探索长期依赖甲的患者的感知生活质量:一种定性研究
Seyed Hamzeh Hosseini1, Farnaz Fendereski2, Fereshteh Yazdani3
1Psychosomatics Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Harm reduction journal
|December 21, 2024
概括
甲维持治疗 (MMT) 通过身体精神恢复,生活意义和社会支持,改善阿片类药物使用障碍 (OUD) 患者的生活质量 (QoL). 然而,MMT也可能导致疲,耻辱和经济困难,需要缓解策略.
科学领域:
- 成 药物 药物 药物 药物
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 阿片类药物使用障碍 (OUD) 是一个重要的全球健康问题.
- 甲维持治疗 (MMT) 是OUD的基石疗法.
- 生活质量 (QoL) 是OUD治疗的关键结果指标.
研究的目的:
- 探索长期依赖甲的患者 (MDPs) 感知到的生活质量 (QoL).
- 了解在接受MMT的个体中影响QoL的多方面的因素.
主要方法:
- 定性研究设计采用有目的的采样,最大限度的变化.
- 在数据和之前,与25个长期MDP进行了半结构化的深度访谈.
- 使用MAXQDA10软件和传统内容分析分析了采访数据.
主要成果:
- 患者报告说,他们对身体和精神的改善感到满意,生活有了更多的意义,并对自我有积极的看法.
- 增加社会资本,包括社会支持和减少耻辱感,是关键主题.
- 观察到婚姻满意度的增长和有效的应对机制.
- 相反,患者经历了与MMT相关的身心疲,耻辱,歧视和经济困难.
结论:
- 在MDPs的QOL受到身体-精神健康,生活满意度,自我认知,社会资本和婚姻关系的改善的影响,以及MMT相关的挑战.
- 建议包括减轻MMT的负面影响,如耻辱和歧视,以提高阿片类药物依赖患者 (ODP) 的QoL.
- 战略应专注于最大限度地提高MMT的益处,同时尽量减少对患者日常生活的不良影响.
相关概念视频
01:29Documentation in Long-Term and Home Healthcare Setting
873
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
873
01:17Drug Dependence
978
Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
978
01:25Analgesia and Pain Management
496
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
496
02:20Longitudinal Research
11.8K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
11.8K
01:26Longitudinal Studies
129
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
129
01:15Opioid Analgesics: Synthetic and Semisynthetic Opioids
219
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
219