用远程医疗治疗阿片类药物使用障碍的患者对耻辱的看法和经验:定性分析
Jessica V Couch1, Mackenzie Whitcomb1, Bradley M Buchheit2,3
1School of Medicine, Oregon Health & Science University, Portland, OR, USA.
Harm reduction journal
|June 27, 2024
概括
远程医疗可以通过提供更多的控制和隐私来减少阿片类药物使用障碍 (OUD) 患者的耻辱感. 然而,经验各不相同,这凸显出需要以患者为中心的OUD治疗方法.
科学领域:
- 成 药物 药物 药物 药物
- 数字健康数字健康
- 公共卫生 公共卫生
背景情况:
- 阿片类药物使用障碍 (OUD) 患者面临着严重的耻辱,影响了医疗保健的获取.
- 远程医疗为OUD治疗提供了一种新的方式.
- 减少耻辱是提高OUD护理参与度的关键.
研究的目的:
- 探索远程医疗如何影响患者在OUD治疗中的耻辱感.
- 了解OUD的数字医疗保健背景下耻辱的多方面的性质.
主要方法:
- 定性研究涉及30名接受布普伦诺芬治疗的OUD患者的电话采访.
- 在2022年10月至12月期间在城市学术医疗中心进行的采访.
- 使用反射主题分析分析数据以确定关键主题.
主要成果:
- 远程医疗为患者在治疗环境中提供了更大的控制和隐私.
- 在远程医疗接触中,公众的耻辱和隐私问题仍然很重要.
- 在远程医疗中,社交距离可以减轻或加重临床医生的耻辱感.
- 增加远程医疗灵活性与对临床医生的更大信任和尊重的看法有关.
结论:
- 远程医疗对OUD患者的耻辱的影响是复杂的,并且取决于背景.
- 研究结果支持个性化,以患者为中心的OUD护理模式.
- 政策应该允许患者在OUD治疗输送方法中的选择.
相关概念视频
Psychosis: Goals of Pharmacotherapy
119
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
119
The Placebo Effect
6.1K
The placebo effect occurs when people's expectations or beliefs influence or determine their experience in a given situation. In other words, simply expecting something to happen can actually make it happen.
6.1K
Community Based Intervention
38
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
38
Analgesia and Pain Management
573
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
573
Drug Therapy
41
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
41
Stress and Mental Health
96
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
96


