Patterns and correlates of benzodiazepine use in nurses: A nationwide, population‐based study

Sang, Elaine; Liao, Yuan Mei; Miao, Nae‐Fang; Chou, Kuei‐Ru; Chung, Min Huey

doi:10.1111/inm.12334

Cited by 5 publications

(8 citation statements)

References 24 publications

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“…Although the nursing professional is aware of the benefits and harms of self-medication, many allow themselves to be deceived by the idea that the medications alleviate the suffering they are going through and thus, without realizing it, they gradually increase consumption and, sometimes, switch to medications with stronger psychoactive effects. 23,25 The drugs that have higher consumption prevalence among the nursing team correspond to sedatives such as morphine and anesthetics, antidepressants, barbiturates, analgesics, amphetamines and benzodiazepines, as they are more accessible within health institutions. 15,17,19,21 Among the legal drugs, alcohol, tobacco and energy drinks are more prevalent among nurses, with higher consumption by women, with a mean age of 34 years old for alcohol abuse, 25 years old for cigarette consumption, and 24 to 49 years old for energy drinks, according to a study carried out with physicians and nurses in Bogotá.…”

Section: Predisposing Factors For the Use Of Psychoactive Substances mentioning

confidence: 99%

Consumption of Psychoactive Substances by Nursing Workers: An Integrative Review

Ribeiro

Fernandes

Rocha

et al. 2020

Texto contexto - enferm.

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Objective: to analyze the scientific evidence available on the factors and implications related to the use of psychoactive substances by nursing workers. Method: an integrative review, which had the following as selection criteria: primary studies, published between 2008 and 2017, without language restrictions and that included aspects related to the consumption of psychoactive substances by nursing professionals. The bibliographic survey was carried out in the months of September and October 2018, in the following databases: CINAHL, MEDLINE, SCOPUS, Web of Science and LILACS, BDENF and IBECS via the Virtual Health Library. Results: a total of 14 articles were analyzed, with predominance of cross-sectional (28.57%), qualitative descriptive (28.57%), and quantitative descriptive (14.28%) studies, with significant samples ranging from 12 to 33,588 nursing professionals, and with 2C level of evidence (100.00%). The synthesis of knowledge was formulated in two categories: Predisposing factors for the consumption of psychoactive substances by nursing workers; and Implications of the use of psychoactive substances in personal life and in the quality of nursing care. Conclusion: the evidence found shows that the use of psychoactive substances represented a reality present in the daily lives of nursing workers and the close relationship with the working conditions represented the main associated factor, with the work environment being the major influencer for consumption.

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Section: Predisposing Factors For the Use Of Psychoactive Substances mentioning

confidence: 99%

Consumption of Psychoactive Substances by Nursing Workers: An Integrative Review

Ribeiro

Fernandes

Rocha

et al. 2020

Texto contexto - enferm.

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“…Nursing has been acknowledged to be a stressful occupation with a high prevalence of distress and stress-related burnout [ 1 – 3 ]. The high level of occupational stress and burnout among nurses can lead to behavioral health problems and psychiatric morbidity, including insomnia [ 4 – 6 ], anxiety [ 7 – 10 ], depression [ 7 , 10 – 14 ], and substance use [ 15 – 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…Consequently, increasing numbers of nurses in Taiwan feel frustrated and burned out in their jobs, and related behavioral health issues have drawn public attention. For example, a recent Taiwanese study reported that the patterns of occasional, frequent, and daily benzodiazepine (BZD) use among nurses exhibited an increasing trend [ 15 ]. Moreover, the risk of frequent BZD use (as opposed to infrequent BZD use) increased significantly when nurses exhibited comorbid depression, anxiety, or sleep disorders.…”

Section: Introductionmentioning

confidence: 99%

“…There have only been limited studies thus far on the healthcare-seeking behavior for stress-related psychiatric problems among nurses [ 4 , 15 ], and the actual risks for treated anxiety, depression, and insomnia among nurses are still unclear. One recent study investigated the incidence of treated insomnia in female nursing staff using a nationwide representative sample in Taiwan [ 4 ], and found that female nurses had higher incidences of adjustment insomnia and psychophysiological insomnia but had a lower incidence of nonorganic insomnia than did other female medical personnel.…”

