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转变阿片类药物使用障碍的范式:改变语言表述。

Shifting the Paradigm for Opioid Use Disorder: Changing the Language.

作者信息

Kameg Brayden N

机构信息

University of Pittsburgh School of Nursing, Department of Health and Community Systems, 3500 Victoria St. Suite 415, Pittsburgh, PA 15261.

出版信息

J Nurse Pract. 2019 Nov-Dec;15(10):757-759. doi: 10.1016/j.nurpra.2019.08.020. Epub 2019 Sep 20.

DOI:10.1016/j.nurpra.2019.08.020
PMID:32863797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7448578/
Abstract

Morbidity and mortality associated from opioid use have been on the rise, exemplifying a major public health epidemic. Despite public health interventions, opioid-related morbidity and mortality have yet to plateau or decrease. One explanation for this phenomenon is the presence of barriers to evidence-based pharmacotherapies. Stigma has only recently been identified as a barrier to treatment. The purpose of this report is to evaluate language utilized to describe opioid use disorder and associated pharmacological treatment. Nurse practitioners must emerge as leaders in assuring that patient-centered and non-stigmatizing language is utilized, in order to improve patient outcomes.

摘要

与阿片类药物使用相关的发病率和死亡率一直在上升,这是一场重大的公共卫生流行病的例证。尽管有公共卫生干预措施,但与阿片类药物相关的发病率和死亡率尚未达到平稳状态或下降。对这一现象的一种解释是循证药物治疗存在障碍。耻辱感直到最近才被确定为治疗的障碍。本报告的目的是评估用于描述阿片类药物使用障碍及相关药物治疗的语言。执业护士必须成为领导者,确保使用以患者为中心且无耻辱感的语言,以改善患者的治疗效果。

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本文引用的文献

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In their own words: language preferences of individuals who use heroin.他们自己的话:使用海洛因者的语言偏好。
Addiction. 2019 Oct;114(10):1785-1790. doi: 10.1111/add.14699. Epub 2019 Jul 11.
2
Stigmatizing language in news media coverage of the opioid epidemic: Implications for public health.新闻媒体对阿片类药物泛滥报道中的污名化语言:对公共卫生的影响。
Prev Med. 2019 Jul;124:110-114. doi: 10.1016/j.ypmed.2019.03.018.
3
The association between perceived stigma and substance use disorder treatment outcomes: a review.感知到的耻辱感与物质使用障碍治疗结果之间的关联:一项综述。
Subst Abuse Rehabil. 2018 Dec 27;10:1-12. doi: 10.2147/SAR.S183252. eCollection 2019.
4
Medication Treatment For Opioid Use Disorders In Substance Use Treatment Facilities.药物治疗在物质使用治疗设施中的阿片类药物使用障碍。
Health Aff (Millwood). 2019 Jan;38(1):14-23. doi: 10.1377/hlthaff.2018.05162.
5
Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017.药物和阿片类药物滥用相关的过量死亡-美国,2013-2017 年。
MMWR Morb Mortal Wkly Rep. 2018 Jan 4;67(5152):1419-1427. doi: 10.15585/mmwr.mm675152e1.
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Initiating methadone in jail and in the community: Patient differences and implications of methadone treatment for reducing arrests.在监狱和社区中启动美沙酮治疗:患者差异以及美沙酮治疗减少逮捕的影响。
J Subst Abuse Treat. 2019 Feb;97:7-13. doi: 10.1016/j.jsat.2018.11.006. Epub 2018 Nov 19.
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Evidence-based treatment for opioid use disorders: A national study of methadone dose levels, 2011-2017.基于证据的阿片类药物使用障碍治疗:2011-2017 年美沙酮剂量水平的全国性研究。
J Subst Abuse Treat. 2019 Jan;96:18-22. doi: 10.1016/j.jsat.2018.10.006. Epub 2018 Oct 16.
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Factors associated with methadone maintenance therapy discontinuation among people who inject drugs.与注射吸毒者中断美沙酮维持治疗相关的因素。
J Subst Abuse Treat. 2018 Nov;94:41-46. doi: 10.1016/j.jsat.2018.08.009. Epub 2018 Aug 23.
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Barriers to accessing treatment for pregnant women with opioid use disorder in Appalachian states.阿巴拉契亚各州中,患有药物使用障碍的孕妇接受治疗所面临的障碍。
Subst Abus. 2019;40(3):356-362. doi: 10.1080/08897077.2018.1488336. Epub 2018 Oct 9.
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The inclusion of substance use-related content in advanced practice registered nurse curricula.在高级执业注册护士课程中纳入与物质使用相关的内容。
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