在监狱中接受阿片类药物使用障碍药物治疗的人群中对延长释放布普伦诺芬的看法:一种定性研究
Thomas J Stopka1, Rebecca Rottapel2, Peter D Friedmann3
1Department of Public Health and Community Medicine, Tufts University School of Medicine, 136 Harrison Avenue, Boston, MA, 02111, USA. Thomas.Stopka@tufts.edu.
Addiction science & clinical practice
|September 12, 2024
概括
患者在监狱中使用延长释放布伦诺芬 (XR-Bup) 的经验各不相同. 有些人欣赏其方便性和减少戒断,而另一些人则更喜欢每日剂量和可怕的注射,强调在阿片类药物使用障碍治疗中需要个性化护理.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 刑事司法 卫生 刑事司法 卫生
背景情况:
- 监禁为阿片类药物使用障碍 (OUD) 治疗和过量预防提供了关键的机会.
- 马萨诸塞州的监狱在2019年强制要求所有食品和药物管理局批准的OUD (MOUD) 药物,包括一些设施的延长释放布伦诺芬 (XR-Bup).
- 在癌症环境中,患者对XR-Bup的看法在很大程度上仍未被探索.
研究的目的:
- 探索患者在监禁期间接受的XR-Bup治疗的经验和观点.
- 从患者的角度来看,了解XR-Bup在监狱环境中的可接受性.
主要方法:
- 与38个人进行了半结构面试,这些人最近在马萨诸塞州的监狱监禁期间接受了MOUD.
- 采访的重点是参与者在监狱中对XR-Bup的经历和观点.
- 使用演编码和诱导主题识别分析了定性数据,由可接受性的理论框架 (TFA) 构建.
主要成果:
- 参与者报告了XR-Bup. 的积极和负面经验.
- 好看的观点包括避免每日剂量麻烦,减少戒断,更少提醒成.
- 不利的观点集中在对日常生活的偏好,对注射的恐惧,以及对治疗决策缺乏控制.
结论:
- 在马萨诸塞州监狱接受MOUD的个人对XR-Bup有不同的看法.
- 了解患者偏好对于监狱考虑实施XR-Bup至关重要.
- 根据个体患者需求定制MOUD协议可以提高在监狱环境中的治疗效率.
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