实施和分析一个单一的学术城市急诊部酒精使用障碍的多方面的干预
Eva Duvalyan1, Israel Falade1, Winnie Fan1
1School of Medicine, University of California, San Francisco, California, USA.
概括
紧急部门可以通过实施提供者教育和可访问的药物计划来增加对酒精使用障碍 (AUD) 的纳尔特雷克松处方. 这种干预导致了对AUD患者的纳尔特雷克松处方增加了六倍.
科学领域:
- 紧急医疗 紧急医疗
- 成 药物 药物 药物 药物
- 药理学 药理学是指药理学的学科.
背景情况:
- 在美国,与酒精有关的急诊室 (ED) 访问从2006年至2014年增加了76%
- 酒精使用障碍 (AUD) 需要改进基于ED的干预措施.
- 纳尔特雷是一种有效的AUD药物,但它的ED使用是有限的.
研究的目的:
- 实施和分析一项多方面的干预措施,以增加ED中纳尔特雷的处方.
- 解决ED提供者在纳尔特雷处方方面发现的障碍.
主要方法:
- 进行了对ED纳尔特雷克松处方实践和提供者观点的基线评估.
- 干预措施包括提供者教育,处方辅助器,并在出院时提供零成本的纳尔特雷.
- 在一个大型城市学术医院实施了一项多方面的干预.
主要成果:
- 预防干预:只有0.66%的符合条件的患者接受了纳尔特雷克松处方.
- 干预后:符合条件的患者中有3.96%接受了纳尔特雷克松处方,增加了6倍.
- 发现的障碍包括缺乏培训,协议和患者教育材料.
结论:
- 一个多方面的干预成功地增加了ED. AUD的口服纳尔特雷克松处方.
- 解决提供者教育和药物获取障碍是关键.
- 对于AUD患者,ED临床医生可以有效地启动纳尔德.
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