退伍军人患有阿片类药物使用障碍的治疗方式的重要性:对虚拟护理的影响
Sarah Meshberg-Cohen1,2, Ashley M Schnakenberg Martin3,4, Noah R Wolkowicz3,4
1Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA. sarah.meshberg-cohen@yale.edu.
Community mental health journal
|December 20, 2024
概括
对阿片类药物使用障碍 (MOUD) 药物的虚拟治疗是有效的. 然而,患有酒精使用障碍或精神病障碍的退伍军人可能需要额外的支持,以防止精神病患者访问急诊室.
科学领域:
- 成 药物 药物 药物 药物
- 远程医疗服务是远程医疗服务.
- 心理健康服务研究 心理健康服务研究
背景情况:
- 治疗阿片类药物使用障碍 (MOUD) 的药物是成治疗的基石.
- 随着COVID-19的流行,远程医疗服务的采用加速了.
- 了解虚拟环境中的治疗利用模式对于优化护理至关重要.
研究的目的:
- 检查在接受MOUD的退伍军人的治疗利用率,通过面对面和虚拟模式.
- 调查治疗方式,患者特征和精神病急诊室 (PER) 使用率之间的关系.
主要方法:
- 对MOUD的139名退伍军人治疗记录的回顾性分析.
- 在三个时期收集的数据:远程医疗前期,最初的远程医疗过渡期和远程医疗后期.
- PER利用率被用作疾病严重程度的代理指标.
主要成果:
- 治疗方式与PER利用没有关联.
- 过去一年的PER访问,酒精使用障碍 (AUD) 和精神病障碍预测了在远程医疗期间的PER使用情况.
- 在远程医疗后的时期,AUD预测了PER的利用率.
结论:
- 对于MOUD治疗来说,频繁的面对面访问可能不是必不可少的.
- 患有并发性AUD和精神疾病的退伍军人可能需要加强支持,以减轻紧急护理的风险.
- 远程医疗可以成为MOUD治疗的可行模式,要仔细考虑患者的具体需求.
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