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在全科医疗环境中对药物滥用的治疗。

Treatment of drug misuse in the general practice setting.

作者信息

Robertson J R

出版信息

Br J Addict. 1989 Apr;84(4):377-80. doi: 10.1111/j.1360-0443.1989.tb00580.x.

DOI:10.1111/j.1360-0443.1989.tb00580.x
PMID:2720189
Abstract

Despite several decades of contact between health workers and drug misusers and recent publicity aimed at increasing the use of this contact to control HIV infection, there remains a persistent belief that control of drug taking is possible either by medical intervention with substitute drugs or provision of facilities to detoxify those addicted. This paper describes, in the absence of a cure or control for drug abuse, the role of the primary care physician in preventing illness and promoting less damaging drug use among drug users and their social, sexual and domestic contacts. Extensive involvement with family and non-statutory workers is seen as the best way to understand the pressures and dangers to which individual patients are exposed.

摘要

尽管卫生工作者与药物滥用者之间已有数十年的接触,且近期开展了旨在更多利用这种接触来控制艾滋病毒感染的宣传活动,但人们仍然坚信,要么通过使用替代药物进行医学干预,要么提供设施帮助成瘾者戒毒,就能够控制吸毒行为。本文描述了在无法治愈或控制药物滥用的情况下,初级保健医生在预防疾病以及促使吸毒者及其社会、性和家庭接触者减少有害药物使用方面所发挥的作用。广泛与家庭和非法定工作人员合作被视为了解个体患者所面临压力和危险的最佳方式。

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1
Treatment of drug misuse in the general practice setting.在全科医疗环境中对药物滥用的治疗。
Br J Addict. 1989 Apr;84(4):377-80. doi: 10.1111/j.1360-0443.1989.tb00580.x.
2
General practice management of drug misusers.药物滥用者的全科医疗管理。
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A follow-up study of drug misusers who received an intervention from a local arrest referral scheme.一项针对从当地逮捕转介计划中接受干预的药物滥用者的随访研究。
Health Policy. 2002 Aug;61(2):153-71. doi: 10.1016/s0168-8510(02)00009-x.
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From theory to practice: the planned treatment of drug users. Interview by Stanley Einstein.从理论到实践:吸毒者的计划治疗。斯坦利·爱因斯坦访谈录
Int J Addict. 1989 Feb;24(2):123-66. doi: 10.3109/10826088909047280.
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Evaluation of a hospital based substance abuse intervention and referral service for HIV affected patients.对一家医院为受艾滋病毒影响患者提供的药物滥用干预和转诊服务的评估。
Gen Hosp Psychiatry. 1990 Jan;12(1):1-7. doi: 10.1016/0163-8343(90)90030-g.
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"You can never work with addictions in isolation": Addressing intimate partner violence perpetration by men in substance misuse treatment.“治疗成瘾问题不能孤立进行”:解决物质滥用治疗中男性亲密伴侣暴力行为的问题
Int J Drug Policy. 2016 Oct;36:130-40. doi: 10.1016/j.drugpo.2016.03.010. Epub 2016 Mar 28.
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An experiential program to reduce AIDS risk among female sex partners of injection-drug users.一项旨在降低注射吸毒者女性性伴侣中艾滋病感染风险的体验式项目。
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Streets, drugs, and the economy of sex in the age of AIDS.艾滋病时代的街道、毒品与性经济
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Drug and solvent misuse and knowledge of HIV infections in 14-16-year-old comprehensive school students.14至16岁综合学校学生的药物与溶剂滥用及艾滋病毒感染知识
Public Health. 1990 Nov;104(6):425-35. doi: 10.1016/s0033-3506(05)80085-x.
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Support for GPs caring for drug misusers.为照顾药物滥用者的全科医生提供支持。
Practitioner. 1989 Nov 8;233(1478):1491-5.

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Ir J Med Sci. 2000 Apr-Jun;169(2):133-6. doi: 10.1007/BF03166918.
2
Methadone maintenance in general practice: patients, workload, and outcomes.全科医疗中的美沙酮维持治疗:患者、工作量及治疗效果
BMJ. 1994 Sep 10;309(6955):641-4. doi: 10.1136/bmj.309.6955.641.
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Br J Gen Pract. 1992 Nov;42(364):465-8.