暴力和尼古丁替代疗法在一个高度依赖的心理健康单位
Alistair Spiers1, Chew Sok Chin2, Kyle YuWei Ng3
1Department of Psychiatry, Geraldton Regional Hospital, Geraldton, WA, Australia.
概括
引入吸入式尼古丁替代疗法 (NRT) 选择减少了心理健康患者的攻击性. 更多的NRT选择改善了其使用和接受,从而导致更好的患者结果.
科学领域:
- 心理健康研究 心理健康研究
- 临床药理学 临床药理学
- 成 药物 药物 药物 药物
背景情况:
- 尼古丁戒断是精神卫生机构中攻击性的已知触发因素.
- 高依赖心理健康单位 (HDU) 面临的挑战是管理患者的攻击性.
- 医院禁烟令需要替代的尼古丁管理策略.
研究的目的:
- 评估吸入式尼古丁替代疗法 (NRT) 是否提高了可接受性和降低了侵略性.
- 评估引入高依赖心理健康单位的吸入性NRT对高依赖心理健康单位的影响.
- 检查NRT可用性和住院患者的攻击性之间的关系.
主要方法:
- 烟草吸烟者的回顾性队列研究被录取到HDU.
- 两年来NRT使用 (贴片,口香糖和吸入) 的比较.
- 使用布雷塞特暴力检查清单对侵略的量化.
主要成果:
- 在引入吸入形式后,NRT使用量从26%增加到33%.
- 整体住院患者的侵略性在第二年显著下降.
- 使用NRT与观察到的侵略性减少有关.
结论:
- 扩展的尼古丁替代疗法 (NRT) 选择提高了患者的接受度,降低了攻击性.
- 坚定的政策可以优化NRT的接受,剂量和管理.
- 吸入的NRT代表了管理尼古丁戒断和精神病学环境中的侵略的宝贵工具.
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