在办公室成治疗中消除尿液药物检测的患者和提供者的观点
Jacqueline Theisen1, Zoe M Weinstein1,2,3, Melissa Davoust4
1Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Substance use & addiction journal
|August 28, 2025
概括
在办公室成治疗 (OBAT) 中,常规的尿液药物检测 (UDT) 可能会增加耻辱感,并制造护理障碍. 重新考虑常规的UDT和采用选择性,以患者为中心的方法可以改善阿片类药物使用障碍的参与和结果.
科学领域:
- 药物成
- 公共卫生
- 质量研究
背景情况:
- 常规尿液药物检测 (UDT) 是针对阿片类药物使用障碍 (OUD) 的办公室成治疗 (OBAT) 的常见做法.
- 有关UDT可能增加耻辱感和改善患者结果的有限证据存在担忧.
- 由于COVID-19疫情导致常规UDT暂停,因此有机会研究其影响和患者/提供者的观点.
研究的目的:
- 探索患者和提供者在办公室成治疗中的常规尿液药物检测 (UDT) 的观点.
- 了解在COVID-19疫情期间停止常规UDT的影响.
- 在成治疗环境中提供UDT的最佳实践信息.
主要方法:
- 在城市低门的OBAT计划中,对25名患者和16名提供者进行了定性采访.
- 面试时间为2021年5月至2022年5月.
- 专题分析用于分析对传统的UDT的意见和停止使用的经验.
主要成果:
- 三个主要主题出现了:在传统护理模式中感知到UDT的实用性,常规UDT对护理参与的负担,以及UDT对患者提供者的信任的影响.
- 患者和提供者分享了与常规UDT相关的挑战和好处.
- 疫情期间停用UDT为其在治疗中的作用提供了有价值的数据.
结论:
- 这些发现表明需要重新考虑在OBAT中的常规UDT,并提高整体护理标准.
- 建议选择性,以患者为中心的UDT方法,包括患者要求的测试和适当的中止.
- 需要替代的,非耻辱化的临床工具来支持患者和提供者.
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