一个基于社区的围产期物质使用障碍协作护理模式的可信度驱动的评估
Christina M Jäderholm1,2, Teshanee T Williams3, Brad M Wipfli2
1Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Frontiers in public health
|December 1, 2025
概括
这项研究表明,基于社区的围产期物质使用障碍 (SUD) 计划可以改善治疗坚持和出生结果. 以患者为中心的旅程映射有效地评估了这些重要的恢复服务.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 成 药物 药物 药物 药物
背景情况:
- 怀孕期间的物质使用障碍 (SUD) 对父母和孩子的福祉构成重大风险,包括过量服用和家庭分离.
- 基于社区的康复计划提供全面的护理,但它们的有效性和社区观点往往被低估.
- 评估围产SUD治疗模式对于改善母亲和婴儿健康结果至关重要.
研究的目的:
- 为了评估物质使用网络 (SUN) 计划,这是北卡罗来纳州一个基于社区的产后SUD恢复模型.
- 通过以患者为中心的旅程映射方法评估参与者的参与度,健康结果以及患者和提供者经验之间的协调.
- 为评估基于社区的恢复计划提供可复制的模型.
主要方法:
- 采用混合方法方法,包括医疗记录审查 (n=29),调查 (n=29),焦点小组 (n=7) 和员工访谈 (n=11).
- 使用以患者为中心的旅程映射来评估参与者的参与和经验.
- 定量数据分析了治疗坚持和分娩结果;定性数据探索了参与者和工作人员的观点.
主要成果:
- 观察到高治疗坚持 (94%) 和积极的出生结果,有87%的婴儿出生到期.
- 100%的婴儿出生于父母在第一季度注册的婴儿在期限交付.
- 定性数据揭示了参与者对阿片类药物激动剂治疗和持续的,非判断性的支持的优先事项,以及确定了改善计划的领域.
结论:
- 专注于患者的旅程映射为评估社区围产SUD计划提供了可信和可复制的框架.
- 太阳计划证明了社区模式在支持父母康复和改善婴儿健康方面的有效性.
- 调查结果可以为康复中的孕妇和育儿个人提供增强的公共卫生策略.
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