药剂师扩大了对有物质使用障碍的患者应急管理的准入
Madeline Salsman1, Michelle Colvard2, Candace Beam3
1(Corresponding author) Outpatient Mental Health, VA Tennessee Valley Healthcare System, Nashville, Tennessee, madeline.salsman@va.gov.
The mental health clinician
|February 6, 2026
概括
应急管理 (CM) 通过激励戒断和药物坚持,有效支持物质使用障碍 (SUD) 治疗. 临床药剂师从业者 (CPPs) 是扩大这种基于证据的干预措施以获得更好的患者结果的关键.
科学领域:
- 行为健康干预措施 行为健康干预
- 药物治疗物质使用障碍的药物治疗.
- 医疗保健提供系统
背景情况:
- 应急管理 (CM) 是一种行为干预,为在物质使用障碍 (SUD) 治疗中实现目标提供激励.
- 本次审查重点关注戒断的CM和坚持注射SUD药物的CM.
- 临床药剂师从业人员 (CPPs) 处于有利地位,能够推动CM的使用.
研究的目的:
- 描述患者的特征和与SUD的CM相关的结果.
- 评估CPP在提供CM中对戒断和药物坚持的作用.
- 在现实临床环境中评估CM的有效性.
主要方法:
- 在3个VA医疗机构接受CM治疗禁欲或注射药物坚持的患者的回顾性审查 (2017年11月 - 2023年12月).
- 涉及的跨专业团队和CPP.
- 收集关于患者特征和关键结果的数据.
主要成果:
- 接受CM用于坚持治疗的患者 (n=98) 的准时预约率为88.3%,注射了574次纳尔特雷或布普伦诺芬XR注射.
- 在CM中禁食的患者 (n=51) 提供了566个尿样,其中80%的检测结果对目标物质呈阴性.
- 在CPP带领的CM中,在戒断和坚持两组中都表现出积极的结果.
结论:
- CPP正在成功地扩大对SUD治疗的CM的访问.
- 禁欲和坚持的CM显示出有希望的结果,与现有文献保持一致.
- 在门诊环境中进一步扩大CPP提供的CM可以增加获得基于证据的SUD护理的机会.
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