"I wouldn't need Narcan for myself, but I can have it for somebody else:" perceptions of harm reduction among hospitalized patients with OUD.
"I wouldn't need Narcan for myself, but I can have it for somebody else:" perceptions of harm reduction among hospitalized patients with OUD.
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DOI：
10.1186/s13722-023-00395-w
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发表时间：
2023-06-24
影响因子：
3.7
通讯作者：
Lowenstein, Margaret
中科院分区：
文献类型：
--
作者：
French, Rachel;Davis, M. Holliday;Aronowitz, Shoshana V.;Crowe, Molly;Abrams, Matthew;Edwards, Grace;Lowenstein, Margaret
关键词：
现有文献对医院采用循证伤害减少策略的报道有限。我们探讨了阿片类药物使用障碍（OUD）患者在医院护理中纳入减少伤害用品和教育的患者的看法。使用2022年4月至8月期间进行的半结构化访谈对宾夕法尼亚州费城OUD住院患者进行定性描述性研究。从21例OUD住院患者的访谈中出现了三个主要主题：（1）伤害减少实践对自己的适用性和可接受性;（2）伤害减少实践对他人的适用性和可接受性;（3）对伤害减少对话的看法。大多数参与者都熟悉减少伤害，但他们对减少伤害与他们生活的相关性的看法各不相同。我们注意到参与者如何看待他们认为旨在帮助他人的减少伤害做法的适用性和可接受性的差异（例如，纳洛酮）与旨在帮助他们自己（例如，注射器）。大多数参与者报告说，关于药物使用的有意义的谈话没有发生与他们的护理团队，但这些谈话本来是可以接受的，如果他们进行的方式符合他们的个人物质使用的目标。住院期间患者对减少伤害服务的兴趣和感知可接受性因患者个体因素和特定干预措施的感知用户而异。鉴于其积极的潜力，应将减少伤害的做法纳入医院，但必须以患者可接受的方式进行。我们的研究结果揭示了如何将减少伤害的方法的概念整合到传统的医学模式中。需要做更多的工作来了解这种整合的影响。在线版本包含补充材料，可通过10.1186/s13722-023-00395-w获得。
Extant literature is limited on adoption of evidence-based harm reduction strategies in hospitals. We explored patient perceptions of incorporating harm reduction supplies and education in hospital care with patients with opioid use disorder (OUD). Qualitative descriptive study of hospitalized patients with OUD in Philadelphia, PA using semi-structured interviews conducted between April and August of 2022. Three major themes emerged from 21 interviews with hospitalized patients with OUD: (1) Applicability and Acceptability of Harm Reduction Practices for Oneself; (2) Applicability and Acceptability of Harm Reduction Practices for Others; (3) Perceptions of Harm Reduction Conversations. Most participants were familiar with harm reduction but varied in their perceptions of its relevance for their lives. We noted differences in how participants viewed the applicability and acceptably of harm reduction practices that they perceived as intended to help others (e.g., naloxone) versus intended to help themselves (e.g., syringes). Most participants reported that meaningful conversations about drug use did not happen with their care team but that these conversations would have been acceptable if they were conducted in a way consistent with their individual substance use goals. Patients' interest and perceived acceptability of harm reduction services during hospitalization varied by individual patient factors and the perceived user of specific interventions. Given their positive potential, harm reduction practices should be incorporated in hospitals, but this must be done in a way that is acceptable to patients. Our findings reveal ways to integrate concepts from a harm reduction approach within a traditional medical model. More work is needed to understand the impact of such integration. The online version contains supplementary material available at 10.1186/s13722-023-00395-w.
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