Non-pharmacological management of primary and secondary insomnia among older people: review of assessment tools and treatments.
Non-pharmacological management of primary and secondary insomnia among older people: review of assessment tools and treatments.
复制标题
老年人原发性和继发性失眠的非药物治疗：评估工具和治疗方法的审查。
作者：
L. Petit;N. Azad;A. Byszewski;Francine F;B. Power
背景
家庭医生经常遇到原发性和继发性失眠，特别是在老年人中。药物干预虽然在某些情况下有效，但在其他情况下可能是有害的。失眠的非药物治疗可能允许患者自我管理治疗。
目标
回顾已发表的关于原发性和继发性失眠症的评估工具和治疗方法的文献。
结果
用于获得睡眠数据的两种常用的自我报告方法是睡眠日记和睡眠质量指数。大量的研究支持使用非药物治疗，如刺激控制，睡眠限制，睡眠卫生教育，认知治疗，多成分治疗和矛盾意图。
结论
通过使用有效的评估工具评估失眠的性质并为患者提供非药物治疗应该是失眠的第一个干预措施。它表明，非药物治疗原发性和继发性失眠是可行的和有效的替代苯二氮卓类药物的使用，家庭医生应考虑这些管理老年患者失眠时。
BACKGROUND
primary and secondary insomnia, especially among older adults, is frequently encountered by family physicians. Pharmacological interventions, although effective in some circumstances, can be detrimental in others. Non-pharmacological management of insomnia may allow the patients to self-administer the treatment.
OBJECTIVES
review of published literature of assessment tools and treatments for primary and secondary insomnia.
RESULTS
two frequently used self-reporting methods for obtaining sleep data are sleep diaries and Pittsburg Sleep Quality Index. A large amount of research supports the use of non-pharmacological treatments such as stimulus control, sleep restriction, sleep hygiene education, cognitive therapy, multi-component therapy and paradoxical intention.
CONCLUSION
assessing the nature of insomnia by using an effective assessment tool and providing patients with a non-pharmacological treatment should be the first intervention for insomnia. It is shown that non-pharmacological treatments for primary and secondary insomnia are feasible and effective alternatives to the use of benzodiazepines, and that family physicians should consider these when managing older patients with insomnia.
影响因子：
120.7
作者：
Edinger, JD;Wohlgemuth, WK;Quillian, RE
通讯作者：
Quillian, RE
影响因子：
5.9
作者：
Lacks,P;Morin,CM
通讯作者：
Morin,CM
通过手腕活动记录仪、行为反应和多导睡眠图进行睡眠检测的比较。
影响因子：
5.6
作者：
Blood,ML;Sack,RL;Percy,DC;Pen,JC
通讯作者：
Pen,JC