RESUMEN
OBJECTIVE: While Opioid Use Disorder (OUD) has been linked to inferior clinical outcomes, studies examining the clinical outcomes and readmission of OUD patients experiencing Acute Myocardial Infarction (AMI) remain lacking. The authors analyze the clinical and financial outcomes of OUD in a contemporary cohort of AMI hospitalizations. METHODS: All non-elective adult (≥ 18 years) hospitalizations for AMI were tabulated from the 2016â2019 Nationwide Readmissions Database using relevant International Classification of Disease codes. Patients were grouped into OUD and non-OUD cohorts. Bivariate and regression analyses were performed to identify the independent association of OUD with outcomes after non-elective admission for AMI, as well as subsequent readmission. RESULTS: Of an estimated 3,318,257 hospitalizations for AMI meeting study criteria, 36,057 (1.1%) had a concomitant diagnosis of OUD. While OUD was not significantly associated with mortality, OUD patients experienced superior cardiovascular outcomes compared to non-OUD. However, OUD was linked to increased odds of non-cardiovascular complications, length of stay, costs, non-home discharge, and 30-day non-elective readmission. CONCLUSIONS: Patients with OUD presented with AMI at a significantly younger age than non-OUD. While OUD appears to have a cardioprotective effect, it is associated with several markers of increased resource use, including readmission. The present findings underscore the need for a multifaceted approach to increasing social services and treatment for OUD at index hospitalization.
Asunto(s)
Infarto del Miocardio , Trastornos Relacionados con Opioides , Adulto , Humanos , Estados Unidos/epidemiología , Hospitalización , Infarto del Miocardio/terapia , Readmisión del Paciente , Trastornos Relacionados con Opioides/epidemiología , Trastornos Relacionados con Opioides/terapia , Alta del Paciente , Estudios RetrospectivosRESUMEN
The recent opioid epidemic in the United States has led to rising prevalence of maternal opioid use disorder (OUD). First-line treatment for maternal OUD involves the use of opioid agonist pharmacotherapy, such as methadone or buprenorphine, in addition to cognitive behavioral therapy and counseling. The management of maternal OUD can become overwhelming for both patients and clinicians, especially during the early postpartum period. Therefore, it is imperative that clinicians understand the impact of additional stressors in caring for these patients. Maternal chronic opioid dependence can lead to neonatal opioid withdrawal syndrome after birth. This multisystem condition affects neonatal neurobehavioral functioning and has significant human and socioeconomic consequences. First-line treatment for this syndrome involves intensive nonpharmacologic comforting measures, with maternal presence and involvement being central to ensuring the success of such measures. In this review, we describe the factors that place pregnant and postpartum women with OUD at risk of returning to illicit opioid use. We evaluate these multifaceted personal, social, societal, and systemic factors to inform the development of future clinical care initiatives.
Asunto(s)
Tratamiento de Sustitución de Opiáceos , Trastornos Relacionados con Opioides , Analgésicos Opioides/efectos adversos , Femenino , Humanos , Recién Nacido , Trastornos Relacionados con Opioides/complicaciones , Trastornos Relacionados con Opioides/epidemiología , Trastornos Relacionados con Opioides/terapia , Embarazo , Recurrencia , Factores de RiesgoRESUMEN
OBJECTIVE: To compare prenatal exposures, hospital care processes, and hospitalization outcomes for opioid-exposed newborns before and during the coronavirus disease 2019 (COVID-19) pandemic. STUDY DESIGN: In this multicenter retrospective analysis, data were collected from 19 Massachusetts hospitals, including 5 academic and 14 community hospitals. The pre-COVID-19 cohort was defined as births occurring during March 1, 2019-February 28, 2020, and the COVID-19 cohort was defined as births occurring during March 1, 2020-December 31, 2020. Opioid-exposed newborns born at ≥35 weeks of gestation were included. Differences in prenatal substance exposures, hospital care processes, and neonatal opioid withdrawal syndrome (NOWS) outcomes, including pharmacologic treatment for NOWS (PharmTx), length of stay (LOS), and as-needed (prn) treatment failure rates, were evaluated. RESULTS: There were 663 opioid-exposed newborns in the pre-COVID-19 group and 476 in the COVID-19 group. No between-group differences were seen in prenatal substance exposures or the need for PharmTx. Compared with the pre-COVID-19 group, in the COVID-19 group there was less rooming-in after maternal discharge (53.8% vs 63.0%; P = .001) and less care in the pediatric unit setting (23.5% vs 25.3%; P = .001), longer LOS (adjusted risk ratio, 1.04; 95% CI, 1.01-1.08), and a higher rate of breast milk receipt at discharge (aOR, 2.03; 95% CI, 1.22-3.39). Within the subset of academic centers, more infants failed prn treatment in the COVID-19 group (53.8% vs 26.5%, P = .02; aOR, 3.77; 95% CI, 0.98-14.5). CONCLUSIONS: Among the hospitals in our collaborative, hospital processes for NOWS, including care setting, rooming-in, and LOS were negatively impacted in the COVID-19 group, particularly in academic medical centers.
