Benca Ruth M, Bertisch Suzanne M, Ahuja Ajay, Mandelbaum Robin, Krystal Andrew D
Department of Psychiatry and Behavioral Medicine, Wake Forest School of Medicine, Winston-Salem, NC 27103, USA.
Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
J Clin Med. 2023 Mar 25;12(7):2498. doi: 10.3390/jcm12072498.
While both patients and physicians consider sleep to be important, sleep health may not receive appropriate consideration during patient visits with health care professionals (HCPs). We completed the first large-scale survey of people with trouble sleeping (PWTS) and physicians who treat insomnia to understand their perspectives and potential discrepancies between them. The Harris Poll conducted online surveys of adult PWTS and HCPs (primary care physicians [PCPs] and psychiatrists) in the United States from September to October 2021. Respondents included 1001 PWTS, 300 PCPs, and 152 psychiatrists. Most HCPs agreed that sleep is critical to good health, yet very few reported routinely conducting full sleep histories on their patients. Approximately 30% of PWTS reported that their PCP never asks about sleep; zero HCPs in this survey reported "never" inquiring. Few HCPs reported being "very satisfied" with current treatment options; 50% of PCPs reported their patients being satisfied. Two-thirds of PWTS did not believe current treatment options adequately improved their sleep. This survey provides evidence that both PWTS and physicians agreed on the importance of sleep, but that treatment is often perceived as ineffective. This survey identifies a need for HCPs to address insomnia management and treatment gaps.
虽然患者和医生都认为睡眠很重要,但在患者与医护人员(HCP)就诊期间,睡眠健康可能未得到适当考虑。我们完成了第一项针对睡眠障碍患者(PWTS)和治疗失眠症的医生的大规模调查,以了解他们的观点以及他们之间可能存在的差异。哈里斯民意调查公司于2021年9月至10月在美国对成年PWTS和HCP(初级保健医生[PCP]和精神科医生)进行了在线调查。受访者包括1001名PWTS、300名PCP和152名精神科医生。大多数HCP都认为睡眠对健康至关重要,但很少有人报告会对患者进行常规的完整睡眠史询问。约30%的PWTS报告称他们的PCP从不询问睡眠情况;在本次调查中,没有HCP报告“从不”询问。很少有HCP报告对当前的治疗选择“非常满意”;50%的PCP报告他们的患者感到满意。三分之二的PWTS认为当前的治疗选择未能充分改善他们的睡眠。这项调查提供了证据,表明PWTS和医生都认同睡眠的重要性,但治疗往往被认为无效。这项调查表明HCP需要解决失眠管理和治疗方面的差距。