对内华达州使用物质的人士的紧急部门基于同行恢复支持干预措施的评估
Karla D Wagner1, Mia Rae Kirk1, Minggen Lu2
1Department of Health Behavior, Policy, and Administration Sciences, School of Public Health, University of Nevada, Reno, NV, USA.
使用经过认证的同行恢复支持专家 (CPRSS) 的急诊室干预没有显著的临床影响减少与毒品有关的访问. 需要进一步的研究来探索对多种物质的影响和以患者为中心的结果.
科学领域:
- 公共卫生 公共卫生
- 药物使用障碍 药物使用障碍
- 紧急医疗 紧急医疗
背景情况:
- 基于紧急部门 (ED) 的干预措施旨在减少与物质使用相关的ED访问.
- 之前关于这些干预措施有效性的研究结果各不相同.
- 认证的同行恢复支持专家 (CPRSS) 越来越多地参与基于ED的护理.
研究的目的:
- 为了评估由CPRSS.提供的基于ED的干预措施的有效性.
- 评估对毒品/酒精中毒/药物过量 ED 访问和其他利用结果的影响.
- 在9个月的时间内,将干预受益人与对照组进行比较.
主要方法:
- 在内华达州3家医院对基于ED的CPRSS干预进行了准实验性评估.
- 631名干预患者与4012名对照患者的比较.
- 对急救诊所访问和住院患者入院的非身份化患者数据的分析,干预后9个月.
主要成果:
- 没有观察到CPRSS干预对初级或二级结局有临床意义的影响.
- 在这两组中,与药物/酒精相关的ED访问的小,统计学上显著的增加发生了.
- 参观人数的变化很小,干预组和对照组之间的变化相似.
结论:
- 基于ED的CPRSS干预措施可能不会在药物使用方面的ED利用上产生临床显著的改善.
- 这些发现与现有的文献相一致,该文献报告了此类计划的混合结果.
- 未来的研究应该调查多重物质使用和以患者为中心的结果的影响.
更多相关视频
08:05A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers
Published on: January 5, 2018
08:05A Procedure to Study Stress-Induced Relapse of Heroin Seeking after Punishment-Imposed Abstinence
Published on: March 23, 2022
相关概念视频
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Self-Help Support Groups
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Drug Dependence
Substance Use Disorders Affecting Sleep
Understanding the concepts of physical dependence,...
Drug Abuse and Addiction: Pharmacological Phenomena
