在注射性阿片类药物激动剂治疗中监督的现场剂量 - - 考虑到患者的观点. 来自两座德国城市的横截面试研究的结果
Zoe Friedmann1, Hans-Tilmann Kinkel2, Claudia Kühner3
1Charité Universitätsmedizin Berlin (Medical University Hospital Charité Berlin), Charitéplatz 1, 10117, Berlin, Germany. zoe.friedmann@charite.de.
Harm reduction journal
|November 2, 2023
概括
可注射阿片类药激素治疗 (iOAT) 可以有效治疗阿片类药物使用障碍 (OUD). 患者发现每日诊所访问是负担的,建议灵活的输送方法,如带回家的剂量,以提高IOAT的接受度和有效性.
科学领域:
- 成 药物 药物 药物 药物
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 注射性阿片类激素治疗 (iOAT) 为患有阿片类药物使用障碍 (OUD) 的个人提供了替代方案,这些人对口服治疗没有反应.
- 目前的IOAT模型因严格的剂量政策而面临批评,包括强制监督,现场应用和频繁的诊所访问.
研究的目的:
- 为了调查患者在现场iOAT应用的经验.
- 确定提高iOAT交付可接受性和有效性的策略.
主要方法:
- 在德国,与27名现任或前任IOAT患者进行了半结构面试.
- 进行了诱导性的定性内容分析,包括盲目的独立编码.
主要成果:
- 患者在现场应用和日常访问的经验各不相同,有些人欣赏稳定性和社会支持,而另一些人则面临着重大的日常生活障碍.
- 严格遵守是常见的,通常是由于缺乏替代方案,应对策略和临床支持有助于遵守.
- 经常建议采取"带回家"的安排来改善IOAT,尽管存在已知的风险.
结论:
- 在监督下,在现场应用IOAT并非具有统一的经验;患者的需求各不相同.
- 诊所可以支持遵守严格的规定,但需要采用替代方法.
- 包含远程监督和交付服务的模型可以在IOAT中增强个性化和安全性.
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