スチムラント使用障害 (メタフェタミン) を有する投獄された若者における欲望とストレスへの対処に対する看護師主導の認知行動療法による有効性:ランダム化制御試験
Rahime Aslan1, Havva Gezgin Yazıcı1,2, Onur Gökçen1,2
1Mental Health Nursing Department, Faculty of Health Sciences, Kutahya Health Sciences University, Kutahya, Turkey.
Issues in mental health nursing
|September 4, 2025
まとめ
精神科の看護師は 医療従事者が指導する 認知行動療法プログラムを通じて 投獄された男性のメタファテミンの嗜好を効果的に軽減し ストレスへの対処を改善しました この介入は 薬物使用障害の治療に 有望な結果を示しています
科学分野:
- 矯正 医療
- 精神科 看護
- 薬物使用障害
- 認知行動療法
背景:
- 刺激剤使用障害 特にメタンフェタミンは 収監者の40%以上に影響します
- 証拠に基づいた治療へのアクセスの制限は 重要な課題となっています
- 精神科の看護師はこうした環境で 心理的介入を行うのに適しています
研究 の 目的:
- 8週間の看護師指導による認知行動療法 (CBT) の有効性を評価する.
- 投獄された男性におけるメタンフェタミンの欲求と ストレスへの対処戦略への介入の影響を評価する.
- 医療従事者の指導による 心理社会的な介入の可行性を 確認する
主な方法:
- 誘発剤使用障害 (メタンフェタミン) と診断された72人の投獄者を対象としたランダム化制御試験です.
- 参加者は看護師によるCBT介入 (8回) または通常の治療に割り当てられました.
- この介入は 認知の再構築,欲求管理,ストレスへの対処,再発防止に 焦点を当てました
- 薬物への渇望とストレスへの対処は,ベースラインと介入後の検証されたスケールを使用して測定されました.
主要な成果:
- 実験グループでは 38. 5%の強い欲求が減少した.
- ストレスに対処する戦略は全体的に26.7%改善した.
- 社会的支援を求める (34.1%),問題に焦点を当てた対処 (16.1%),適応的な回避 (33.7%) で顕著な改善が見られた.
- ストレスへの対処の改善には大きな効果が認められ,渇望の軽減には中程度の効果が認められた.
結論:
- 医療従事者の指導によるCBTは 投獄されたメタンフェタミン使用障害者のための効果的な心理的介入です
- 精神科の看護師が 薬物使用障害を矯正施設で対処する役割を 支持しています
- この介入モデルは 資源の限られた矯正環境でも実行可能であり, ポジティブな結果を示しています.
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