Hoʻohana Hana hoʻohana i nāʻano o nā maʻi i hoʻokomoʻia i loko o ka hoʻoponopono hoʻopauʻana o Inpatient (2018)

LIKE LIKE LIKE 2018 Dec 20. doi: 10.1097 / ADM.0000000000000494.

Tofighi B1, Leonard N, Kāleka P, Hadavand A, Acosta MC, Lee JD.

Hōʻuluʻulu Manaʻo

KEKAHI:

Hāʻawi i nā hana kikowaena ʻenehana i kahi hana kūpono, haʻahaʻa haʻahaʻa, a me nā hōʻemi hou e hoʻōla ai i ka mālama ʻana o nā pilikia make o nā huahana (SUDs) a me nā comorbidities e pili ana i ka maʻi (HIV, maʻi hepatitis C). Ma kēia loiloi loiloi e hoʻohana nei i nā ʻōnaehana (kelepona, kamepiula kamepiula, Pūnaewele, ʻenehana media) i waena o nā pākeke i kākau inoa i ka loaʻa inpatient detoxification.

KANAKA:

A 49-mea, ka nui a me ka qualitative ʻoi aku ka loiloi loiloi i loiloi ʻia no nā ʻano demographic, ʻenehana hoʻohana ʻana i ka ʻenehana (ʻo ia hoʻi, kelepona hele aku, nā leka uila (TM), nā noi kelepona akamai, kamepiula kamepiula, pūnaewele, a me ka hoʻohana ʻana i ka pāpaho media), nā manaʻo pilikino, a he mea pani ʻia o ka hoʻohana ʻana i ka ʻenehana. Ua hoʻohana mākou i nā hiʻohiʻona loea multivariate e loiloi i ka hui ʻana ma waena o nā ʻano demographic respondent a me nā hoʻohana kino a me kā lākou hoʻohana maʻamau o nā ʻenehana.

Nā hopena:

Ua hoʻopau aku ʻelua haneli a ʻeono poʻe i kēia loiloi. Ma kahi kokoke i hōʻike ʻia nā mea a pau e pili ana i ka hoʻohana kelepona kelepona (86%). ʻO nā hiʻohiʻona kelepona nui pūnaewele i loaʻa iā TM (96%), mau pūnaewele pūnaewele (81%), a komo i ka pūnaewele media (61%). Aia ka helu kelepona nui (3.3 ± 2.98) a me ka helu kelepona (2.6 ± 2.36) i ka huli ʻana ma mua o nā mahina 12. Ma kahi kokoke i ka hapalua i wehewehe ʻia i kēlā me kēia lā a i ʻole hebedoma e hele ana i nā kamepiula kamepiula (48%) a ua ʻike ʻia ka ʻike pūnaewele pūnaewele (67%). Ua pili ʻia ka ulu ʻana o ka ʻona āpau e pili ana i ke kūlana hoʻonaʻauao kiʻekiʻe (P = 0.022) a me nā poʻe pane ʻole i ka home ʻole e pili ana i ka haʻi aku i ka hoʻoili kelepona kelepona (P = 0.010) i hoʻohālikelike ʻia me nā poʻe noho me kekahi kūlana noho (ʻo ia hoʻi, kahi noho home, noho me nā hoaaloha, ʻohana, a i ʻole i loko o kahi hale waena. Ua hoʻohana ʻia nā mākaʻikaʻi pūnaewele pūnaewele e kekahi mau poʻe (39.4%, 71 / 180) e ʻimi ai i nā hui kōkua kōkua 12 pae (37%), nā papahana detoxification inpatient (35%), nā pōkole pōkole a i ʻole lōʻihi (32%), a me nā papahana mālama outpatient (4%).

NĀ KUMU:

Hoʻohana ka ʻenehana i nā hiʻohiʻona ma waena o kēia hoʻohālike hiki i ka hoʻohālikelike o nā responders detoxification inpatient e hōʻike nei i nā helu kiʻekiʻe o ka lawe lima kelepona, hoʻohana ʻo TM, a me ka hoʻohana ʻana i ka ʻenehana no ka hoʻomaʻamaʻa ʻia ʻana o nā lawelawe e pili ana i ka addiction.

PMID: 30589653

DOI: 10.1097 / ADM.0000000000000494