Barriers to the treatment of insomnia from patients' perspectives: a qualitative study

Background and Aim: Insomnia is a common problem in general population. It is associated with negative consequences on daily living

Insomnia is an under recognized disease, and patients may seek treatment very late, which may lead to chronicity of the disorder and aggravation of its adverse consequences

Determination of the barriers to insomnia treatment may be helpful for early diagnosis and designing treatment plans for this disorder

The aim of study was to determine the barriers to insomnia treatment from patients' views

Material and Method: This qualitative study was performed by using conventional content analysis

Our participants were selected by purposive sampling with insomnia who had referred to Sleep Disorders Research Center of Kermanshah University of Medical Sciences from April to October 2015

Data collection was performed by semi- structure interview

The interviews were recorded by an audio tape recorder, and transcribed

Then, they were analyzed by qualitative methods

Results: Barriers to the treatment of insomnia included three main categories: [overlooking insomnia], [worries about insomnia treatment], and 'janus faced nature of insomnia treatment]

The subjects in the category of [overlooking insomnia] had lack of beliefs' about insomnia as an illness which should be treated. The patients in the second category, [Worries about insomnia treatment], described their concerns about the treatment of insomnia

The subjects in the category of janu faced nature of insomnia treatment explained the inappropriate pattern of insomnia treatment in the study population

Conclusion: According to the results, patients views about insomnia, their worries about treatment, and the current pattern of insomnia treatment were the main barriers to the insomnia treatment

Barriers to the treatment of insomnia should be taken into consideration for the future treatment programs

[Epidemiologic aspects of penetrating eye trauma in subjects younger than sixteen years at feiz hospital in 2009]

To report the characteristics of children referred to the emergency department of Feiz Medical Center with penetrating eye injuries. In a cross-sectional study, children with penetrating eye trauma were evaluated. Age, sex, parents educational level, time, location, and cause of trauma recorded and compared. Overall, 100 patients with mean age of 7 +/- 3.8 [range 2 to 16 years] including 69 male and 31 female were assessed. 57 eye injuries occurred at home, time of trauma was in the morning in 47% of patients. The most common cause of injury was knife [26%] and wood was the second common cause [17%]. Overall, 29 child were alone at the time of injury .The most common type of injury was corneal laceration [71%]. All traumatic cases were unilateral. Most children were injured in the early morning, therefore education of parents and other child care givers for more attention to children and improvement of health education about eye trauma may prevent pediatric eye injuries