Investigation of cognition and behavior of chronic insomnia patients in community / 中华全科医师杂志

ABSTRACT

From January 2018 to June 2018, 410 patients with chronic insomnia visiting the Yuetan community were selected by the convenience sampling method for a questionnaire survey. The basic data, behaviors and habits, disease awareness, and disease treatment of patients were analyzed. Health Questionnaire Depression Scale (PHQ-9) was used to assess patients′ depression level. The patients were mainly women (74.1%, 304/410) , the married (84.9%, 348/410) and the retired (71.9%, 295/410) . In terms of insomnia cognition, the top three were "insomnia can be caused by tension and anxiety" (92.2%, 378/410), "insomnia is not harmful to the body except sleeping well" (72.2%, 296/410), "snoring means sleeping soundly " (70.2%, 288/410).The last three were "nighttime dreams indicate low quality of sleep" (11.5%, 47/410), "long-term use of sleeping pills can cause drug dependence and addiction" (12.7%, 52/410), "insomnia must be caused by physical illness" (12.7%, 52/410). In terms of behavior and habit, only 22.2% (91/410) had regular exercise and 34.1% (140/410) took nap after lunch. In terms of treatment, 59.5% (244/410) of patients tried western medicine, 40.5% (166/410) tried psychotherapy, only 7.3% (30/410) of patients tried psychotherapy; 46.3% (190/410) of patients had no depression, 19.8% (81/410) of patients had moderate to severe depression. The survey indicates that patients with insomnia in the community have a relatively low awareness of disease knowledge, and their daily life and medication habits need to be changed to improve sleep quality.