探索阿片类药物使用障碍治疗药物的实践经验:在众包便利样本中进行的定性研究
Grant Victor1, A Kheibari2, J C Strickland3
1School of Social Work, Rutgers University, 120 Albany St, New Brunswick, NJ, 08901, USA. gv220@ssw.rutgers.edu.
Community mental health journal
|September 5, 2024
概括
对阿片类药物使用障碍 (MOUD) 的药物治疗是有效的,但参与度较低. 这项研究发现,尽管存在诸如耻辱和停止治疗等障碍,但患者有积极的情绪体验,特别是在咨询方面.
科学领域:
- 成 药物 药物 药物 药物
- 质量健康研究 质量健康研究
- 患者体验 患者体验
背景情况:
- 药物治疗阿片类药物使用障碍 (MOUD) 是有效的,但在使用毒品的人中 (PWUD) 治疗参与度较低.
- 了解患者的经验对于改善MOUD护理参与至关重要.
- 定性研究可以揭示MOUD治疗坚持的障碍和促进因素.
研究的目的:
- 描述参与药物治疗阿片类药物使用障碍 (MOUD) 护理的人的治疗经验.
- 确定影响MOUD治疗的参与和持续因素.
- 为提高MOUD治疗可访问性和有效性的策略提供信息.
主要方法:
- 使用在线半结构面试的定性方法.
- 招募52名使用毒品并接受MOUD的参与者.
- 对面试数据进行主题分析,以确定治疗经验中的模式.
主要成果:
- 大多数参与者报告不规则和间歇性参与MOUD治疗.
- 对MOUD的积极经验经常与有效的戒断症状管理和咨询服务有关.
- 关键障碍包括对非阿片类药物的药物查失败,感知到的耻辱感和医生发起的停止治疗.
- 发现人们更喜欢使用甲维持治疗 (MMT),而不是布普伦诺芬或纳尔德.
结论:
- 患者对MOUD治疗的看法很好,特别是当与咨询相结合时.
- 解决诸如耻辱,药物查政策和医生主导的停药等障碍对于改善MOUD参与至关重要.
- 将MOUD交付量身定制为患者的偏好,如MMT,可能会提高治疗保留率.
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