与标准治疗方案相比,孕妇和育儿人员的综合治疗计划支持更长的保留时间:基于人口的队列研究
Karen Urbanoski1, Tomisin Iwajomo2, Tara Gomes3
1Canadian Institute for Substance Use Research, University of Victoria, Victoria, British Columbia V8W 2Y2, Canada; School of Public Health and Social Policy, University of Victoria, Victoria, British Columbia V8W 2Y2, Canada.
Journal of substance use and addiction treatment
|April 24, 2025
概括
综合治疗计划显著改善了孕妇和育儿人员在物质使用服务中的保留. 这些综合型号提供了更多的支持,导致较长的治疗时间和比标准护理更频繁的访问.
科学领域:
- 公共卫生 公共卫生
- 药物使用治疗 药物使用治疗
- 孕产妇和儿童的健康
背景情况:
- 怀孕和养育孩子的药物使用面临着独特的挑战.
- 综合治疗计划提供全面服务,以解决这些障碍.
- 这项研究比较了加拿大安大略省的综合治疗与标准门诊治疗.
研究的目的:
- 调查怀孕和育儿人员在门诊物质使用治疗中的保留率.
- 为了比较综合治疗方案与标准治疗方案在保留措施方面的有效性.
主要方法:
- 基于人口的回顾性队列研究 (2008-2015年) 对4440名女性进行.
- 11个综合治疗方案 (病例) 与10个标准治疗方案 (对照) 的比较.
- 相关的行政健康数据和特定计划的数据;多层次的负二项式回归分析.
主要成果:
- 综合计划提供了更多的内部/合作服务,包括产前护理和托儿.
- 综合治疗计划中的个人在治疗中停留时间更长 (aIRR=5.41),并且比标准计划中的患者访问更多 (aIRR=5.18).
- 这些发现在对单个和计划级别的共变量进行控制后得到证实.
结论:
- 综合治疗方案证明了其有效性,作为一个全方位的服务模式,用于怀孕和养育有物质使用障碍的个体.
- 这些综合模型在支持受物质使用影响的家庭方面表现有前途.
- 有证据支持实施综合治疗以改善结果.
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