采用减少伤害方法治疗患有物质使用障碍的住院患者。
Using a Harm Reduction Approach to Treat Inpatients With Substance Use Disorders.
作者信息
Shields Lisa B E, LaRocco Matthew, Young Matt W, Flanders Kimberly
机构信息
Author Affiliations: Medical Research Associate (Dr Shields), Norton Neuroscience Institute; Manager of the Harm Reduction Program (LaRocco), Harm Reduction Program; Clinical Operations Business Analyst (Young), Nursing Administration; and Vice President of Patient Care Services and Chief Nursing Officer (Dr Flanders), Practice Administration, Norton Healthcare, Louisville, Kentucky.
出版信息
J Nurs Adm. 2023 Mar 1;53(3):138-145. doi: 10.1097/NNA.0000000000001259.
OBJECTIVE
This study investigated harm reduction (HR) strategies at our institution to decrease the number of patients with a substance use disorder (SUD) who left against medical advice (AMA).
BACKGROUND
HR is a public health strategy used for adult substance use problems for whom abstinence is not feasible.
METHODS
An HR program was established at 1 institution to enhance the care of hospitalized patients with a SUD.
RESULTS
Of the 1780 unique visits for patients with a diagnosis of SUD, 311 patients (17.5%) left our hospital AMA or eloped. The average length of stay for all patients evaluated by the HR team was 6.6 days compared with 4.0 days for those who left AMA. Patients with >1 hospital stay accounted for 22% of our population but represented 34% of the patients who left AMA.
CONCLUSIONS
This study reports the approaches implemented to reduce the AMA rate of patients with a SUD and to promote patient-enhanced care.
目的
本研究调查了我院的减少伤害（HR）策略，以减少违背医嘱（AMA）离院的物质使用障碍（SUD）患者数量。
背景
减少伤害是一种用于成人物质使用问题的公共卫生策略，对于这些问题，禁欲是不可行的。
方法
在一家机构设立了一项减少伤害计划，以加强对住院SUD患者的护理。
结果
在1780次针对SUD诊断患者的独特就诊中，311名患者（17.5%）违背医嘱离开我院或擅自离院。HR团队评估的所有患者的平均住院时长为6.6天，而违背医嘱离院的患者为4.0天。住院次数超过1次的患者占我们研究人群的22%，但占违背医嘱离院患者的34%。
结论
本研究报告了为降低SUD患者的AMA率和促进加强患者护理而实施的方法。
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