Priorizando el tratamiento no farmacológico en el insomnio

Abstract

Introduction: Insomnia is a disease that is frequently addressed in Primary Care (PC) and although their prevalence is high, only 10% of patients is treated in an adequate way. In Spain, and also in Asturias, there is a high consumption of hypnotic, despite the risks associated with their use. Therefore, in order to announce and prioritize effective alternative to pharmacotherapy, it has conducted a literature review using different databases (PubMed, Uptodate, the Cochrane Library, Finisterre and NNN Consult, Bibiblioteca Murcia Health and Google), for collect the evidence about non-pharmacological therapies in insomnia.

Description: It is required to highlight the importance of carrying out a correct evaluation and the role that nursery has in the treatment of insomnia though non-pharmacological measures, such us: education for health, sleeping hygiene, behavioural and cognitive behavioural therapies, mindfulness, and other alternative therapies. It would only be justified pharmacological prescription in the cases in which this treatment is inefficient or the person has a severe incapacitating or stress causing insomnia. Conclusions: Knowing the characteristics of sleeping by gender and also in the different periods of life is essential to carry out a correct diagnosis of insomnia. Initial treatment should be non-pharmacological, due to their demonstrated high effectivity. To carry them out is fundamental a correct cooperation within the Primary Care team, as it could avoid or decrease this high tendency to medication.