以患者为中心的物质使用障碍护理与患者预后之间的关系：范围综述

IF 4.4 2区医学 Q1 SUBSTANCE ABUSE

International Journal of Drug Policy Pub Date : 2025-03-13 DOI:10.1016/j.drugpo.2025.104770

Bronwyn Myers , Nicholas Da Silva , Stella McLaughlin , Jessika Purnomo , Daria Shumskaya , Kaori Koume , Sanita Suhartono , Giovanna Campello , Anja Busse

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引用次数: 0

摘要

以患者为中心的护理（PCC）被认为是高质量物质使用障碍（SUD）治疗和护理的关键，但目前尚不清楚PCC是否与增强的结果相关。本综述旨在绘制出在SUD治疗连续体中PCC与预后之间关系的现有证据。方法我们按照系统评价和meta分析扩展范围评价（PRISMA-ScR）指南，对SUD的PCC与服务结果之间关系的文献进行了范围评价。在六个电子数据库中检索了1994年1月至2024年6月期间发表的同行评议的英文文章。在筛选了5268个标题和摘要以及186个副本全文后，从135篇文章中提取数据，并根据六个PCC维度（治疗联盟、共同决策、个性化支持、共同发生的疾病的综合护理、创伤知情和文化知情护理）进行叙述合成。结果本综述的结果表明，这些PCC成分与综合和专业SUD服务的结果之间存在很大的正相关。很少有研究（1%）评估了一个以上的PCC维度。治疗联盟是最常被评估的维度（35.6%，48/135篇文章），其次是共同决策（16.3%，22/135篇文章）、创伤知情护理（14.8%，20/135篇文章）、综合护理（13.3%，18/135篇文章）和个性化服务（13.3%，18/135篇文章）。全科服务的PCC与更高的SUD治疗利用率和更少的不良事件相关。专业SUD治疗中的PCC在很大程度上与较好的SUD预后相关。本综述强调了PCC与SUD服务结果之间关系的证据差距，一些PCC维度的文献很少，研究通常只检查PCC的单个维度。需要更多的研究来了解每个PCC维度对预测SUD服务结果的相对重要性，这些维度如何相互作用影响结果，以及开发和评估提高PCC的干预措施。

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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The relationship between patient-centred care for substance use disorders and patient outcomes: A scoping review

Background

Patient-centred care (PCC) is considered crucial for high-quality substance use disorder (SUD) treatment and care, but it is unclear whether PCC is associated with enhanced outcomes. This review aimed to map available evidence of the relationship between PCC and outcomes across the SUD treatment continuum.

Methods

We conducted a scoping review of the literature on the relationship between PCC for SUD and service outcomes in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines. Six electronic databases were searched for peer-reviewed articles published in English between January 1994 and June 2024. After screening 5268 titles and abstracts and 186 full texts in duplicate, data were extracted from 135 articles and narratively synthesized according to six PCC dimensions (therapeutic alliance, shared decision-making, personalised supports, integrated care for co-occurring disorders, trauma-informed and culturally-informed care).

Results

The findings from this review suggest largely positive associations between these PCC components and the outcomes of generalist and specialist SUD services. Few studies (<1 %) assessed more than one PCC dimension. The therapeutic alliance was the most frequently assessed dimension (35.6 %, 48/135 articles), followed by shared decision-making (16.3 %, 22/135 articles), trauma-informed care (14.8 %, 20/135 articles), integrated care (13.3 %, 18/135 articles), and personalised services (13.3 %, 18/135 articles). PCC in generalist services was associated with greater SUD treatment utilization and fewer adverse events. PCC in specialist SUD treatment was largely associated with better SUD outcomes.

Conclusions

This review highlighted evidence gaps on the relationship between PCC and SUD service outcomes, with literature scant for some PCC dimensions and studies typically examining a single dimension of PCC. More research is needed to understand the relative importance of each PCC dimension for predicting SUD service outcomes, how these dimensions interact to influence outcomes, and to develop and evaluate interventions for enhancing PCC.

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来源期刊

International Journal of Drug Policy SUBSTANCE ABUSE-

CiteScore

7.80

自引率

11.40%

发文量

307

审稿时长

62 days

期刊介绍： The International Journal of Drug Policy provides a forum for the dissemination of current research, reviews, debate, and critical analysis on drug use and drug policy in a global context. It seeks to publish material on the social, political, legal, and health contexts of psychoactive substance use, both licit and illicit. The journal is particularly concerned to explore the effects of drug policy and practice on drug-using behaviour and its health and social consequences. It is the policy of the journal to represent a wide range of material on drug-related matters from around the world.