实施最佳实践 在查产妇患有物质使用障碍时实施最佳实践
Sheila Kaufman1, Patricia D Suplee2, Damali M Campbell-Oparaji3
1Virtua Health, Camden, New Jersey.
Journal of midwifery & women's health
|October 24, 2024
概括
在怀孕期间对物质使用障碍 (SUD) 的查需要经过验证的工具,而不是常规的尿液药物测试. 基于证据的查将孕妇与必要的咨询和治疗联系起来.
科学领域:
- 产科和妇科 产科和妇科
- 成 药物 药物 药物 药物
- 助产士的护理 助产士的护理
背景情况:
- 对物质使用障碍 (SUD) 的查是综合产前护理的关键组成部分.
- 经过验证的查工具被推用于早期识别有风险的孕妇.
- 尿液毒理学测试经常被滥用作为查工具,尽管有证据反对其常规使用.
研究的目的:
- 审查妊娠中SUD查的基于证据的工具.
- 讨论在这个人群中尿液毒理学测试的局限性和潜在危害.
- 突出助产护理在实施有效SUD查中的作用.
主要方法:
- 关于SUD查工具在怀孕期间的当前文献的综述.
- 分析尿液毒理学测试的诊断局限性和临床影响.
- 审查将SUD查纳入助产士工作流程的最佳实践.
主要成果:
- 经过验证的查仪器对于在怀孕期间识别SUD风险是有效的.
- 常规的尿液毒理学测试可能导致误解和对患者的负面影响.
- 助产护理模式为改善SUD查实施提供了机会.
结论:
- 基于证据的查工具优于尿液毒理学测试,用于在怀孕期间识别SUD.
- 解决尿液毒理学测试的滥用问题对于患者的福祉至关重要.
- 助产士处于一个独特的位置,可以加强SUD查和与孕妇护理的联系.
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