患者对酒精使用障碍药物的看法:系统范围审查
Devin C Tomlinson1, Autumn Rae Florimbio1, Carol A Lee1
1Department of Psychiatry, Addiction Center, University of Michigan, Ann Arbor, Michigan, USA.
Alcohol, clinical & experimental research
|March 12, 2025
概括
患者的理解和耻辱是药物治疗酒精使用障碍 (MAUD) 的关键障碍. 通过以患者为中心的方法来解决这些问题,可以改善酒精使用障碍 (AUD) 的治疗机会和保留率.
科学领域:
- 成 药物 药物 药物 药物
- 心理药理学 心理药理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 酒精使用障碍 (AUD) 的前线治疗包括心理治疗和药物治疗,但使用率,特别是用于酒精使用障碍 (MAUD) 的药物,仍然很低.
- 了解患者的观点对于改善MAUD的吸收和有效性至关重要.
研究的目的:
- 描述患者对治疗酒精使用障碍 (MAUD) 药物的看法.
- 识别MAUD访问,启动和保留障碍的障碍.
- 为提高MAUD使用率的未来战略提供信息.
主要方法:
- 通过PubMed,EMBASE,PsycINFO和CINAHL进行了对文献的范围审查,直到2024年3月.
- 关键词包括患者的观点,MAUD和与酒精有关的术语.
- 包含了14项研究,研究了成年患者对MAUD的看法.
主要成果:
- 发现的关键障碍包括对MAUD有效性和影响缺乏认识和误解.
- 与MAUD相关的担忧或副作用的经验和感知到的耻辱感是严重的担忧.
- 研究评估了MAUD的一般性或特定药物,如纳尔特雷,迪苏尔菲拉姆和阿坎普罗沙特.
结论:
- 将患者的观点纳入干预措施可以提高MAUD的吸收率.
- 以个人为中心的讨论对于增加患者知识和减少围绕MAUD的耻辱感至关重要.
- 未来的策略应该集中在改善患者的理解和解决MAUD相关的耻辱,以改善酒精使用障碍的治疗结果.
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