Asunto(s)
Tratamiento Farmacológico de COVID-19 , Coronavirus , Síndrome de Abstinencia Neonatal , Trastornos Relacionados con Opioides , Analgésicos Opioides/efectos adversos , Niño , Femenino , Hospitales , Humanos , Lactante , Recién Nacido , Síndrome de Abstinencia Neonatal/tratamiento farmacológico , Síndrome de Abstinencia Neonatal/epidemiología , Trastornos Relacionados con Opioides/tratamiento farmacológico , Trastornos Relacionados con Opioides/terapia , Embarazo , Estudios RetrospectivosRESUMEN
Clinical trials have indicated that a vaccine must be immunogenic in genetically diverse human populations and that immunogenicity and protective efficacy in animal models are two key indices required for the approval of a new vaccine. Additionally, the immune response (immunogenicity) and immunoprotection are dependent on the mouse strain. Therefore, the objective of the present study was to determine the immune response (immunogenicity) and the protective efficacy (behavioral response) in three inbred mouse strains immunized with the M6TT vaccine. Female BALB/c, C57Bl/6, and DBA/2 inbred mice were immunized with the M6-TT vaccine. A solid-phase antibody-capture ELISA was used to monitor antibody titer responses after each booster dose in vaccinated animals. The study used tail-flick testing to evaluate the antinociceptive effects induced by heroin. Additionally, heroin-induced locomotor activity and place preference were evaluated. The M6-TT vaccine was able to generate a specific antibody titer in the three inbred mouse strains evaluated. The antibodies reduced the antinociceptive effect of different doses of heroin. In addition, they decreased the heroin-induced locomotor activity and place preference. These findings suggest that the M6-TT vaccine generates a powerful immunogenic response capable of reducing the antinociceptive and reinforcing effects of heroin in different inbred mouse strains, which supports its possible future use in clinical trials in genetically diverse human populations.
Asunto(s)
Heroína/inmunología , Morfina/inmunología , Trastornos Relacionados con Opioides/terapia , Vacunas/inmunología , Analgésicos Opioides , Animales , Modelos Animales de Enfermedad , Femenino , Heroína/efectos adversos , Humanos , Inmunogenicidad Vacunal , Ratones , Ratones Endogámicos BALB C , Ratones Endogámicos C57BL , Ratones Endogámicos DBA , Morfina/efectos adversos , Nocicepción , Trastornos Relacionados con Opioides/inmunología , Refuerzo en Psicología , Vacunas/administración & dosificaciónRESUMEN
Background: Initially considered a primarily rural, White issue, opioid use and overdose rates have risen faster for Latinos (52.5%) than for White, non-Hispanics (45.8%) from 2014 to 2016. With an estimated 45% to 65% of Latino immigrant families using Mexican traditional medicine (MTM) practices before seeking Western medical services, these practices could be used as a method to increase access to care and improve outcomes. Practice Model: Although not well known, MTM is founded on a defined set of theoretical tenets that comprise a whole medical system as defined by the National Center for Complementary and Integrative Health. Whole medical systems are characterized as complete systems of theory and practice that develop independently and parallel allopathic medicine. Classifying MTM as a whole medical system to encourage further research and utilization of traditional and complementary medicine (T&CM) practices could help improve health outcomes for Latino patients. Specific T&CM practices that could be used in opioid treatment integration to decrease stigma and increase treatment utilization are then discussed. Conclusion: Incorporating T&CM practices will allow more effective, culturally competent and culturally sensitive health care provision for Latino immigrants in the United States to decrease stigma, improve health care outcomes, and address disparities in opioid use treatment.
