Abstract：
OBJECTIVES:Insomnia is the most common sleeping disorder, increasing as people get older, which therefore creates an increase in the use of hypnotics. The presence of insomnia in elderly people, according to different authors, ranges between 17 and 43% depending on the criteria of diagnosis used and the group of population studied. The objectives of this study are to determine the prevalence of insomnia in a population of 65 years and over in a Basic Health Area and the medical consumption related to it. DESIGN:A cross sectional study by means of an ad hoc questionnaire about sleeping habits given by medical staff, including social demographic variables, psychotropic medication consumption, cognitive assessment by means of Mini Mental Status Examination and a range of anxiety-depression of Goldberg. Hartman and DSM-IV criteria were used for the insomnia diagnosis. SETTING:Cuenca I Primary Care Center, Cuenca (Spain). PATIENTS:A random sample of 343 patients of a population of 2253, 65 years and over. MEASUREMENTS AND MAIN RESULTS:The prevalence found was 13.6% (Hartman) and 30.7% (DSM-IV) more common amongst women (p < 0.005), sufferers of psychiatric illnesses (p < 0.01) and those at the top-half of the anxiety-depression scale (p < 0.001). A 46.1% suffer from daylight hypersomniac. A 19.1% takes some kind of medication to help them sleep and the 74.6% of them take it daily. Long and short plasma half-life benzodiazepines are the most consumed, with women and insomniacs being the majority consumers. CONCLUSIONS:The prevalence of insomnia in our population is slightly inferior to that of other studies and the consumption of sleep-enhancing medication although inappropriate is similar to that referred to in literature.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Redondo-Martínez MP,Salcedo-Aguilar F,García-Jiménez MA,Monterde-Aznar ML,Rodríguez-Almonacid FM,Marcos-Navarro AIdoi
10.1016/s0212-6567(00)78530-1subject
Has Abstractpub_date
2000-04-15 00:00:00pages
400-4issue
6eissn
0212-6567issn
1578-1275pii
S0212-6567(00)78530-1journal_volume
25pub_type
杂志文章abstract：OBJECTIVE:To evaluate the impact of the pilot experience of direct purchase and distribution of incontinence diapers in primary health care centres of the Balearic Islands after 10 months of implementation. DESIGN:Comparison of diapers's public expenditures and use during 10 months of pilot experience (9/1/1994-6/30/1...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-02-29 00:00:00
abstract：OBJECTIVES:To evaluate the efficacy of nursing care and monitoring of patients over 65 in primary care, to reduce the rate of readmission and to extend time till readmission. DESIGN:Non-randomised clinical trial with control. SETTING:Base Area 8, Madrid, Spain. Primary and specialist care. PARTICIPANTS:Patients over...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章
doi：10.1157/13123681
更新日期：2008-06-01 00:00:00
abstract：OBJECTIVE:To determine what family doctors think about various aspects of patient involvement in clinical decision making in Primary Care. DESIGN:Qualitative study using focus groups. LOCATION:Primary Care. PARTICIPANTS:Family physicians with and without expertise in clinical communication. METHODS:Three focus grou...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2011.07.007
更新日期：2012-07-01 00:00:00
abstract：OBJECTIVE:To find the views of health professionals on how the terms of the new management agreement with clinical units affect the quality of health delivery. DESIGN:Qualitative study to find professionals' views. Individual opinions of key informers were obtained, secondary sources were analysed and a discussion gro...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(03)70725-2
更新日期：2003-05-15 00:00:00
abstract：OBJECTIVE:To describe the prevalence of iron deficiency anaemia in the Basque Country by age group and sex and to identify the main groups at risk. DESIGN:Cross-sectional study. SETTING:Basque Country. PARTICIPANTS:School-aged population of Bilbao (n = 762); further education students of San Sebastian (n = 372); adu...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-10-15 00:00:00
abstract：OBJECTIVE:To assess heart failure prevalence, epidemiology, co-morbidities and polypharmacy in our region from electronic patient records. To evaluate gender differences in heart failure patients. DESIGN:Descriptive, cross-sectional study. SETTING:Primary care Lleida (Spain). PARTICIPANTS:All patients from 21 primar...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2010.03.021
更新日期：2011-02-01 00:00:00
abstract：AIMS:To describe the evolution of mortality due to gastric cancer in Andalusia and the current geographic distribution of mortality. DESIGN:Descriptive, population-based study. SETTING:Andalusia (Southern Spain) during the period from 1975 to 1999. PARTICIPANTS:Residents of the region of Andalusia. MEASUREMENTS:Cru...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)70475-1
