患者对急诊室开始服用酒精使用障碍药物的观点
Ethan Forsgren1,2, Athreya Steiger2, Yesenia Perez1
1Department of Emergency Medicine, Olive View-UCLA Medical Center, Sylmar, California, USA.
概括
对于酒精使用障碍 (AUD) 的急诊室启动纳尔特雷克松 (NTX) 是可行的. 患者接受得到了知识丰富的提供者,脱的护理和持续的治疗机会.
科学领域:
- 成 药物 药物 药物 药物
- 紧急医疗 紧急医疗
- 行为科学 行为科学
背景情况:
- 酒精使用障碍 (AUD) 是可预防死亡的主要原因.
- 对于AUD的急诊室 (ED) 访问往往错过了成治疗的机会.
- 一个新的途径在ED访问期间为AUD提供纳勒 (NTX).
研究的目的:
- 确定患者认为的在ED中启动NTX的障碍和促进者.
- 了解患者对基于ED的AUDNTX治疗的看法.
主要方法:
- 对28名被诊断患有AUD的患者进行了定性采访.
- 使用基于行为变化轮 (BCW) 框架的感应和演编码进行分析.
- 根据患者的能力,机会和动机对主题进行分类.
主要成果:
- 促进者包括最近的AUD后果,快速戒断管理,配方选择 (口服/肌内),以及脱的ED相互作用.
- 障碍包括提供者NTX知识缺口,酒精作为疼痛/创伤的自我治疗,AUD耻辱,副作用的担忧,以及缺乏持续护理的机会.
结论:
- 患者可以接受在ED中使用NTX启动AUD治疗.
- 促进NTX启动需要知识博的ED提供者,一个非耻辱化的环境,有效的戒断管理,以及与持续护理的联系.
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