Use of Sedative-Hypnotic Drugs among General Practitioners: a Comparison between Spain and Latvia
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Date
2020
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Tomēr pētījuma mērķis bija izprast konkrētu iedzīvotāju, piemēram, vispārējās prakses dalībnieku, atšķirīgo uzvedību, joprojām ir daudz neskaidrību par to, kā viņu ieradumi un dzīves modeļi varētu ietekmēt viņu veselību un tādējādi arī pacientu.
Pie darba, kas veikts saistībā ar šo tēmu, var tikt izdarīti daudzi secinājumi, kā arī dažādas ārstu atbildes uz savu veselību.
1. Saskaņā ar statistikas pārbaudēm netika konstatētas būtiskas atšķirības starp abu valstu vispārējās prakses veicējiem, kas atbilst dzimumam, vecuma grupai, aktīvajai cigarešu smēķēšanai un alkohola lietošanai.
2. Latvijas un Spānijas ārstu starpā netika konstatētas statistiski nozīmīgas atšķirības miega un nakts maiņu skaita ziņā.
3. Par blakusdarbu, izņemot ārsta profesiju, deklarēti attiecīgi 18,8% un 3,8% Latvijas un Spānijas ārstu.
4. Kopumā Latvijas vispārējās prakses speciālisti strādāja mazāk stundu, jo 34,4% strādāja 36 –38 stundas, bet spāņu ārsti – 67,9%.
5. Nakts maiņu realizējuši 15,6% Latvijas ārstu un 35,8% spāņu ārstu, īpaši nakts maiņas, kas garākas par 12 stundām, veikuši 12,5% latviešu ārstu un 32,1% spāņu ārstu.
6. Veselības stāvokli “nav īsti manāms” norādīja 28,1% Latvijas ārstu un tikai 5,7% spāņu ārstu.
7. Bezmiega simptomi parādījās “nekad, ne reti” 68,8% Latvijas iedzīvotāju un 34% spāņu. To pastiprināja ziņojums par cietušo bezmiegu “Nekad” par attiecīgi 43,8% un 20,8% Latvijas un Spānijas ārstu.
8. Miegazāles “Nekad” lietoja 84,4% Latvijas ārstu, ievērojami lielāks skaits nekā 47,2%, kas atbilst Spānijas izlasei.
9. Starp ieteicamākajām zālēm Benzodiazepīnu izvēlējās tikai 6,3% Latvijas ārstu un 30,2% spāņu ārstu.
Atzīstot, ka starp abām valstīm pastāv vairākas atšķirības un rezultātu interpretācija ir būtiska, lai izstrādātu šādas rezolūcijas.
Tika konstatēts, ka spāņu ārstiem ir sliktāks veselības stāvoklis un lielākas miega grūtības, kas ietekmēja viņu ikdienas dzīvi, salīdzinot ar Latvijas ārstiem, kas varētu izskaidrot lielāku sedatīvo-miega līdzekļu patēriņu.
Noslēgumā secināms, ka pastāv statistiski nozīmīga korelācija starp miega tablešu lietošanu un lielāku darba slodzi slimnīcā, kā arī nekvalitatīva miega higiēna un veiktas nakts izmaiņas.
Nonetheless the aim of the study was to comprehend the different behaviour of a sample of specific population such as General Practitioners, much remains still unclear about how their habits and life patterns could potentially affect their health and therefore, the patient’s. Numerous conclusions can be constructed around the work performed on the topic, and the different responses of physicians towards their health. 1. No significant differences appeared according statistical tests between General Practitioners of both countries corresponding gender, age group, active cigarette smoking and alcohol use. 2. In terms of sleeping routines and amount of night shifts performed, no statistically significant differences were found between Latvian and Spanish doctors. 3. Side job apart from medical profession was declared by 18,8% and 3,8% of Latvian and Spanish doctors respectively. 4. Generally speaking, Latvian General Practitioners worked less hours, since 34,4% working between 36-38 hours while Spanish doctors represented the 67,9%. 5. Night shifts were realized by 15,6% of Latvian doctors and by 35,8% of Spanish doctors, specially nightshifts longer than 12 hours, performed by 12,5% of Latvians and 32,1% of Spanish doctors. 6. Health status “not really heathy” was reported by 28,1% of Latvian doctors and only 5,7% of Spanish doctors. 7. Symptoms of insomnia appeared “never, or rarely” in 68,8% of Latvian population sample, and 34% of Spanish one. This was reinforced by the report of suffering insomnia “Never” by 43,8% and 20,8% of Latvian and Spanish doctors respectively. 8. Sleeping pills were “Never” used by 84,4% of Latvian doctors, a significant higher number than 47,2%, corresponding to Spanish sample. 9. Among the preferred drugs, Benzodiazepines were chosen by only 6,3% of Latvian doctors and 30,2% of Spanish doctors. Acknowledging the presence of several differences between both countries and interpretation of the results are essential to elaborate the following resolutions. Spanish doctors were found to have worse health status and more difficulties with sleeping that affected their everyday life in comparison with Latvian doctors, which could explain the higher consumption of sedative-hypnotic medication. In conclusion, there is a statistically significant correlation between the use of sleeping pills and bigger work load in the hospital, together with poor sleeping hygiene and night shifts performed.
Nonetheless the aim of the study was to comprehend the different behaviour of a sample of specific population such as General Practitioners, much remains still unclear about how their habits and life patterns could potentially affect their health and therefore, the patient’s. Numerous conclusions can be constructed around the work performed on the topic, and the different responses of physicians towards their health. 1. No significant differences appeared according statistical tests between General Practitioners of both countries corresponding gender, age group, active cigarette smoking and alcohol use. 2. In terms of sleeping routines and amount of night shifts performed, no statistically significant differences were found between Latvian and Spanish doctors. 3. Side job apart from medical profession was declared by 18,8% and 3,8% of Latvian and Spanish doctors respectively. 4. Generally speaking, Latvian General Practitioners worked less hours, since 34,4% working between 36-38 hours while Spanish doctors represented the 67,9%. 5. Night shifts were realized by 15,6% of Latvian doctors and by 35,8% of Spanish doctors, specially nightshifts longer than 12 hours, performed by 12,5% of Latvians and 32,1% of Spanish doctors. 6. Health status “not really heathy” was reported by 28,1% of Latvian doctors and only 5,7% of Spanish doctors. 7. Symptoms of insomnia appeared “never, or rarely” in 68,8% of Latvian population sample, and 34% of Spanish one. This was reinforced by the report of suffering insomnia “Never” by 43,8% and 20,8% of Latvian and Spanish doctors respectively. 8. Sleeping pills were “Never” used by 84,4% of Latvian doctors, a significant higher number than 47,2%, corresponding to Spanish sample. 9. Among the preferred drugs, Benzodiazepines were chosen by only 6,3% of Latvian doctors and 30,2% of Spanish doctors. Acknowledging the presence of several differences between both countries and interpretation of the results are essential to elaborate the following resolutions. Spanish doctors were found to have worse health status and more difficulties with sleeping that affected their everyday life in comparison with Latvian doctors, which could explain the higher consumption of sedative-hypnotic medication. In conclusion, there is a statistically significant correlation between the use of sleeping pills and bigger work load in the hospital, together with poor sleeping hygiene and night shifts performed.
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
Hipnotiskās zāles, nakts maiņas, benzodiazepīni, vispārējās prakses ārsti, bezmiegs., Hypnotics, night shifts, benzodiazepines, general practitioners, Insomnia.