在农村门诊行为健康诊所实施查,简短干预和转诊治疗
Falon Nelson1, Kesa Herlihy, Lucinda Whitney
1Falon Nelson, DNP, APRN, PMHNP-BC, Kesa Herlihy, PhD, APRN, FNP-BC, and Lucinda Whitney, DNP, APRN, PMHNP-BC, School of Nursing, The University of Kansas Medical Center, Kansas City, Kansas.
Journal of addictions nursing
|February 17, 2026
概括
检查酒精和药物滥用在门诊诊所至关重要. 这个项目培训了提供者,通过AUDIT和DAST等工具识别了物质使用障碍患者,使得及时干预成为可能.
科学领域:
- 行为健康 行为健康
- 公共卫生 公共卫生
- 提高医疗保健的质量 改善医疗保健的质量
背景情况:
- 药物使用障碍 (SUDs) 在美国导致严重的残疾和死亡率.
- 尽管有有效的治疗方法,但SUD查在门诊环境中并不常见.
- 一家农村行为健康诊所没有查患者是否滥用酒精/毒品,这与指导方针相反.
研究的目的:
- 实施和评估一个质量改善项目,用于查,简短干预和转诊治疗 (SBIRT).
- 培训提供者使用酒精使用障碍识别工具 (AUDIT) 和药物滥用查工具 (DAST).
- 评估新成年患者的阳性查和随后的干预/转诊的发生率.
主要方法:
- 在初始药物管理中为成人患者 (18+) 提供SBIRT的培训.
- 使用AUDIT和DAST进行查.
- 查看图表,收集有关阳性查,干预和转诊的数据.
主要成果:
- 52名患者进行了查.
- 七名患者的DAST查结果呈阳性 (两个得分超过3).
- 五名患者的AUDIT查结果呈阳性 (得分>8),表明有害的消费或依赖.
结论:
- 门诊必须在SBIRT中使用验证的工具培训提供者.
- 实施SBIRT符合美国预防服务工作组和国家药物滥用研究所的建议.
- 系统查对于识别有风险的患者和促进必要的护理至关重要.
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