Asunto(s)
Medicina Tradicional/métodos , Trastornos Relacionados con Opioides/terapia , Adulto , Femenino , Hispánicos o Latinos/psicología , Hispánicos o Latinos/estadística & datos numéricos , Humanos , Masculino , Medicina Tradicional/normas , Medicina Tradicional/estadística & datos numéricos , México , Trastornos Relacionados con Opioides/psicología , Centros de Tratamiento de Abuso de Sustancias/organización & administración , Centros de Tratamiento de Abuso de Sustancias/estadística & datos numéricosAsunto(s)
Insuficiencia Suprarrenal/terapia , Endocrinología/métodos , Hipogonadismo/terapia , Epidemia de Opioides , Trastornos Relacionados con Opioides/terapia , Insuficiencia Suprarrenal/inducido químicamente , Endocrinólogos/psicología , Humanos , Hipogonadismo/inducido químicamente , Trastornos Relacionados con Opioides/complicaciones , Rol del MédicoRESUMEN
The opioid epidemic is a national emergency in the United States. To meet the needs of individuals diagnosed with Opioid Use Disorder (OUD) office-based opioid treatment programs (OBOT) are quickly expanding. However, social workers roles in OBOT programs are not clearly described. This paper will emphasize three roles social workers may fulfill in OBOT programs to combat the opioid crisis.
Asunto(s)
Manejo de Caso/organización & administración , Epidemia de Opioides , Trastornos Relacionados con Opioides/terapia , Servicio Social/organización & administración , Humanos , Trastornos Relacionados con Opioides/tratamiento farmacológico , Rol Profesional , Estados Unidos/epidemiologíaRESUMEN
BACKGROUND: Heroin production for external markets and low rates of use in Mexico have had a long history. A recent shift toward an increase in use and related problems calls for the evaluation of treatment needs in order to draw recommendations for policies. METHODS: The objectives were to identify predictors of choice of treatment and barriers to care among persons that had been with no treatment. The study included a convenience sample of 600 face-to-face interviews of people 18 years of age and older and a rapid HIV and HCV tests in three cities on Mexico's Northern Border: Ciudad Juárez, San Luis Río Colorado and Tijuana. The choice of treatment (methadone, other pubic or private treatments with no experience with methadone maintenance and only self-help or religious care), was analyzed though a multiple logistic multimodal regression analysis. Informed consents to be interviewed and for HIC and HIV were signed by interviewers. RESULTS: The majority of persons interviewed were males (89.7%) with an average age of 40. Having emigrated to the United States and a greater length of heroin use predicted seeking methadone treatment versus public or private treatment or informal care. The most important barriers to care were lack of information and stigma. HIC, HIV and other infectious and chronic diseases including depression were often unattended. CONCLUSIONS: There is a need to reform treatment policies in order to cover this w emerging and demanding problem.
Asunto(s)
Heroína/administración & dosificación , Epidemia de Opioides/estadística & datos numéricos , Trastornos Relacionados con Opioides/terapia , Opio/administración & dosificación , Adolescente , Adulto , Femenino , Humanos , Masculino , Metadona/uso terapéutico , México , Grupos de Autoayuda , Estados Unidos , Adulto JovenAsunto(s)
Continuidad de la Atención al Paciente/organización & administración , Sobredosis de Droga/epidemiología , Servicio de Urgencia en Hospital/organización & administración , Trastornos Relacionados con Opioides/epidemiología , Trastornos Relacionados con Opioides/terapia , Analgésicos Opioides/envenenamiento , Sobredosis de Droga/mortalidad , Heroína/envenenamiento , Humanos , Trastornos Relacionados con Opioides/mortalidad , Derivación y Consulta/organización & administración , Estados UnidosRESUMEN
O intuito, nesta pesquisa, foi compreender o embasamento teórico presente no discurso de 17 profissionais de saúde mental que atuam em três modelos de atendimento a dependentes químicos. Os dados foram coletados por meio de questionário e classificados em três categorias de análise, segundo o arcabouço teórico-epistemológico de cada abordagem e instituição, sendo elas: o modelo biomédico (clínica), o modelo sociocultural (centro de atenção psicossocial) e o modelo psicossocial (comunidades terapêuticas). Concluiu-se que os profissionais participantes não apresentam definição específica sobre os conceitos de dependente e tratamento, relativos à dependência química, e, também, suas abordagens podem ser, por vezes, contraditórias às metodologias e ideologias das instituições analisadas.
