"当时我只想减轻压力":探索长期催眠使用者的行为改变动机
Kristien Coteur1, Marc Van Nuland1, Birgitte Schoenmakers1
1Department of Public Health and Primary Care, Academic Centre for General Practice, KU Leuven, Belgium.
Heliyon
|May 26, 2023
概括
激励患者停止长期使用二二胺受体激动剂 (BZRA) 是关键. 患者赋权,设定目标和改变社会态度可以帮助停止使用这些催眠药.
科学领域:
- 主要护理医学 医疗保健
- 行为科学 行为科学
- 心理药理学 心理药理学
背景情况:
- 停止长期使用二二胺受体激动剂 (BZRA) 治疗失眠在初级保健中是一个重大挑战,原因是不利的风险效益概况.
- 了解患者的动机对于有效和高效的干预至关重要.
- 行为变化理论强调了动机作为一个多层次的概念,与生物心理社会模型保持一致.
研究的目的:
- 探索初级保健患者对影响停用长期BZRA使用的因素的观点.
- 检查这些因素与行为变化轮和理论领域框架所概念化的动机有关.
主要方法:
- 一项使用长期催眠使用者的半结构面试进行的定性研究.
- 采访是在2020年9月至2021年3月期间在比利时的初级保健机构进行的.
- 18个采访被录音,转录,并使用框架方法进行主题分析.
主要成果:
- 停药的成功不仅仅取决于患者的内在动力;强化和认同成为重要的动机领域.
- 关于个人能力和BZRA使用和停止使用的后果的信念在现有和前用户之间有所不同.
- 影响动机的因素是复杂和动态的,而不是静态的.
结论:
- 动机是一个复杂的,时间变化的构造,对于停止使用BZRA至关重要.
- 患者赋权和目标设定策略可能有助于减少长期BZRA的摄入量.
- 建议采取旨在改变社会对使用催眠药物的看法的公共卫生倡议.
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