将认知行为疗法添加到阿片类药物使用障碍药物辅助治疗的结果
Taylor LeBlanc1, Pamela Cromer1, Stephen Gilliam1
1Augusta University, Albany, Georgia.
Journal of the American Association of Nurse Practitioners
|September 8, 2023
概括
持续的认知行为疗法 (CBT) 在阿片类药物使用障碍的药物辅助治疗 (MAT) 中显著改善了保留率. 这项质量改进项目显示了患者保留率的大幅增加,突出了结构化心理社会干预措施的有效性.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
背景情况:
- 越来越多的阿片类药物过量死亡需要有效的干预措施.
- 心理社会干预措施提高了阿片类药物使用障碍的药物辅助治疗 (MAT) 的保留率.
- 乔治亚州的道格蒂县经历了高水平的阿片类药物过量死亡,这与密集的门诊MAT计划和不一致的治疗计划有关.
研究的目的:
- 评估一致的个人认知行为疗法 (CBT) 对治疗保留率的影响.
- 在密集的门诊环境中评估修订后的MAT协议的有效性.
- 为解决改善阿片类药物使用障碍治疗结果的关键需求.
主要方法:
- 一个质量改进项目使用6个月的时间分析了临床数据.
- 每月的MAT报告比较了政策变化之前和之后的保留率.
- 干预包括每隔一周持续60分钟的个人CBT会议,以及每周的小组治疗和处方药物.
主要成果:
- 在政策实施后,治疗保留率从8%大幅增加到56%.
- 增加一致的,每两周一次的个人CBT与这种改善有关.
- 这一政策变化对患者保留率产生了统计学上显著的影响 (χ 2 = 8.93,p = .01).
结论:
- 在MAT计划中,在集体治疗和药物治疗的同时,实施一致的个人CBT会增加患者的留守率.
- 结构化的心理社会干预对于改善阿片类药物使用障碍治疗结果至关重要.
- 这项质量改进计划提供了一个可扩展的模型,以提高MAT计划的有效性.
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