干预措施支持参与成护理产后:原则和陷
Shayna Mazel1, Karen Alexander2, Camille Cioffi3
1Institute for Behavioral Health, Heller School for Social Policy and Management, Brandeis University, Waltham, MA, USA.
最佳的成管理脱离产后护理,导致物质使用障碍 (SUD) 患者的风险更高. 加强产后成治疗对于预防复发和过量死亡至关重要.
科学领域:
- 成 药物 药物 药物 药物
- 生殖健康 生殖健康
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 成是一种需要终身管理的慢性疾病,但美国的生殖健康保健是偶发性的,专注于怀孕.
- 在怀孕期间经常与医疗补助计划联系在一起的保险接入,通常会在分娩后结束,从而造成护理差距.
- 这种结构性不匹配导致产后的治疗消耗,这是一个易受伤害的时期,复发和过量服用的风险增加.
研究的目的:
- 审查在产后期间支持持续成护理的干预措施.
- 探索与产后成治疗相关的临床和伦理原则.
- 提出改善药物使用障碍 (SUD) 患者产后护理的策略.
主要方法:
- 对模型计划和基于证据的干预措施进行范围审查,以继续产后护理.
- 审查临床和伦理原则,强调减少危害.
- 分析当代护理现实和潜在的陷.
主要成果:
- 产后是SUD复发和过量服用的高风险时期,原因是护理撤回和系统复杂性.
- 与毒品相关的死亡是美国孕产妇死亡的主要原因.
- 现有的干预措施在增加产后护理参与度方面表现有前途.
结论:
- 在整个生殖生命过程中,急需综合,持续的成护理.
- 需要临床,研究和政策策略来改善SUD患者的产后结果.
- 采用以证据为基础,以人为中心的服务对于减轻风险和改善孕产妇健康至关重要.
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