向儿童保护服务部门报告围产期物质使用情况:产科提供者对对护理影响的看法
Joy S Kaufman1, Kimberly A Yonkers2, Caro Maltz1
1Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
儿童保护服务 (CPS) 对孕妇患有阿片类药物使用障碍 (OUD) 的报告要求可能会阻止护理. 医疗服务提供者发现,强制制制造成焦虑,并对患者参与必要的OUD治疗产生负面影响.
科学领域:
- 产科和妇科 产科和妇科
- 成 药物 药物 药物 药物
- 社会工作 社会工作 社会工作
背景情况:
- 孕妇和产后患者的阿片类药物使用障碍 (OUD) 带来了复杂的护理挑战.
- 儿童保护服务 (CPS) 的强制性报告要求为管理这些患者增加了另一层复杂性.
- 了解提供者的观点对于改善护理服务至关重要.
研究的目的:
- 探索产科提供者对患有OUD的患者的CPS强制报告的经验.
- 确定这些报告要求如何影响OUD的孕妇和产后患者的护理.
主要方法:
- 使用虚拟关键信息人采访进行的定性研究.
- 12名产科医生,执业护士和社会工作者参加了这次活动.
- 对采访成绩单的内容分析确定了关键主题.
主要成果:
- 医疗服务提供者报告说,患者对CPS参与的恐惧导致治疗延迟或避免.
- 由于担心CPS报告,人们犹不决接受OUD药物.
- 不一致的任务执行和CPS案件处理造成了沟通挑战和患者焦虑.
结论:
- 围产期患者OUD的强制性报告要求具有最小的感知效益.
- 这些要求可能会对患者的护理和参与治疗产生负面影响.
- 需要调整政策和实践,以支持患者和提供者.
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