患者对适应阿片类药物使用障碍与抑郁症和/或创伤后应激障碍的协作护理的观点
Progress in community health partnerships : research, education, and action
|September 23, 2024
概括
患者的意见对于调整协作护理模式以治疗阿片类药物使用障碍和同时出现的心理健康状况至关重要. 这种方法改善了初级保健机构的治疗量身定制和可行性.
科学领域:
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 阿片类药物使用障碍 (OUD) 和同时出现的心理健康问题带来了重大挑战,导致更糟糕的结果和有限的治疗机会.
- 让患者成为研究合作伙伴对于开发有效的,针对这一群体量身定制的护理策略至关重要.
- 协作护理模式在管理复杂的并发性疾病方面表现有前途.
研究的目的:
- 在初级保健机构适应和实施协作护理干预措施,用于同时发生的疾病.
- 利用社区参与的合作研究方法,涉及患者,提供者和管理人员.
- 在整个干预设计和实施过程中整合患者的反.
主要方法:
- 与患者 (n=11) 进行了定性采访,以收集关于拟议的协作护理适应的反.
- 在纳入初始反后,对参与者 (n=9) 进行了贝塔测试.
- 数据分析涉及快速的内容分析,结果为随后的卫生系统实施和护理协调员培训提供了信息.
主要成果:
- 患者反强调了护理协调员 (CC) 需要接受患者参与,减少耻辱和解决社会经济障碍和复发方面的培训.
- 患者认为CCs有助于解决同时出现的疾病,并强调需要灵活性和远程医疗的接受性.
- 综合患者反为卫生系统内护理协调员的培训提供了信息.
结论:
- 这项研究证实了将患者观点纳入治疗设计和实施的可行性和价值.
- 社区参与的合作研究是加强卫生系统干预措施的有效策略.
- 以患者为中心的适应是改善OUD和并发精神健康状况的个体护理的关键.
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