普雷斯托:促进对阿片类药物的安全缩的承诺
Dean A Bricker1, Timothy N Crawford2, Angie Castle2
1Departments of Internal Medicine and.
Pain
|June 16, 2023
概括
在PRESTO协议中接受培训的初级保健提供者在讨论阿片类药物缓和方面表现出更大的信心. 虽然整体阿片类药物处方没有显著下降,但布普伦诺芬处方增加.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 阿片类药物过量死亡仍然是一个重大的公共卫生问题,处方阿片类药物导致24%的死亡.
- 改变处方做法对于减少阿片类药物相关死亡率至关重要.
- 初级保健提供者 (PCP) 往往需要增强的患者参与技能,以有效地管理阿片类药物逐渐减少.
研究的目的:
- 评估PRESTO协议对PCP阿片类药物处方模式的影响.
- 评估PCP信心和患者参与度的变化,以评估培训后阿片类药物逐渐减少的情况.
- 为了确定PRESTO协议是否会影响布普伦诺芬的处方.
主要方法:
- 进行了一项时间序列试验,涉及148名俄俄州PCP.
- 这项研究比较了阿片类药物处方模式在PRESTO协议培训前8个月和之后8个月.
- 培训以基于证据的查,简短干预和转诊治疗 (SBIRT) 方法为模式.
主要成果:
- 完成PRESTO培训的PCP报告说,他们对讨论阿片类药物过量风险和逐渐减少的信心增加了.
- 在参与者中观察到整体阿片类药物处方的减少,但与未经培训的PCP相比,它在统计学上并不显著.
- 在完成PRESTO培训的PCP中,发现布普伦诺芬处方的小但显著增加.
结论:
- 普雷斯托协议提高了PCP对管理阿片类药物逐渐减少的信心.
- 虽然整体阿片类药物处方变化并不显著,但该协议显示了增加布普伦诺芬处方的前景.
- 需要对PRESTO方法和阿片类药物风险金字塔进行进一步的研究和验证.
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