The objective in this research was to understand the theoretical background in the discourse of 17 mental health professionals working in three care models for drug addicts. The data were collected through a questionnaire and classified in three analysis categories, according to the theoretical-epistemological framework of each approach and institution, being: the biomedical model (clinical), the sociocultural model (psychosocial care center) and the psychosocial model (therapeutic communities). It was concluded that the participating professionals do not present a specific definition regarding the addict and treatment concepts of drug addiction. Also, their approaches can sometimes be contradictory to the methods and ideologies of the institutions analyzed.
La presente búsqueda, tuvo el intuito de entender el fundamento teórico presente en el discurso de 17 profesionales de salud mental que actúan en 3 modelos de atención a los adictos de drogas psicoactivas. Los datos fueron colectados por medio de cuestionarios y clasificados en 3 categorías de análisis según el marco teórico/epistemológico de cada enfoque e institución, siendo ellas: El modelo biomédico (clínica), el modelo sociocultural (centro de atención psicosocial) y el modelo psicosocial (comunidades terapéuticas). Se concluyó que los profesionales participantes no presentan una definición específica sobre los conceptos de "adictos" y "tratamiento" de dependencia química. Se concluye incluso que, el enfoque de los profesionales pueden, a veces, ser contradictorios a las metodologías e idiologías de las instituciones analizadas.
Asunto(s)
Grupo de Atención al Paciente , Trastornos Relacionados con Sustancias , Servicios de Salud Mental , Trastornos Relacionados con Opioides/terapiaRESUMEN
Opioid use in pregnancy has increased dramatically over the past decade. Since prenatal opioid use is associated with numerous obstetrical and neonatal complications, this now has become a major public health problem. In particular, in utero opioid exposure can result in neonatal abstinence syndrome (NAS) which is a serious condition characterized by central nervous system hyperirritability and autonomic nervous system dysfunction. The present review seeks to define current practices regarding the approach to the pregnant mother and neonate with prenatal opiate exposure. Although the cornerstone of prenatal management of opioid dependence is opioid maintenance therapy, the ideal agent has yet to be definitively established. Pharmacologic management of NAS is also highly variable and may include an opioid, barbiturate, and/or α-agonist. Genetic factors appear to be associated with the incidence and severity of NAS. Establishing pharmacogenetic risk factors for the development of NAS has the potential for creating opportunities for "personalized genomic medicine" and novel, individualized therapeutic interventions.
Asunto(s)
Agonistas alfa-Adrenérgicos/uso terapéutico , Analgésicos Opioides/uso terapéutico , Barbitúricos/uso terapéutico , Síndrome de Abstinencia Neonatal , Trastornos Relacionados con Opioides/terapia , Complicaciones del Embarazo/terapia , Femenino , Humanos , Recién Nacido , Administración del Tratamiento Farmacológico , Síndrome de Abstinencia Neonatal/diagnóstico , Síndrome de Abstinencia Neonatal/etiología , Síndrome de Abstinencia Neonatal/genética , Síndrome de Abstinencia Neonatal/terapia , Tratamiento de Sustitución de Opiáceos/métodos , Variantes Farmacogenómicas , Embarazo , Efectos Tardíos de la Exposición Prenatal/prevención & controlRESUMEN
OBJECTIVE: To evaluate the dichotomy of type I/II and type A/B alcoholism typologies in opiate-dependent patients with a comorbid alcohol dependence problem (ODP-AP). METHODS: The validity assessment process comprised the information regarding the history of alcohol use (internal validity), cognitive-behavioral variables regarding substance use (external validity), and indicators of treatment during 6-month follow-up (predictive validity). RESULTS: ODP-AP subjects classified as type II/B presented an early and much more severe drinking problem and a worse clinical prognosis when considering opiate treatment variables as compared with ODP-AP subjects defined as type I/A. Furthermore, type II/B patients endorse more general positive beliefs and expectancies related to the effect of alcohol and tend to drink heavily across several intra- and interpersonal situations as compared with type I/A patients. CONCLUSIONS: These findings confirm two different forms of alcohol dependence, recognized as a low-severity/vulnerability subgroup and a high-severity/vulnerability subgroup, in an opiate-dependent population with a lifetime diagnosis of alcohol dependence.
