Insomnio: Abordaje terapéutico desde Atención Primaria

Abstract

Objective:To establish the therapeutic approach that has been performed in patients diagnosed with insomnia in the town of Almazora (Castellón) Method It is a descriptive, observational, longitudinal and retrospective study. Subjects are adult patients over 18 belonging the Health Center Pio XII and the Center for Almazora Health, both in the town of Almazora. Patients were diagnosed with insomnia (ICD 780.52 and 307.4) and/or presented a NANDA diagnosis associated to this problem (Impaired sleep pattern: 00095, Sleep Deprivation: 00096 and/or disorder sleep pattern: 00198) and included in the Computerized Medical Record (Abucasis). A stratified sample by sex, age and quota (312 patients) was randomly selected out of the Almazora Abucasis database. Results: The prevalence of insomnia was 5.5 % (95% CI 5.2 to 5.8). Only10% (95% CI 5.40 to 13.93) of the patients had received some non-drug treatment. Conclusions: According to the data, underutilization of non-pharmacological measuresis evident. Moreover, a very high percentage of patients receiveddrug therapy on the first day of diagnosis without previous attempt of non-drug treatment. Nursing care plays a fundamental role in the therapeutic approach of primary insomnia, since the first line of treatment is thenon-pharmacological therapy. Results suggest that an increased nursing role in combination with medical care would promote professional development and subsequently would improve the treatment of patients presenting this disease.