Vidal-Thomàs María Clara, Yañez-Amoros Beatriz, Torrens Isabel, Torres-Solera Elena, Esteva Magdalena
Unidad Investigación, Gerencia de Atención Primaria de Mallorca, Servicio de Salud de las Islas Baleares, Palma de Mallorca, España; Instituto de Investigación Sanitaria de Palma (IdisPA), Palma de Mallorca, España.
Centro de Salud de Calvià, Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Mallorca, Gerencia de Atención Primaria de Mallorca, Servicio de Salud de las Islas Baleares, Palma de Mallorca, España.
Enferm Clin. 2017 May-Jun;27(3):186-192. doi: 10.1016/j.enfcli.2016.11.006. Epub 2017 Jan 6.
To describe the knowledge, attitudes, and performance of primary care nurses in the management of patients with insomnia.
Descriptive study. An online questionnaire was sent to all primary care nurses of the Majorca Primary Care Department between June-July 2014.
sociodemographic variables, professional characteristics, tuition, usual clinical practice in the management of patients with insomnia.
138 nurses answered the questionnaire (47%). Most of them were women (92.8%), 50.42 years old (DE=8.9). The majority considered insomnia an important health problem. Only 11% had received some formative activity on insomnia in the last 5 years. Nearly half declares to ask patients about consequences of insomnia in their jobs and about habits that alter their sleep quality. 79.7% considered the possible adverse effects of insomnia drugs and take into consideration the age of patient (80.4%). The usual treatments were sleep hygiene (76%), phytotherapy (44.9%) and 22.4% cognitive behavioral therapy (CBT). This therapy is considered effective and applicable by nurses (63.7%) and doctors (58%). Those nurses who attended courses in the last 5 years apply CBT more frequently.
Nurses conduct a correct anamnesis and evaluation of patients with insomnia. However some therapies of known effectiveness, such as CBT, are still scarcely applied.
描述基层护理护士在失眠患者管理方面的知识、态度和表现。
描述性研究。2014年6月至7月间，向马略卡基层医疗部门的所有基层护理护士发送了一份在线问卷。
社会人口统计学变量、专业特征、培训情况、失眠患者管理中的日常临床实践。
138名护士回答了问卷（回复率47%）。其中大多数为女性（92.8%），年龄50.42岁（标准差=8.9）。大多数人认为失眠是一个重要的健康问题。在过去5年中，只有11%的人接受过关于失眠的培训活动。近一半的人表示会询问患者失眠对其工作的影响以及改变其睡眠质量的习惯。79.7%的人考虑到失眠药物可能的不良反应，并会考虑患者的年龄（80.4%）。常用的治疗方法是睡眠卫生（76%）、植物疗法（44.9%）和22.4%的认知行为疗法（CBT）。护士（63.7%）和医生（58%）认为这种疗法有效且适用。在过去5年中参加过课程的护士更频繁地应用CBT。
护士对失眠患者进行了正确的问诊和评估。然而，一些已知有效的疗法，如CBT，仍然很少应用。
