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设计一个护士主导的药物滥用后果自我管理计划:一项修正后的电子德尔菲研究。

Designing a Nurse-Led Program for Self-Management of Substance Addiction Consequences: A Modified e-Delphi Study.

机构信息

Nursing School of Lisbon, Av. Prof. Egaz Moniz, 1600-190 Lisbon, Portugal.

Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Av. Prof. Egaz Moniz, 1600-190 Lisbon, Portugal.

出版信息

Int J Environ Res Public Health. 2023 Jan 24;20(3):2137. doi: 10.3390/ijerph20032137.

Abstract

Therapeutic interventions for people with problematic use of psychoactive substances can help tackle specific needs related to substance addiction consequences. This modified e-Delphi study aimed to establish consensus on a training program for self-management of substance addiction consequences. The study was conducted between February and April 2022, with an experts' sample of 28 participants in the first round and 24 in the second. A priori consensus criteria were defined for each round. The results revealed a very strong consensus was achieved on the structure of the program and on clinical areas, such as the problematic use of substances, general health knowledge, health-seeking behavior and adherence, self-knowledge and well-being, social role and personal dignity, and family process. Additionally, over 80% participant consensus was achieved on an extensive number of interventions categorized as psychoeducational, psychotherapeutic, socio therapeutic, brief interventions, social skills training, problem solving techniques, relaxation techniques, and counseling. These findings may be able to fulfill a gap concerning structured treatment approaches for people with problematic use of psychoactive substances. Supporting self-management of the consequences of substance addiction and its application can change nurses' interventions.

摘要

治疗干预措施可帮助解决与物质成瘾后果相关的特定需求。本改良德尔菲研究旨在就物质成瘾后果自我管理培训计划达成共识。研究于 2022 年 2 月至 4 月进行,第一轮有 28 名专家参与,第二轮有 24 名。每轮都为事先设定了共识标准。结果表明,在该计划的结构和临床领域(如物质滥用、一般健康知识、寻求健康行为和坚持、自我认知和幸福感、社会角色和个人尊严以及家庭过程)方面达成了非常强烈的共识。此外,超过 80%的参与者对广泛的干预措施达成了共识,这些干预措施分为心理教育、心理治疗、社会治疗、简短干预、社交技能训练、解决问题技术、放松技术和咨询。这些发现可能能够填补关于有问题地使用精神活性物质的人结构化治疗方法的空白。支持物质成瘾后果的自我管理及其应用可以改变护士的干预措施。

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Acceptability and applicability of an intervention programme with substance addicts.针对药物成瘾者的干预项目的可接受性和适用性。
Cien Saude Colet. 2023 Apr;28(4):1175-1186. doi: 10.1590/1413-81232023284.11732022. Epub 2022 Sep 30.

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