Chung Seockhoon, Youn Soyoung, Park Boram, Lee Suyeon, Kim Changnam
Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Psychiatry Investig. 2018 Jan;15(1):78-83. doi: 10.4306/pi.2018.15.1.78. Epub 2018 Jan 16.
We applied a program of sleep education and hypnotics reduction for inpatients (the i-sleep program). This study explored whether the i-sleep program is effective for reducing the prescription rate of sleeping pills to inpatients in a general hospital.
We estimated the proportion of inpatients prescribed hypnotics at admission to and discharge from the hospital, excluding pediatric care units, before (2014) and after (2015) the program. In addition, we estimated the proportion of inpatients prescribed sleeping pills among all inpatients on the first day of each month of 2014 and 2015.
The proportion of inpatients prescribed hypnotics as discharge medication among inpatients who had been prescribed them at the time of admission decreased significantly, from 57.0% to 46.8%, after the i-sleep program (RR=0.82, 95% CI: 0.79-0.86). The proportion of inpatients newly prescribed sleeping pills after admission to the hospital did not significantly decrease (1.97% to 2.00%; RR=1.01, 95% CI: 0.96-1.07). The mean prescription rate of sleeping pills per day was 8.18% in 2014 and 7.78% in 2015.
The i-sleep program reduced the proportion of inpatients who continued to take sleeping pills from admission until discharge, although it did't reduce the prescription rate per day.
我们为住院患者应用了一项睡眠教育及减少催眠药物使用的项目（i-睡眠项目）。本研究探讨i-睡眠项目对于降低综合医院住院患者安眠药处方率是否有效。
我们估算了在该项目实施前（2014年）和实施后（2015年），排除儿科护理单元的住院患者在入院时及出院时开具催眠药物的比例。此外，我们还估算了2014年和2015年各月第一天所有住院患者中开具安眠药的住院患者比例。
在i-睡眠项目实施后，入院时开具催眠药物的住院患者中，出院时仍开具该药物的比例显著下降，从57.0%降至46.8%（相对危险度=0.82，95%可信区间：0.79-0.86）。入院后新开具安眠药的住院患者比例没有显著下降（从1.97%降至2.00%；相对危险度=1.01，95%可信区间：0.96-1.07）。2014年安眠药的日均处方率为8.18%，2015年为7.78%。
i-睡眠项目降低了住院患者从入院到出院持续服用安眠药的比例，尽管它没有降低每日的处方率。
