Download - 20160414 老年失眠
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老人失眠揪出疾病的狐狸尾巴
台南醫院精神科
唐嘉宏 醫師
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一個月內失眠比例 (%)
男4.5
女8.0
TP Su, 2004
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常使用安眠藥比例 (%)
男6.7
女10.6
TP Su, 2004
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慢性失眠比例 (%)
男24.0
女29.8
65 歲以上國人睡眠大調查, 2014
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失眠症
難入睡 難持續 太早醒
影響功能
3 / 周 3 月
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故 事病 因行 動
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拿安眠藥
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找出病因
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治療改善
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3大原因
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身體精神
心理
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身體
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Foley, D., Ancoli-Israel, S., Britz, P., & Walsh, J. (2004).
失眠者合併... 男性老人 女性老人
1-3 種內科病 63.9 % 65.9 %
≥ 4 種內科病 23.3 % 24.8 %
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身體疼痛
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心臟
身體
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肺臟
身體
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夜尿
身體
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藥物
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活用藥物
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睡眠呼吸中止
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精神
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心理
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心理預期焦慮擔心後果
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案 例身體 精神 心理
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行動
面對它接受它處理它
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行動
面對它接受它處理它治好它
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初 診 資 料
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學 歷 工 作
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身 體 &用 藥
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家 族 狀 況
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精 神 狀 況
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心理 &其他
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匹茲堡睡眠量表
寢 睡 醒 時
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身 體 不 適
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生 活 影 響
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呼 吸 中 止
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身體精神
心理
3大原因
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行動
面對它接受它處理它治好它
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老人失眠揪出疾病的狐狸尾巴
台南醫院精神科
唐嘉宏 醫師