Prevalence of chronic insomnia in adult patients and its correlation with medical comorbidities.
Prevalence of chronic insomnia in adult patients and its correlation with medical comorbidities.
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DOI：
10.4103/2249-4863.201153
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发表时间：
2016-10
影响因子：
1.4
通讯作者：
Prasad S
中科院分区：
文献类型：
--
作者：
Bhaskar S;Hemavathy D;Prasad S
不孕症是家庭医疗中常见但被忽视的疾病之一，对患者的健康有长期和严重的影响。家庭医生有责任诊断和适当治疗这种情况。本研究的目的是发现慢性失眠症的患病率在成年患者访问家庭医学门诊部（OPD）在医院，并评估的危险因素和并发症与it.A横断面研究在家庭医学OPD在圣菲洛梅纳医院，Bengalu。2015年9月1日至10月30日在门诊就诊的所有成人患者在获得书面同意后入组研究。雅典失眠量表用于诊断失眠，并收集有关医疗并发症的信息。分析失眠的患病率及其与合并症的关系。在抽样的成年人中，有33%的人患有慢性失眠症。年龄增长和糖尿病与失眠显著相关，而其他社会经济因素和合并症则无显著相关性。27%的失眠患者没有意识到这种情况，这在统计学上是显著的。失眠是一种常见的睡眠障碍，它是很多次错过了一个初级保健医生，直到/除非要求。由于随着年龄的增长和合并症如糖尿病的发生率更高，所有患者，特别是中年和糖尿病患者，都应该由初级保健医生用自我评估问卷和咨询来筛查失眠。
Insomnia is one of the common but neglected conditions seen in family practice with long term and serious effects on health of a patient. Family physicians have the responsibility of diagnosing and adequately treating this. This study was done to find the prevalence of chronic insomnia in adult patients visiting a family medicine outpatient department (OPD) in a hospital and to assess the risk factors and co morbidities associated with it. A cross-sectional study was done in the family medicine OPD at St. Philomena's Hospital, Bengaluru. All adult patients attending the OPD from September 1 to October 30, 2015 were enrolled in the study after obtaining written consent. Athens Insomnia Scale was used to diagnose insomnia and information regarding medical co morbidities was collected. Data was analyzed for the prevalence of insomnia and its association with co morbidities. Chronic insomnia was seen in 33% of the adult population sampled. Increasing age and diabetes were significantly associated with insomnia, while other socioeconomic factors and co morbidities were not significantly associated. Twenty-seven percent of patients who had insomnia did not perceive the condition, which was statistically significant. Insomnia is a common sleep disorder which is many times missed by a primary care physician until/unless asked for. Since there is a higher incidence with increasing age and co morbidities such as diabetes, all patients, especially middle-aged and diabetics, should be screened for insomnia by the primary care physician with a self assessed questionnaire and counseled.