初级医疗保健中的减少伤害：护理策略的综合回顾。
Harm reduction in primary healthcare: an integrative review of care strategies.
机构信息
Universidade Federal do Piauí, Departamento de Enfermagem, Teresina, PI, Brazil.
出版信息
Rev Esc Enferm USP. 2020 Sep 21;54:e03591. doi: 10.1590/S1980-220X2018051803591. eCollection 2020.
OBJECTIVE
To analyze the evidence available in the literature on harm reduction actions developed by primary healthcare.
METHOD
Integrative literature review carried out in the databases MEDLINE, CINAHL, SCOPUS, Web of ScienceTM and LILACS.
RESULTS
Seventeen (17) primary studies published from 2008 to 2017 were included in this review. Care strategies for harm reduction included maintenance treatment with methadone, therapy with opioid agonists, needle and syringe distribution programs and the creation of rooms for supervised drug consumption. Health professionals were essential for consolidating inclusion strategies, possessing skills to listen without judgment and prejudice.
CONCLUSION
Harm reduction care strategies have been disseminated in different countries and healthcare levels, aiming toward safe practice and quality, effective and risk-free care actions.
目的
分析初级医疗保健制定的减少伤害措施的文献中提供的证据。
方法
在 MEDLINE、CINAHL、SCOPUS、Web of ScienceTM 和 LILACS 数据库中进行综合文献回顾。
结果
本次综述纳入了 2008 年至 2017 年发表的 17 项初级研究。减少伤害的护理策略包括美沙酮维持治疗、阿片类激动剂治疗、针具和注射器分发方案以及建立监督吸毒场所。卫生专业人员对于巩固纳入策略至关重要，他们具备不带有评判和偏见倾听的技能。
结论
减少伤害的护理策略已在不同国家和医疗保健层面上传播，旨在实现安全实践以及高质量、有效和无风险的护理措施。
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