更新日期：2001-12-01 00:00:00
abstract：OBJECTIVES:To evaluate our patients' knowledge of the effects of excess drinking; b) to compare this with their awareness of the effects of their day-to-day drinking habits. DESIGN:Descriptive, randomized, cross-sectional questionnaire-based study. Information on alcohol consumption was obtained from medical records. ...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0212-6567(03)79313-5
更新日期：2003-11-15 00:00:00
abstract：OBJECTIVE:To examine how some factors connected with Continuous Care Points (CCP) affect attendance at hospital Casualty departments and admittance from them. DESIGN:Ecological study. SETTING:León Health area. PATIENTS AND OTHER PARTICIPANTS:All the CCP's belonging to the León Health area. MEASUREMENTS AND MAIN RES...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-11-30 00:00:00
abstract：:The therapeutic management of patients with osteoarthritis aims to decrease pain and inflammation, improve physical function, and to apply safe and effective treatments. A patient-centered approach implies the active participation of the patient in the design of the treatment plan and in timely and informed decision-m...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/S0212-6567(14)70043-5
更新日期：2014-01-01 00:00:00
abstract：OBJECTIVE:To analyse information on adolescent use of tobacco in Spain from different school surveys. DESIGN:Data on daily smoking prevalence by sex at the end of compulsory education is extracted and figures are compared, analysing trends. SETTING:The five representative studies on adolescents in Spain are reviewed:...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.12.016
更新日期：2012-01-01 00:00:00
abstract：OBJECTIVES:1) To identify the causes of the outbreak. 2) To adopt the appropriate measures to control it. DESIGN:Observational crossover study. SETTING:San Benito Health District in Jerez de la Frontera (Cádiz). PATIENTS AND OTHER PARTICIPANTS:Diners who attended a family celebration. MEASUREMENTS AND MAIN RESULTS:...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-04-30 00:00:00
abstract：OBJECTIVES:To evaluate the relationship between Health-Related Quality of Life (HRQL) and stress at work among Primary Care workers, as evidence of the construct validity of the Spanish version (PECVEC) of the profile of quality of life in the chronically ill (PLC) questionnaire. In addition, to check its other psychom...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13108617
更新日期：2007-08-01 00:00:00
abstract：OBJECTIVE:To ascertain the diagnosis associated with specific treatment for dementia in the Primary Care Electronic Clinical Record (PC-ECR) and to analyse the factors associated with the quality of registration. METHODS:Descriptive study of patients taking cholinesterase inhibitors or memantine registered in Database...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2015.03.002
更新日期：2016-01-01 00:00:00
abstract：:An evaluation study has been done on the quality of long-term drugs prescription. The aim was to check the effectiveness of certain corrective measures agreed by the professionals working in a primary care centre. Using the results of a first evaluation made in 1989, a series of recommendations were made to reduce the...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1991-12-01 00:00:00
abstract：OBJECTIVES:Evaluate the effectiveness of the implementation of independently or combined dietary and physical activity programs on the blood glucose values and lipid profile in patients with type 2 diabetes, including participants aged 60 years and over. DESIGN:Systematic review. DATA SOURCE:PubMed/Medline database, ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2017.06.012
更新日期：2018-12-01 00:00:00
abstract：OBJECTIVE:The objectives of the present study are to describe to the social particularizations, reasons for consultation and diagnoses conducted in the adult immigrants without regularizing that they went to this doctor's office in the district of Villaverde-Usera (Madrid), excluding the data from obstetrics-gynecology...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：2001-01-01 00:00:00
abstract：OBJECTIVES:To describe the type of relationship between primary care family doctors (PCDs) and the pharmaceutical industry (PI) and its representatives in Aragon, to describe doctors' attitudes to this relationship and to find out how doctors behave towards offers from the industry. DESIGN:Descriptive cross-sectional ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)70840-9
更新日期：2004-09-30 00:00:00
