Nurse-Led Physical Screening of Patients With Substance Use Disorders: A Cross-Sectional Study

IF 2.6 4区 医学 Q1 NURSING
J. F. M. Middeldorp, E. Krijnen-de Bruin, V. J. A. Buwalda, A. E. Goudriaan, B. van Meijel
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引用次数: 0

Abstract

Introduction

Somatic comorbidity is the main cause of reduced life expectancy in patients with substance use disorders (SUDs).

Aim

This study aims to investigate somatic health challenges in patients with SUDs using the USS. Patient self-management of somatic health and quality of life were also assessed.

Method

In our study, a stratified random sample of 136 clients who received treatment at a specialist addiction facility was drawn to investigate their physical health and lifestyle behaviours using the Utrecht Somatic Screening 2.0 (USS 2.0). The sample included three subgroups, that is, patients receiving outpatient treatment through Flexible Assertive Community Treatment (FACT), Heroin-Assisted Treatment (HAT) and Opioid Replacement Therapy (ORT). Pain, self-management and quality of life were also measured. Descriptive statistics were used to analyse the data.

Results

The findings indicate that many patients experience a large number of somatic health problems, including pain and exhaustion. The most prevalent conditions in this study are cardiovascular disease (25%) and COPD (20%), underweight and poor oral health. Tobacco smoking is prevalent among 88% of patients. Fifty percent of the patients expressed a need for support in managing their physical health.

Implications for Practice

Somatic health care and lifestyle promotion should be tailored to the specific characteristics of patients.

Conclusion

Patients with SUDs suffer from poor physical health and show unhealthy lifestyle behaviours, which demand the promotion of tailored somatic health.

由护士主导的药物使用障碍患者体格筛查:横断面研究
导言:躯体合并症是导致药物使用障碍(SUD)患者预期寿命缩短的主要原因。方法:在我们的研究中,采用分层随机抽样的方法,对有药物使用障碍(SUD)患者的躯体健康挑战进行调查,并评估患者对躯体健康的自我管理和生活质量:在我们的研究中,使用乌得勒支躯体筛查 2.0(USS 2.0)对 136 名在专业戒毒机构接受治疗的患者进行了分层随机抽样,以调查他们的躯体健康和生活方式行为。样本包括三个亚组,即通过灵活自主社区治疗(FACT)、海洛因辅助治疗(HAT)和阿片类替代治疗(ORT)接受门诊治疗的患者。此外,还对疼痛、自我管理和生活质量进行了测量。数据分析采用了描述性统计方法:结果:研究结果表明,许多患者都有大量的躯体健康问题,包括疼痛和疲惫。本研究中最普遍的疾病是心血管疾病(25%)和慢性阻塞性肺病(20%)、体重不足和口腔健康不良。88%的患者普遍吸烟。50%的患者表示在管理身体健康方面需要支持:实践启示:躯体保健和生活方式推广应针对患者的具体特点:结论:患有严重精神分裂症的患者身体健康状况不佳,并表现出不健康的生活方式行为,因此需要促进有针对性的躯体健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.70
自引率
3.70%
发文量
75
审稿时长
4-8 weeks
期刊介绍: The Journal of Psychiatric and Mental Health Nursing is an international journal which publishes research and scholarly papers that advance the development of policy, practice, research and education in all aspects of mental health nursing. We publish rigorously conducted research, literature reviews, essays and debates, and consumer practitioner narratives; all of which add new knowledge and advance practice globally. All papers must have clear implications for mental health nursing either solely or part of multidisciplinary practice. Papers are welcomed which draw on single or multiple research and academic disciplines. We give space to practitioner and consumer perspectives and ensure research published in the journal can be understood by a wide audience. We encourage critical debate and exchange of ideas and therefore welcome letters to the editor and essays and debates in mental health.
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