未来诊所的合作伙伴:一个多学科的围产期物质使用计划
Courtney Townsel1, Sanaya Irani2, Carol Buis1
1Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, United States of America.
General hospital psychiatry
|November 22, 2023
概括
这项研究引入了一个针对有物质使用障碍 (SUD) 的孕妇的综合诊所,改善了护理和围产期结果. 该模型通过提供整体的,以患者为中心的服务,减少了NICU入院和严重的新生儿戒断综合征 (NAS).
科学领域:
- 产科和妇科 产科和妇科
- 围产儿医学 围产儿医学
- 成精神病学成精神病学
背景情况:
- 目前的产科护理模式往往为涉及物质使用障碍 (SUD) 的高风险怀孕分散服务.
- 这种碎片化导致对有复杂需求的孕妇进行低于最佳的护理,包括同时出现的心理健康状况.
研究的目的:
- 描述一个多学科,综合周产期物质使用诊所的框架.
- 介绍最近的临床结果,证明这种综合模型的有效性.
主要方法:
- 详细介绍了未来伙伴关系 (PFF) 诊所,整合了子专业和支持服务.
- 从2017年到2021年对182名患者进行了回顾性图表审查.
- 专注于创伤信息化的护理,耻辱的减少,和减轻伤害.
主要成果:
- 片类药物使用障碍是最常见的护理指示,81%的人同时患有精神疾病.
- 新生儿重症监护室 (NICU) 的入院和严重的新生儿阿片类药物戒断综合征 (NOWS) 诊断在实施吃-睡-安慰方法后减少.
- 关键的社会服务需求包括护理协调,运输和调整咨询;启动了一个虚拟行为健康服务.
结论:
- 综合护理模式为SUD和心理健康状况的孕妇提供整体护理.
- 以患者为中心的,同位服务明显改善了围产期结果,特别是在暴露于阿片类药物的怀孕中.
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