abstract：OBJECTIVE:To assess the precision of the Sickness Certificate (SC) issued for Temporary Unfitness for Work (TUW). To measure the percentage of TUW where the diagnoses in the medical records and in the TUW Sickness Certificate do not coincide. To seek objective criteria to determine TUW. DESIGN:A descriptive, prospecti...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-05-31 00:00:00
abstract：OBJECTIVES:To analyse the degree of professional burnout in primary care doctors from our province and the effect of various factors.Design. Descriptive and analytic cross-sectional study. SETTING:Primary care (PC) in the province. PARTICIPANTS:All the PC doctors in the province of Cáceres (n=255). MAIN MEASUREMENTS...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(02)70567-2
更新日期：2002-03-31 00:00:00
abstract：OBJECTIVE:To estimate the effectiveness of a Medication Discrepancy Detection Service (MDDS), a collaborative service between the community pharmacy and Primary Care. DESIGN:Non-controlled before-and-after study. SETTING:Bidasoa Integrated Healthcare Organisation, Gipuzkoa, Spain. PARTICIPANTS:The service was provid...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2020.04.008
更新日期：2021-01-01 00:00:00
abstract：OBJECTIVE:The aim of this study is to estimate risky-drug use patterns of consumption of primary care patients. DESIGN:Multicentric descriptive cross-sectional study. SETTING:five primary health care centers of the South of Madrid. PARTICIPANTS:all patients between 16-100 year-old consulting with their family physic...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1016/j.aprim.2017.03.021
更新日期：2019-04-01 00:00:00
abstract：:Oxyuriasis is one of the commonest infestations in our area, with rates ranging from 5% to 75% in several studies. The present study was carried out in 100% of schoolchildren in a rural town with a population of 1,000 in the Lerida province. The study had two parts. On the one side, the prevalence of oxyuriasis was ev...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1990-11-01 00:00:00
abstract：OBJECTIVES:Main: to describe the health situation of the urban non-institutionalised population of 75 or over in Castro Urdiales. Secondary. To analyse the differences in the over-user group. DESIGN:Descriptive, crossover. SETTING:Primary Care Health Centre. PATIENTS:People in the urban area aged 75 or over and with...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-06-15 00:00:00
abstract：OBJECTIVES:To identify diabetics not dependent on insulin (DNDI) who are carriers of clinical proteinuria and microalbuminuria susceptible to captopril treatment and to evaluate the evolution of the urinary excretion of albumin (UEA) rate after three years of follow-up. DESIGN:A prevalence study followed by an interve...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-09-30 00:00:00
abstract：OBJETIVE:To evaluate SAR-COV-2 pacients' features. To analyse de diferences between those who required hospital care and those who didn't. DESIGN:Observational, descriptive and retrospective study. SETTING:Twomedical practices of an urban health center in Salamanca (Spain). PARTICIPANTS:≥18 years diagnosed with SAR-...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2020.10.005
更新日期：2020-12-13 00:00:00
abstract：OBJECTIVE:To find the prevalence of tobacco dependency in the population of six counties in Lleida and in patients with chronic diseases or vascular risk factors. DESIGN:Cross-sectional study. A descriptive analysis of the data. SETTING:Six counties in Lleida: 5 Pyrenean counties with a rural population and the Segri...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-03-31 00:00:00
abstract：OBJECTIVE:To describe trends and geographical distribution of breast cancer mortality in Andalusian women between 1976 and 1995. DESIGN:Descriptive study. SETTING:Andalusia. PATIENTS AND OTHER PARTICIPANTS:Deaths from breast cancer during the period 1976 to 1995 were obtained. MEASUREMENTS AND MAIN RESULTS:The foll...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-10-15 00:00:00
abstract：OBJECTIVE:To find the prevalence, characteristics, and consequences of falls in the elderly and related factors. DESIGN. Cross-sectional, descriptive study using personal interviews. SETTING:Three health districts in Cordoba city, Spain. PARTICIPANTS:A stratified sample of 362 people over 70. MAIN MEASUREMENTS:The a...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13094802
更新日期：2006-11-15 00:00:00
abstract：OBJECTIVES:To determine whether the benefit on cardiovascular risk factors (CVRF) persists 5 years after an intensive intervention in lifestyle (LS) that lasted 2 years, in patients with hyperfibrinogenaemia and moderate or high cardiovascular risk. DESIGN:multicentre prospective observational study. LOCATION:13 Prim...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.aprim.2017.04.004
更新日期：2018-01-01 00:00:00
