在经历过阿片类药物过量治疗的患者中,与自杀有关的护理
Bobbi Jo H Yarborough1, Scott P Stumbo1, Mary Jean Coleman2
1Center for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.
General hospital psychiatry
|September 17, 2023
概括
自杀风险通常不会与处方阿片类药物或治疗阿片类药物使用障碍 (OUD) 的患者讨论. 在阿片类药物过量服用后的自杀预防中存在护理差距,这表明需要改善患者支持.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 临床实践 临床实践
背景情况:
- 阿片类药物处方和阿片类药物使用障碍 (OUD) 是重大的公共卫生问题.
- 患有OUD和处方阿片类药物的个人存在自杀风险增加.
- 在这一群体中,有效的自杀预防策略至关重要.
研究的目的:
- 描述目前对处方阿片类药物或OUD患者的自杀预防护理.
- 确定可改善阿片类药物过量治疗患者自杀预防的领域.
主要方法:
- 半结构面试与65名经历过量阿片类药物相关的成年患者和21名临床医生进行了半结构面试.
- 参与者来自四个卫生系统.
- 一个社区咨询委员会提供了研究程序和解释的信息.
主要成果:
- 当患者被处方阿片类药物或治疗OUD时,自杀风险很少被讨论.
- 很大一部分患者,特别是那些无意中过量服用的患者,在过量治疗期间没有讨论过自杀想法.
- 与自杀相关的后续护理不常见,即使对于报告自杀意图的患者也是如此.
结论:
- 对于治疗阿片类药物过量治疗的患者来说,有很大的机会提高自杀预防护理.
- 卫生系统内需要量身定制的干预措施,以应对这一群体的自杀风险.
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