老年住院患者服用安眠药的调查及护理

Investigation of hypnotic agents administation in hospitalized elderly patients and its nursing

目的调查老年住院患者安眠药的服用情况，了解意外事件与服用安眠药的相关性，以减少安眠药物带来的不良反应，指导临床用药。方法调查临床药局安眠药的出库情况；调查住院患者服用安眠药的种类、数量、服用时间以及在服用安眠药前是否做过睡眠质量评估；了解影响安眠药效果的因素及带来的不良后果。结果临床使用安眠药主要以安定类为主，种类多、数量大；疾病不同安眠药的使用存在差异；安眠药服用存在安全隐患；大多数患者在服用安眠药前未进行睡眠质量评估；服用安眠药后有诸多因素导致患者睡眠中断。结论加强医护患三方面的健康教育，提高各级人员风险意识；提倡早期非药物干预，减少外界刺激因素，达到减少安眠药所致不良反应及意外事件的目的；提倡使用睡眠质量评估方法，指导临床合理用药。

Objective ： To investigate the status of hypnotic agents administation in hospitalized elderly patients, and the relativity between incidents and the hypnotics consuming, in order to reduce the side effects of hypnotics in the clinics. Methods Investigated the outflow status of hypnotics in the clinical pharmacy, and status of the category, volume , consuming time of the old patients, and whether or not they received evaluation of sleeping quality before they taking the hypnotics was also investigated, and the factors affect the result of hypnotics and its negative consequences were educated. Results The mainly used of hypnotics in clinics was benzodiazepines, with various category and quantity, depending on different disease the individuals suffering from. There still existed hidden danger of consuming hypnotics, such as many patients hadn＇ t not received sleeping quality evaluation before taking them. There were also some factors affected the quality of patients sleep after taking medicines. Conclusions The health education of doctors, nurses and patients should be strengthened. It＇ s also recommended that early non-medicine intervention and reduction of the circumstance affecting factors would be benefit for the less use of hypnotics therefore reduce its side effects. The evaluation of sleep quality is also essential in the instruction of hypnotics using in clinics.