在患有双相情感障碍的退伍军人中,获得疼痛管理服务的障碍
Letitia E Travaglini1, Melanie Bennett1,2, Corinne N Kacmarek1,2
1VA Capitol Health Care Network (VISN 5) Mental Illness Research, Education, and Clinical Center (MIRECC), VA Maryland Health Care System, Baltimore, Maryland, USA.
Health services research
|September 5, 2023
概括
患有双相情感障碍的退伍军人由于孤立的护理和沟通问题,在获得慢性疼痛管理方面遇到了重大障碍. 改善提供者对非药物治疗疼痛的教育,可以加强护理协调,减少差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理健康服务 心理健康服务
- 疼痛管理 疼痛管理
背景情况:
- 同时发生的慢性疼痛和双相情感障碍给退伍军人带来了独特的挑战.
- 在退伍军人事务 (VA) 医疗保健系统中,获得综合有效的疼痛管理服务对这一群体至关重要.
研究的目的:
- 确定双相情感障碍退伍军人在获得慢性疼痛管理服务时遇到的障碍.
- 了解提供者对治疗双相情感障碍的退伍军人慢性疼痛的看法.
主要方法:
- 定性研究涉及与15名退伍军人和15名提供者在大西洋中部的VA医疗保健系统中的半结构面试.
- 采访探讨了慢性疼痛的经验,治疗机会和双相情感障碍的管理考虑.
主要成果:
- 出现了四个主要主题:隔离护理,心理健康优先,对疼痛管理选择的落后期望和提供者-患者沟通问题.
- 退伍军人报告说,精神和身体医疗保健没有整合,精神健康优先于身体疼痛,对基于证据的疼痛治疗不熟悉,以及沟通困难.
结论:
- 患有双相情感障碍和慢性疼痛的退伍军人面临着明显的障碍,无法获得公平的,基于证据的疼痛治疗.
- 在双相情绪障碍和非药物疼痛干预方面教育提供者可能会改善护理质量,协调,并减少获取差异.
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