Baillargeon L, Demers M, Grégoire J P, Pépin M
Unité de médecine familiale du Centre hospitalier.
Can Fam Physician. 1996 Mar;42:426-32.
To describe treatment of insomnia in general practice and to identify family physicians' training needs in this area. DESIGN: Mail survey using Dillman's total design method. PARTICIPANTS: A sampling of 484 general practitioners in the Quebec City area was done to provide roughly equal representation of six practice settings. The response rate was 65%; 295 of the 315 questionnaires returned were selected for analysis. RESULTS: Most physicians reported treating insomnia with general advice and lifestyle changes; 25% reported prescribing hypnotics frequently; 56% reported they prescribed them occasionally. Although 58% often recommend relaxation techniques, only 8% taught these techniques to their patients. Other cognitive and behavioral approaches are rarely used. Most felt that training in treating insomnia should be offered. CONCLUSION: Cognitive and behavioral approaches are very effective approaches are very effective nonpharmacological treatments for insomnia. General practitioners make little use of these treatments that could be easily integrated into clinical practice. Strategies for increasing their use discussed.
描述全科医疗中失眠症的治疗情况，并确定家庭医生在该领域的培训需求。设计：采用迪尔曼全面设计方法进行邮寄调查。参与者：对魁北克市地区的484名全科医生进行抽样，以确保六种执业环境大致均衡。回复率为65%；在回收的315份问卷中，选取295份进行分析。结果：大多数医生报告通过一般性建议和生活方式改变来治疗失眠；25%的医生报告经常开具催眠药；56%的医生报告偶尔开具。尽管58%的医生经常推荐放松技巧，但只有8%的医生会教授给患者。其他认知和行为方法很少使用。大多数人认为应该提供失眠症治疗方面的培训。结论：认知和行为方法是治疗失眠非常有效的非药物治疗方法。全科医生很少使用这些可轻松融入临床实践的治疗方法。讨论了增加其使用的策略。
