药物使用障碍患者的共同决策:为期一年的随访研究
Pedro Serrano-Pérez1, Amado Rivero-Santana2, Constanza Daigre-Blanco3
1Department of Psychiatry and Forensic Medicine, Autonomous University of Barcelona, Barcelona, Spain; Department of Psychiatry, Hospital Álvaro Cunqueiro, SERGAS, Vigo, Spain; Translational Neuroscience Research Group, Galicia Sur Health Research Institute (IIS-Galicia Sur), SERGAS-UVIGO, CIBERSAM, Vigo, Spain.
大多数患有物质使用障碍 (SUD) 的患者更喜欢在治疗中共享决策. 然而,过度参与感可能会增加戒断和物质使用,强调需要量身定制的患者参与策略.
科学领域:
- 成 药物 药物 药物 药物
- 临床心理学 临床心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 以患者为中心的护理与改善结果有关,但在物质使用障碍 (SUD) 中尚未研究.
- 了解患者在治疗决策中的偏好对于有效的SUD管理至关重要.
- 患者的激活和感知参与可能会影响治疗的参与和成功.
研究的目的:
- 评估患者的偏好和对SUD治疗决策的感知参与.
- 检查这些因素对一年内记忆,药物坚持和物质使用的预测价值.
- 探索患者激活在SUD治疗结果中的作用.
主要方法:
- 我们使用后勤回归模型来分析决策角色,激活和结果之间的关联.
- 社会人口统计学和临床共变量被纳入分析.
- 收集了一年的随访数据,包括治疗持续时间,药理坚持和物质使用情况.
主要成果:
- 大多数SUD患者更喜欢在治疗决策中分享或被动的角色,并报告了首选和感知参与之间的一致性.
- 感知比预期更大的参与与更高的治疗中止和药物使用在6个月和12个月的可能性有关.
- 在其他决定性变量或患者激活水平与研究结果之间没有发现显著的关联.
结论:
- 虽然大多数SUD患者希望参与治疗决策,但过度感知参与可能会对治疗继续和物质使用产生负面影响.
- 研究结果表明,患者参与的潜在门,超越它可能会变得有害.
- 需要进一步的研究来证实这些结果,并探索患者参与SUD治疗的最佳水平.
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