Section: Introductionmentioning

confidence: 99%

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Risks of treated anxiety, depression, and insomnia among nurses: A nationwide longitudinal cohort study

Huang

et al. 2018

PLoS ONE

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The high level of occupational stress and burnout among nurses can lead to insomnia, anxiety, and depression. However, the actual risks for healthcare-seeking for these stress-related mental health problems among nurses are still unclear. The aim of this study was to explore the risks and influencing factors of treated anxiety, depression, and insomnia among nurses. We used claims data obtained from the 2010 National Health Insurance Research Database (NHIRD) in Taiwan. Hospital nurses who had at least 3 coded ambulatory care claims or 1 inpatient claim with a principal diagnosis of anxiety, depression, or insomnia were identified. A cohort of 46,120 nurses and 92,240 matched controls were included. All the study subjects were followed up until the onset of any of the aforementioned outcomes, death, or the end of 2012. Results showed that the adjusted hazard ratios (HRs) for treated anxiety, depression, and insomnia among all the nurses were 0.91 (95% CI, 0.88–0.95), 0.59 (95% CI, 0.55–0.63), and 1.43 (95% CI, 1.38–1.48), respectively. Furthermore, the risks of these psychiatric problems in healthcare-seeking nurses were affected by age, gender, hospital level, and job tenure. Our findings suggest that hospital nurses have lower hazards of treated anxiety and depression than the general population, although they have a higher hazard of treated insomnia. There may be undertreatment in some subgroups of nurses with different demographic and working characteristics.

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“…Among the 1,097 emergency physicians, 19.96% used hypnotics; emergency physicians who used only BZDs accounted for the highest percentage, followed by those who used only non-BZDs and those who used both. Although showed an increasing trend, and those who used BZD frequently were exposed to the risk of comorbidities 29) . The results of the present study differed from those of Lan et al (2015), whose 2000-2009 analysis results revealed that 29% of the general population used hypnotics and that among those who used hypnotics, those who used a mix of hypnotics accounted for the highest percentage, followed by those who used non-BZDs and those who used BZDs 30) .…”

Section: Discussionmentioning

confidence: 99%

Risk of insomnia and hypnotics use among emergency physicians

Liou

et al. 2021

INDUSTRIAL HEALTH

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This study investigated the risk of insomnia and hypnotics use among emergency physicians. This cross-sectional study recruited physicians working in Taiwanese hospitals in 2015 and the general population as the participants. Data from 1,097 emergency physicians obtained from the National Health Insurance Research Database were grouped into the case group, whereas 14,112 nonemergency physicians and 4,388 people from the general population were categorized into the control groups. This study used logistic regression and conditional logistic regression to compare the risks of insomnia between emergency and nonemergency physicians and between emergency physicians and the general population, respectively. The prevalence of insomnia among emergency physicians, nonemergency physicians and general population was 5.56%, 4.08%, and 1.73%, respectively. Compared with nonemergency physicians and the general population, emergency physicians had a significantly higher risk of insomnia. The proportions of emergency physicians, nonemergency physicians, and general population using hypnotics were 19.96%, 18.24%, and 13.26%, respectively. Among emergency physicians who used hypnotics, 49.77%, 25.57%, and 24.66% used only benzodiazepines, only nonbenzodiazepines, and both benzodiazepines and nonbenzodiazepines, respectively. Nonpharmacological interventions to improve insomnia and reminder of safe use of hypnotics to emergency physicians can serve as references for hospitals in developing health-promoting activities.

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Patterns and correlates of benzodiazepine use in nurses: A nationwide, population‐based study

Cited by 5 publications

References 24 publications

Consumption of Psychoactive Substances by Nursing Workers: An Integrative Review

Consumption of Psychoactive Substances by Nursing Workers: An Integrative Review

Risks of treated anxiety, depression, and insomnia among nurses: A nationwide longitudinal cohort study

Risk of insomnia and hypnotics use among emergency physicians

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