太极易于阿片类药物使用障碍:试点可行性结果和经验教训
Zhanette Coffee1,2, Terry A Badger1, Ruth Taylor-Piliae1
1College of Nursing, University of Arizona, Tucson, Arizona, USA.
Journal of integrative and complementary medicine
|July 18, 2025
概括
一个虚拟的太极拳简单干预表明,在住院患者中,阿片类药物使用障碍患者的可行性很低. 门诊环境显示出更有前途的结果,这表明未来对这一群体的研究需要量身定制的策略.
科学领域:
- 综合医学是一个整体的医学.
- 行为健康 行为健康
- 公共卫生 公共卫生
背景情况:
- 阿片类药物使用障碍 (OUD) 是一个关键的全球健康问题,由慢性疼痛 (CP) 和焦虑加剧,导致治疗中止率高.
- 对OUD (MOUD) 的药物使用不足,许多患者过早停止治疗或复发.
- 心身疗法显示出管理压力,渴望和疼痛的潜力,但太极拳尚未专门研究OUD与同时发生的CP和焦虑.
研究的目的:
- 为了评估8周虚拟太极拳轻松 (vTCE) 干预的可行性.
- 评估vTCE作为OUD和同时出现的慢性疼痛和/或焦虑的成年人的辅助疗法.
- 为了比较住院和门诊参与者之间的可行性基准和基线特征.
主要方法:
- 采用了一个前后,单组准实验设计.
- 干预包括轻柔的动作,呼吸练习,自我按摩和正念练习.
- 收集的数据包括招聘,保留,坚持,可接受性,适当性和安全性.
主要成果:
- 在扩展到门诊机构后,招聘目标部分实现 (目标的65%).
- 保留率 (15.8%) 和坚持率 (20%参加>1次会议) 很低,特别是在住院环境中.
- 可接受性 (3.5/5),适当性 (3.5/5),和整体可行性 (4/5) 是中度的;没有报告的伤害.
结论:
- 虚拟的太极拳Easy干预在住院患者环境中显示出很低的可行性.
- 门诊设置显示出更大的可行性,具有明显的基线特征,包括阿片类药物渴望.
- 未来的研究需要针对门诊OUD治疗中vTCE的定制招募,保留和干预策略.
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