照顾患有物质使用障碍的住院患者:一个跨专业需求评估调查
M Holliday Davis1,2,3, Judy Chertok2,4, Shoshana Aronowitz3,5
1Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pa.
American journal of medicine open
|October 2, 2025
概括
使用毒品的住院患者面临着护理方面的挑战. 成咨询服务 (ACS) 可能有助于弥合知识差距并减少临床医生的倦怠,但社会需求等障碍仍然存在.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 药物中毒药物 药物中毒药物
背景情况:
- 吸毒者住院人数增加 (PWUD).
- 成咨询服务 (ACS) 是一个新兴的最佳实践.
- 在ACS实施之前,需要了解临床医生的观点.
研究的目的:
- 评估临床医生的知识,态度和对PWUD护理的感知需求.
- 识别医院住院患者提供护理的障碍.
- 通知实施一个成咨询服务 (ACS).
主要方法:
- 基于Web的需求评估调查于2023年3月进行.
- 目标医生,先进实践提供者 (APP) 和费城学术医院的护士.
- 评估准备,知识差距,障碍和服务需求.
主要成果:
- 50%的应答率 (236/472名临床医生).
- 临床医生感到准备好进行戒断评估和SUD诊断,但缺乏对护理联系和减少危害的信心.
- 主要障碍包括患者的社会需求,资源的可用性和缺乏专家咨询.
结论:
- 大多数临床医生认为物质使用障碍 (SUD) 是可以治疗的.
- 对PWUD的不充分支持会损害患者的护理,并导致临床医生疲劳.
- 进一步的研究应该评估ACS在解决障碍和支持临床医生的有效性.
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