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探索针对青少年的有效物质使用复发预防计划:一项综合文献综述。

Exploration of Effective Substance Use Relapse Prevention Programmes for the Youth: An Integrative Literature Review.

作者信息

Gaolaolwe Wada, Moagi Miriam Mmamphamo, Kovane Gaotswake Patience, Sehularo Leepile

机构信息

NuMIQ Research Focus Area, Faculty of Health Sciences, North-West University, South Africa.

Department of Health Sciences, School of Nursing, University of Botswana, Gaborone, Botswana.

出版信息

J Psychiatr Ment Health Nurs. 2025 Jun;32(3):661-679. doi: 10.1111/jpm.13144. Epub 2024 Dec 5.

Abstract

INTRODUCTION

Youth substance use has been associated with recurrent episodes of substance misuse. A large body of research has shown that relapsing into substance use is still a significant obstacle that prevents people who use substances and want to stop from recovering and abstaining. The objective of this evaluation was to locate, compile and summarise the results of all pertinent research on youth substance use relapse prevention programmes.

METHOD

An integrative literature review (ILR) was conducted, guided by Whittemore and Knafl (Journal of Advanced Nursing, 2005, 52, 546), following a step-by-step guide for conducting an ILR. The PRISMA guidelines were used in the selection process.

RESULTS

Twenty-three papers met the eligibility criteria, and three were added from grey literature. Three themes identified in the studies included in the review: Continuing care, technology-mediated recovery management interventions and relapse prevention through developmentally engaging activities.

DISCUSSION

The review identified that a successful substance use relapse prevention programme for the youth requires continued care following discharge from hospital treatment. The care encompasses posttreatment check-ups, assessments and linkages to treatment in which a suspected/potential relapse is referred back to treatment to prevent its severity or occurrence.

摘要

引言

青少年物质使用与反复出现的物质滥用情况相关。大量研究表明,复吸物质使用仍是一个重大障碍,阻碍了那些使用物质且想要戒除的人康复和戒断。本评估的目的是查找、汇编和总结所有关于青少年物质使用预防复发项目的相关研究结果。

方法

在惠特莫尔和克纳夫(《高级护理杂志》,2005年,第52卷,第546页)的指导下,按照进行综合文献综述的逐步指南开展了一项综合文献综述(ILR)。在筛选过程中使用了PRISMA指南。

结果

23篇论文符合入选标准,另外从灰色文献中补充了3篇。综述中纳入的研究确定了三个主题:持续护理、技术介导的康复管理干预措施以及通过开展适合不同发育阶段的活动预防复发。

讨论

综述发现,针对青少年的成功物质使用预防复发项目需要在出院后提供持续护理。这种护理包括治疗后检查、评估以及与治疗的联系,即当疑似/潜在复发时将其转回治疗,以防止其恶化或发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99b2/12056453/165afea6912c/JPM-32-661-g002.jpg

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