Srisurapanont Manit, Garner Paul, Critchley Julia, Wongpakaran Nahathai
Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Amphur Muang, Chiang Mai, 50200, Thailand.
BMC Fam Pract. 2005 Jun 23;6:27. doi: 10.1186/1471-2296-6-27.
Over-prescribing of benzodiazepines appears common in many countries, a better understanding of prescribing practices and attitudes may help develop strategies to reduce prescribing. This study aimed to evaluate benzodiazepine prescribing behaviour and attitudes in general practitioners practising in Chiang Mai and Lampoon, Thailand.
Questionnaire survey of general practitioners in community hospitals, to estimate: i) use of benzodiazepines for anxiety/insomnia, panic disorder, depression, essential hypertension, and uncomplicated low back pain and ii) views on the optimal duration of benzodiazepine use.
Fifty-five of 100 general practitioners returned the completed questionnaires. They reported use of benzodiazepines for anxiety/insomnia (n = 51, 93%), panic disorder (n = 43, 78%), depression (n = 26, 43%), essential hypertension (n = 15, 27 %) and uncomplicated low back pain (n = 10, 18%). Twenty-eight general practitioners would prescribe benzodiazepines for non-psychiatric conditions, 17 for use as muscle relaxants. Seventy-five per cent, 62% and 29% of the general practitioners agreed or totally agreed with the use of benzodiazepines for insomnia, anxiety and depression, respectively. Practitioners agreed that prescribing should be less than one week (80%); or from 1 week to 1 month (47%); or 1 to 4 months (16%); or 4 to 6 months (5%) or more than 6 months (2%). Twenty-five general practitioners (45%) accepted that they used benzodiazepines excessively in the past year.
A considerable proportion of general practitioners in Chiang Mai and Lampoon, Thailand inappropriately use benzodiazepines for physical illnesses, especially essential hypertension and uncomplicated low back pain. However, almost half of them thought that they overused benzodiazepines. General practitioner's lack of time, knowledge and skills should be taken into account in improving prescribing behaviour and attitudes.
在许多国家，苯二氮䓬类药物的过度处方似乎很常见，更好地了解处方行为和态度可能有助于制定减少处方的策略。本研究旨在评估泰国清迈和南奔地区全科医生的苯二氮䓬类药物处方行为和态度。
对社区医院的全科医生进行问卷调查，以估计：i）苯二氮䓬类药物用于焦虑/失眠、恐慌症、抑郁症、原发性高血压和单纯性腰痛的情况；ii）对苯二氮䓬类药物最佳使用时长的看法。
100名全科医生中有55名返回了完整的问卷。他们报告将苯二氮䓬类药物用于焦虑/失眠（n = 51，93%）、恐慌症（n = 43，78%）、抑郁症（n = 26，43%）、原发性高血压（n = 15，27%）和单纯性腰痛（n = 10，18%）。28名全科医生会为非精神疾病开具苯二氮䓬类药物，17名用于作为肌肉松弛剂。75%、62%和29%的全科医生分别同意或完全同意将苯二氮䓬类药物用于失眠、焦虑和抑郁症。从业者们同意处方时长应少于一周（80%）；或1周至1个月（47%）；或1至4个月（16%）；或4至6个月（5%）或超过6个月（2%）。25名全科医生（45%）承认他们在过去一年中过度使用了苯二氮䓬类药物。
泰国清迈和南奔地区相当一部分全科医生将苯二氮䓬类药物不恰当地用于身体疾病，尤其是原发性高血压和单纯性腰痛。然而，几乎一半的人认为他们过度使用了苯二氮䓬类药物。在改善处方行为和态度时应考虑全科医生缺乏时间、知识和技能的情况。
