成年人滥用药物:一种初级保健方法
Alicia Kowalchuk1, Sandra J Gonzalez1, Roger J Zoorob1
1Baylor College of Medicine, Houston, Texas.
American family physician
|May 28, 2024
概括
家庭医生可以通过查患者的酒精和毒品使用来打击物质滥用. 基于证据的干预措施和药物可以改善患者的结果和社区健康.
科学领域:
- 家庭医学 家庭医学 家庭医学
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
背景情况:
- 滥用物质和物质使用障碍是严重的公共卫生问题,导致广泛的发病率和死亡率.
- 相当大比例的人口从事危险的酒精消费,并使用非处方药的受控物质.
研究的目的:
- 突出家庭医生在处理物质滥用方面的关键作用.
- 在初级保健机构内强调基于证据的物质使用障碍的预防和管理策略.
主要方法:
- 将标准化查和酒精和物质使用短暂干预纳入常规成年人护理.
- 在患者互动中使用人第一,非污名化的语言.
- 利用办公室治疗方法,包括FDA批准的治疗酒精使用障碍的药物.
- 在取消X豁免后,使用布普伦诺芬治疗阿片类药物使用障碍.
- 实施阿片类药物过量教育和纳洛联合处方.
主要成果:
- 酒精查和简短的干预可以在六个月后将过度饮酒减少高达40%.
- 对酒精使用障碍的办公室治疗仍然未得到充分利用.
- 删除X豁免扩大了办公室阿片类药物使用障碍治疗的能力.
结论:
- 家庭医生是通过查,干预和治疗来管理物质使用障碍的关键.
- 扩大对基于证据的治疗方法的获取,例如治疗酒精和阿片类药物使用障碍的药物,可以改善患者和社区的健康.
- 采用非污名化语言可以增强对物质使用障碍患者的护理.
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