改善阿片类药物使用障碍的机会 医院治疗内心炎患者的治疗
Rachel French1,2, Peggy Compton3, Justin Clapp4
1School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA Rachel.French@Pennmedicine.upenn.edu.
BMJ open quality
|December 19, 2023
概括
照顾阿片类药物使用障碍相关传染性内心炎 (OUD-IE) 患者的医疗保健人员面临着管理复杂需求的挑战. 改进包括跨学科合作和更好的出院规划,以支持患者住院后.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 传染性内心炎 (IE) 的增长率与注射阿片类药物使用的增加有关.
- 与阿片类药物使用障碍相关的传染性内心炎 (OUD-IE) 在住院患者中带来了显著的死亡率和出院挑战.
- 新兴的护理模式为解决OUD-IE患者复杂需求提供了机会.
研究的目的:
- 描述照顾OUD-IE患者的医疗保健工作人员有前途的做法.
- 确定在OUD-IE患者的护理中需要改进的领域.
- 了解医疗保健系统内OUD-IE管理中的促进者和障碍.
主要方法:
- 使用半结构化的虚拟访谈进行定性研究.
- 宾夕法尼亚大学医院的26名医疗保健工作人员参与其中.
- 以吸收方法为指导的专题分析,使用NVivo软件进行数据分析.
主要成果:
- 出现了三个主要主题:跨学科合作,在非OUD特定环境中管理OUD,以及临床医生的需求/障碍.
- 护理植根于跨学科的合作,突出其重要性.
- 管理OUD及其后续在现有医疗保健基础设施中提出了挑战.
结论:
- 结果确定了促进者和改善OUD-IE治疗的关键领域.
- 医疗保健工作人员和患者在住院期间和住院后需要通过复杂的护理途径.
- 重要变化包括对医院住院后复发准备工作人员的培训,以及修改出院设施的做法,以改善患者的准入.
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