Asunto(s)
Alcoholismo/clasificación , Alcoholismo/terapia , Trastornos Relacionados con Cocaína/terapia , Trastornos Relacionados con Opioides/terapia , Encuestas y Cuestionarios , Adulto , Factores de Edad , Alcoholismo/diagnóstico , Alcoholismo/psicología , Síntomas Conductuales , Trastornos Relacionados con Cocaína/psicología , Cognición/efectos de los fármacos , Métodos Epidemiológicos , Femenino , Humanos , Masculino , Abuso de Marihuana/psicología , Abuso de Marihuana/terapia , Persona de Mediana Edad , Trastornos Relacionados con Opioides/psicología , Portugal , Psicometría , Psicoterapia de Grupo , Índice de Severidad de la Enfermedad , Factores Sexuales , Factores Socioeconómicos , Factores de TiempoRESUMEN
Clinicians may face pragmatic, ethical, and legal issues when treating addicted patients. Equal pressures exist for clinicians to always address the health care needs of these patients in addition to their addiction. Although controversial, mainly because of the lack of evidence regarding their long-term efficacy, the use of opioids for the treatment of chronic pain management is widespread. Their use for pain management in the addicted population can present even more challenges, especially when evaluating the likelihood of drug-seeking behavior. As the misuse and abuse of opioids continues to burgeon, clinicians must be particularly vigilant when prescribing chronic opioid therapy. The purpose of this article is to summarize recommendations from a recent meeting of experts convened to recommend how primary care physicians should approach treatment of chronic pain for addicted patients when an addiction specialist is not available for a referral. As there is a significant gap in guidelines and recommendations in this specific area of care, this article serves to create a foundation for expanding chronic pain guidelines in the area of treating the addicted population. This summary is designed to be a practical how-to guide for primary care physicians, discussing risk assessment, patient stratification, and recommended therapeutic approaches.
Asunto(s)
Analgésicos Opioides/administración & dosificación , Dolor Crónico/tratamiento farmacológico , Trastornos Relacionados con Opioides/terapia , Guías de Práctica Clínica como Asunto , Adulto , Anciano , Analgésicos Opioides/efectos adversos , Terapia Conductista/normas , Dolor Crónico/diagnóstico , Medicina Familiar y Comunitaria/normas , Femenino , Humanos , Masculino , Persona de Mediana Edad , Trastornos Relacionados con Opioides/diagnóstico , Dimensión del Dolor , Cooperación del Paciente/estadística & datos numéricos , Educación del Paciente como Asunto/normas , Relaciones Médico-Paciente , Pautas de la Práctica en Medicina , Medición de Riesgo , Resultado del Tratamiento , Estados UnidosRESUMEN
The proposed study is justified by the vulnerability of young people regarding psychoactive substances consumption. The objectives were: to identify the number of students who use psychoactive substances in an Institution of Higher Education; to identify factors that influence consumption and the number of students who need intervention. For data collection we used two instruments: the sociodemographic and ASSIST (Alcohol, Smoking and Substance Involvement Screening Test). In a sample of 437 students, we found that 221 of them must receive intervention and eight need to be referred for treatment; 68 students think that alcohol hinders them in college and 99 students miss classes due to alcohol consumption.(AU)
