"这不是个人问题":了解在住院治疗期间减少关系伤害的障碍,了解住院治疗期间减少关系伤害的障碍
Kelsey Leon1, Rachel Weger2, Nate Weinstock3
1Department of Family Medicine and Community Health, Perelman School of Medicine, Penn Presbyterian Medical Center, Floor 7, 51 N. 39th Street, Philadelphia, PA, USA. kelsey.leon@pennmedicine.upenn.edu.
Harm reduction journal
|June 11, 2025
概括
减少危害原则改善了对使用毒品的人 (PWUD) 的医院护理. 建立富有同情心的关系减少了耻辱,增强了沟通,导致PWUD的更好的健康结果.
科学领域:
- 医学社会学 医学社会学
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
背景情况:
- 使用毒品的人 (PWUD) 面临更高的感染并发症率和住院治疗.
- 对PWUD的污名化造成了沟通障碍,并影响了临床接触.
- 减少伤害的哲学强调富有同情心的关系,以改善护理.
研究的目的:
- 探索降低危害原则如何改善PWUD的医院护理.
- 了解PWUD在医院经历的沟通障碍和伤害.
- 确定培养尊重患者与提供者关系的策略.
主要方法:
- 在住院期间招募了16名患有物质使用障碍的患者.
- 关于减少伤害和医疗护理经验的半结构面试.
- 通过内容和主题分析分析了采访成绩单.
主要成果:
- 患者报告说,提供者忽视了社会背景,并由于使用物质而拒绝提供护理.
- 耻辱导致患者尽量减少投诉,避免护理.
- 通过减少伤害服务,同行支持和社区关怀,增强了尊严和自主性.
结论:
- 医疗保健环境仍然是PWUD的挑战,因为污名化的信仰.
- 减少危害原则为治疗性沟通提供了途径.
- 欣赏社会背景和生存尊严可以提高PWUD的护理质量.
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