoken to their healthcare provider about their treatment choices. These findings highlight the importance of discussing sleep habits and self-treatment choices, as well as treating sleep disorders, in older adults.