RESUMO
Background. The aim of this study is to estimate the prevalence of insomnia in patients requiring admittance to short-stay hospital psychiatric units. Methodology. A descriptive observational study was designed with the participation of 16 units for brief adult psychiatric hospitalization in Spain. The Athens Insomnia Scale was the instrument used. Results. Four hundred and twenty-five patients were included, with an average value on the global score of the Athens Insomnia Scale of 8.56 (SD: 5.78). The item that obtained the highest average score concerned the presence of waking up during the night, followed by that concerning the time needed to fall asleep. The estimated prevalence of insomnia is 53% (CI 95%). Conclusions. Insomnia is a problem with a high prevalence in psychiatric hospitalization units. The greatest difficulties are found in inducing sleep and staying asleep.
Assuntos
Distúrbios do Início e da Manutenção do Sono/epidemiologia , Adulto , Idoso , Feminino , Unidades Hospitalares , Hospitalização , Hospitais Psiquiátricos , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Estudos Prospectivos , Distúrbios do Início e da Manutenção do Sono/diagnósticoRESUMO
Fundamento: El objetivo de este estudio es estimar la prevalencia de insomnio en pacientes que precisaron ingresar en unidades psiquiátricas hospitalarias de corta estancia. Metodología: Se diseñó un estudio observacional descriptivo en el que tomaron parte 16 unidades de hospitalización psiquiátrica breve de adultos de España. El instrumento utilizado fue la Escala Atenas de Insomnio. Resultados: Se reclutó a 425 pacientes, obtuvieron un valor medio de la puntuación global de la Escala Atenas de Insomnio de 8,56 (DE: 5,78). El ítem para el que se obtuvo mayor puntuación media fue el relativo a la presencia de despertares durante la noche, seguido del relativo al tiempo que lleva quedarse dormido. La prevalencia de insomnio estimada es del 53% (IC 95%). Conclusiones: El insomnio es un problema de elevada prevalencia en las unidades de hospitalización psiquiátricas. Las mayores dificultades se dan en la inducción y el mantenimiento del sueño (AU)
Background: The aim of this study is to estimate the prevalence of insomnia in patients requiring admittance to short-stay hospital psychiatric units. Methodology: A descriptive observational study was designed with the participation of 16 units for brief adult psychiatric hospitalization in Spain. The Athens Insomnia Scale was the instrument used. Results: Four hundred and twenty-five patients were included, with an average value on the global score of the Athens Insomnia Scale of 8.56 (SD: 5.78). The item that obtained the highest average score concerned the presence of waking up during the night, followed by that concerning the time needed to fall asleep. The estimated prevalence of insomnia is 53% (CI 95%). Conclusions: Insomnia is a problem with a high prevalence in psychiatric hospitalization units. The greatest difficulties are found in inducing sleep and staying asleep (AU)
Assuntos
Humanos , Masculino , Feminino , Adulto , Distúrbios do Início e da Manutenção do Sono/complicações , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Transtornos do Sono-Vigília/complicações , Transtornos do Sono-Vigília/epidemiologia , Hospitais Psiquiátricos/organização & administração , Hospitais Psiquiátricos/estatística & dados numéricos , Hospitais Psiquiátricos , Estudos Prospectivos , Razão de Chances , Intervalos de ConfiançaRESUMO
Confidentiality is a key aspect in the relationship between health professionals and patients. It involves the cession by the patient of a reserved part of herself and the ethical principles of autonomy and non-maleficency that are closely linked to its preservation. There are also numerous legal regulations that make professional secrecy obligatory, in some cases imposing hard sanctions that are often not known about. As the medical record is the document where the relationship with the patient is recorded, it requires extraordinary protection due to the especially sensitive nature of the information it contains. It should be compulsory that the professional who works with it should know some basic aspects of the fundamental laws that regulate it in different aspects. This article reviews questions that at times are only known in the abstract, but that are contained in the legal regulations, such as ownership of the medical record, subjective annotations, its custody and rectification or who can have access to it and why.
Assuntos
Confidencialidade/ética , Confidencialidade/legislação & jurisprudência , Prontuários Médicos/legislação & jurisprudênciaRESUMO
La confidencialidad es un aspecto clave de la relación entre profesionales sanitarios y pacientes. Supone la cesión del paciente de una parte reservada de sí mismo y los principios éticos de autonomía y no maleficencia están íntimamente ligados con su preservación. También numerosas normas legales obligan al secreto profesional, imponiendo en algunos casos duras sanciónes a menudo desconocidas. Al ser la historia clínica el documento donde la relación con el paciente queda reflejada, requiere de una protección extraordinaria por la naturaleza especialmente sensible de la información en ella contenida. Es preceptivo para el profesional que la elabora conocer algunos aspectos básicos de las leyes fundamentales que la regulan en diferentes aspectos. En este artículo se hace un repaso por cuestiones que a veces resultan conocidas en abstracto, pero que están recogidas en la normativa legal, como son la propiedad de la historia clínica, las anotaciones subjetivas, su custodia y rectificación o quién y para qué se puede acceder a la misma(AU)
Confidentiality is a key aspect in the relationship between health professionals and patients. It involves the cession by the patient of a reserved part of herself and the ethical principles of autonomy and non-maleficency are closely linked to its preservation. There are also numerous legal regulations that make professional secrecy obligatory, in some cases imposing hard sanctions that are often not known about. As the medical record is the document where the relationship with the patient is recorded, it requires extraordinary protection due to the especially sensitive nature of the information it contains. It should be compulsory that the professional who works with it should know some basic aspects of the fundamental laws that regulate it in different aspects. This article reviews questions that at times are only known in the abstract, but that are contained in the legal regulations, such as ownership of the medical record, subjective annotations, its custody and rectification or who can have access to it and why(AU)