A realização do estudo justifica-se pela vulnerabilidade dos jovens para o consumo de substâncias psicoativas. Os objetivos foram: identificar o número de universitários que fazem uso, em uma instituição de ensino superior, verificar fatores que influenciam o consumo e o número de universitários que necessitam receber intervenção. Para a coleta de dados utilizaram-se dois instrumentos: de caracterização sociodemográfica e o Alcohol, Smoking, and Substance Involvement Screen Test. Em amostra com 437 acadêmicos, verificou-se que 221 precisavam receber intervenção e oito precisavam ser encaminhados para tratamento; 68 universitários achavam que o álcool os atrapalhava na faculdade e 99 universitários faltavam às aulas devido ao consumo de álcool.(AU)
La realización del estudio se justifica por la vulnerabilidad de los jóvenes para el consumo de substancias psicoactivas. Los objetivos fueron: identificar el número de universitarios que hacen uso, en una Institución de Enseñanza Superiora; verificar factores que influencian el consumo; y el número de universitarios que necesitan recibir intervención. Para la recogida de datos se utilizó dos instrumentos: de caracterización sociodemográfica y el ASSIST (Alcohol, Smoking, and Substance Involvement Screen Test). En muestra de 437 académicos, se verificó que 221 necesitan recibir intervención y ocho necesitan ser encaminados para tratamiento; 68 universitarios creen que el alcohol les estorba en la facultad y 99 universitarios faltan a las clases debido al consumo de alcohol.(AU)
Asunto(s)
Humanos , Masculino , Femenino , Adulto Joven , Adulto , Persona de Mediana Edad , Consumo de Bebidas Alcohólicas , Alcoholismo , Uso de Tabaco , Uso de Tabaco/epidemiología , Uso de Tabaco/terapia , Trastornos Relacionados con Opioides/epidemiología , Trastornos Relacionados con Opioides/prevención & control , Trastornos Relacionados con Opioides/rehabilitación , Trastornos Relacionados con Opioides/terapia , EstudiantesRESUMEN
The proposed study is justified by the vulnerability of young people regarding psychoactive substances consumption. The objectives were: to identify the number of students who use psychoactive substances in an Institution of Higher Education; to identify factors that influence consumption and the number of students who need intervention. For data collection we used two instruments: the sociodemographic and ASSIST (Alcohol, Smoking and Substance Involvement Screening Test). In a sample of 437 students, we found that 221 of them must receive intervention and eight need to be referred for treatment; 68 students think that alcohol hinders them in college and 99 students miss classes due to alcohol consumption...
A realização do estudo justifica-se pela vulnerabilidade dos jovens para o consumo de substâncias psicoativas. Os objetivos foram: identificar o número de universitários que fazem uso, em uma instituição de ensino superior, verificar fatores que influenciam o consumo e o número de universitários que necessitam receber intervenção. Para a coleta de dados utilizaram-se dois instrumentos: de caracterização sociodemográfica e o Alcohol, Smoking, and Substance Involvement Screen Test. Em amostra com 437 acadêmicos, verificou-se que 221 precisavam receber intervenção e oito precisavam ser encaminhados para tratamento; 68 universitários achavam que o álcool os atrapalhava na faculdade e 99 universitários faltavam às aulas devido ao consumo de álcool...
La realización del estudio se justifica por la vulnerabilidad de los jóvenes para el consumo de substancias psicoactivas. Los objetivos fueron: identificar el número de universitarios que hacen uso, en una Institución de Enseñanza Superiora; verificar factores que influencian el consumo; y el número de universitarios que necesitan recibir intervención. Para la recogida de datos se utilizó dos instrumentos: de caracterización sociodemográfica y el ASSIST (Alcohol, Smoking, and Substance Involvement Screen Test). En muestra de 437 académicos, se verificó que 221 necesitan recibir intervención y ocho necesitan ser encaminados para tratamiento; 68 universitarios creen que el alcohol les estorba en la facultad y 99 universitarios faltan a las clases debido al consumo de alcohol...
