在临终关怀中照顾阿片类药物滥用或物质使用障碍患者:一项全国调查
Gabrielle A Langmann1, Julie Childers2, Jessica S Merlin2,3
1Supportive and Palliative Care Program, Division of General Internal Medicine, University of Utah Spencer Fox Eccles School of Medicine, Salt Lake City, Utah, USA.
临床医生经常照顾阿片类药物滥用和物质使用障碍 (SUD) 的患者. 虽然他们对识别有所了解,但他们报告说,管理这些疾病和相关疼痛的舒适度较低.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 成 药物 药物 药物 药物
- 临终关怀和息护理研究
背景情况:
- 滥用阿片类药物和物质使用障碍 (SUDs) 显著影响患者的生活质量.
- 临终关怀医生与表现为阿片类药物滥用和SUDs的患者的经验没有得到充分的记录.
- 了解这些经验对于改善终身护理至关重要.
研究的目的:
- 探索宿舍临床医生在照顾阿片类药物滥用和SUD患者方面的知识,实践和舒适度.
- 为这一群体确定临终关怀专业发展的具体挑战和领域.
主要方法:
- 一项在线调查分发给美国各地的宿舍临床医生.
- 该调查由研究作者设计,并由经验丰富的宿舍临床医生试点测试.
- 175名临床医生 (护士,医生,执业护士) 完成了调查.
主要成果:
- 大多数临床医生感到有信心识别阿片类药物滥用 (94%) 和采取SUD历史 (79%).
- 大多数 (62%) 认为治疗SUD是他们的角色的一部分,但许多人对SUD患者的疼痛管理缺乏布普伦诺芬 (56%) 和纳尔德 (45-49%) 的舒适性.
- 在接受美沙治疗的患者 (73%) 中,控制疼痛的舒适度更高.
结论:
- 在宿舍环境中,阿片类药物滥用和SUDs很普遍.
- 临终关怀临床医生拥有基础知识,但需要加强培训和支持来管理SUD和相关疼痛.
- 需要对药物治疗 (例如,布普伦诺芬,纳尔特雷) 进行进一步的教育,以改善护理.
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