A benzodiazepine discontinuation programme does not increase the frequency of contacts with the family practice
A benzodiazepine discontinuation programme does not increase the frequency of contacts with the family practice
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DOI：
10.1080/02813430801999121
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发表时间：
2008-01-01
影响因子：
2.1
通讯作者：
Zitman, Frans
中科院分区：
文献类型：
--
作者：
Gorgels, Wim;Voshaar, Richard Oude;Zitman, Frans
Objective.减少长期使用苯二氮卓类药物的方案的效力可能会因随后与家庭做法接触的增加而受到损害。在这项研究中，假设进行了测试，是否在一个苯二氮卓类药物停药计划的参与影响与家庭的做法接触的频率。设计一项旨在减少长期苯二氮卓类药物使用的控制性分步护理干预计划。设置.荷兰的家庭习俗。科目实验组由996名长期苯二氮卓类药物使用者组成，对照组由883名长期苯二氮卓类药物使用者组成。主要结果指标。在课程开始前和课程开始后12个月内练习接触。结果在随访期间，观察到接触减少的总体趋势。实验组和对照组在随访期间的接触次数没有差异（p = 0.45）。非苯二氮卓类处方的水平一般没有改变。在该方案的随访期间，苯二氮卓类戒烟者的非苯二氮卓类处方数量减少。结论当比较实验组和对照组之间的接触次数和非苯二氮卓类处方时，未观察到实践接触中存在临床重要差异。家庭医生不必预期与参与此类苯二氮卓类药物停药方案相关的工作量增加。
Objective. The efficacy of programmes to reduce long-term benzodiazepine use could be compromised by subsequent increases in contacts with the family practice. In this study the hypothesis was tested as to whether participation in a benzodiazepine discontinuation programme affects the frequency of contacts with the family practice. Design. A controlled stepped-care intervention programme to decrease long-term benzodiazepine use. Setting. Family practices in the Netherlands. Subjects. The experimental group consisted of 996 long-term benzodiazepine users and a control group of 883 long-term benzodiazepine users. Main outcome measures. Practice contacts before and up to 12 months after the start of the programme. Results. There was a general tendency visible for contacts to decrease during the follow-up time. The course of the number of contacts during the follow-up was not different for the experimental and control groups (p = 0.45). The level of non-benzodiazepine prescriptions was generally not altered. The number of non-benzodiazepine prescriptions decreased in benzodiazepine quitters during the follow-up of the programme. Conclusion. No clinically important differences in practice contacts were observed when the course of the number of contacts and non-benzodiazepine prescriptions were compared between the experimental and control groups. Family practitioners do not have to anticipate an increased workload associated with participation in such a benzodiazepine discontinuation programme.