Asunto(s)
Humanos , Masculino , Femenino , Adulto Joven , Persona de Mediana Edad , Alcoholismo , Consumo de Bebidas Alcohólicas , Estudiantes , Trastornos Relacionados con Opioides/epidemiología , Trastornos Relacionados con Opioides/prevención & control , Trastornos Relacionados con Opioides/rehabilitación , Trastornos Relacionados con Opioides/terapia , Uso de Tabaco , Uso de Tabaco/epidemiología , Uso de Tabaco/terapiaRESUMEN
The objective was to analyze how is the care of drug users from the perspective of practicing professionals in an emergency care service in Ribeirão Preto-SP. For data collection, it was used a semi-structured interview conducted with 17 participants and found the Content Analysis of thematic type. It was found that most professionals do not have the knowledge to meet this demand, they feel insecure and their postures were guided by moral judgment and prejudice. Actions proved ineffective in attendance, as often the same were concentrated on clinical problems. It was reinforced the need for training of health professionals for this service, mainly due to the increasing demand for these services.(AU)
Objetivou-se analisar como ocorre o atendimento de usuários de substâncias psicoativas, a partir da perspectiva dos profissionais atuantes, num serviço de pronto atendimento do município de Ribeirão Preto, SP. Para a coleta de dados, utilizou-se entrevista semiestruturada, realizada com 17 participantes e procedeu-se à Análise de Conteúdo do tipo temática. Constatou-se que a maioria dos profissionais não dispõe de conhecimento para o atendimento a essa demanda, sentiam-se inseguros e suas posturas eram guiadas por julgamento moral e preconceito. As ações mostraram-se pouco eficazes no atendimento, visto que quase sempre as mesmas se concentravam em problemas clínicos. Reforça-se a necessidade de formação dos profissionais de saúde para esse atendimento, sobretudo devido à crescente procura por esses serviços.(AU)
Se objetivó analizar como ocurre el servicio de usuarios de substancias psicoactivas, desde la perspectiva de los profesionales actuantes, en un servicio de presto servicio del municipio de Ribeirão Preto-SP. Para recogida de datos se utilizó entrevista semiestructurada realizada con 17 participantes y se procedió el Análisis de Contenido del tipo temática. Se constató que la mayoría de los profesionales no dispone de conocimiento para el servicio la esa demanda, se sienten inseguros y sus posturas eran guiadas por juicio moral y preconcepto. Las acciones se mostraron poco eficaces en el servicio, visto que casi siempre las mismas se concentraban en problemas clínicos. Reforzamos la necesidad de formación de los profesionales de salud para ese servicio, especialmente debido a la creciente busca de estos servicios.(AU)
Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Grupo de Enfermería , Grupo de Atención al Paciente , Servicios Médicos de Urgencia , Capacitación Profesional , Consumidores de Drogas , Trastornos Relacionados con Opioides/terapiaRESUMEN
The objective was to analyze how is the care of drug users from the perspective of practicing professionals in an emergency care service in Ribeirão Preto-SP. For data collection, it was used a semi-structured interview conducted with 17 participants and found the Content Analysis of thematic type. It was found that most professionals do not have the knowledge to meet this demand, they feel insecure and their postures were guided by moral judgment and prejudice. Actions proved ineffective in attendance, as often the same were concentrated on clinical problems. It was reinforced the need for training of health professionals for this service, mainly due to the increasing demand for these services...
Objetivou-se analisar como ocorre o atendimento de usuários de substâncias psicoativas, a partir da perspectiva dos profissionais atuantes, num serviço de pronto atendimento do município de Ribeirão Preto, SP. Para a coleta de dados, utilizou-se entrevista semiestruturada, realizada com 17 participantes e procedeu-se à Análise de Conteúdo do tipo temática. Constatou-se que a maioria dos profissionais não dispõe de conhecimento para o atendimento a essa demanda, sentiam-se inseguros e suas posturas eram guiadas por julgamento moral e preconceito. As ações mostraram-se pouco eficazes no atendimento, visto que quase sempre as mesmas se concentravam em problemas clínicos. Reforça-se a necessidade de formação dos profissionais de saúde para esse atendimento, sobretudo devido à crescente procura por esses serviços...
Se objetivó analizar como ocurre el servicio de usuarios de substancias psicoactivas, desde la perspectiva de los profesionales actuantes, en un servicio de presto servicio del municipio de Ribeirão Preto-SP. Para recogida de datos se utilizó entrevista semiestructurada realizada con 17 participantes y se procedió el Análisis de Contenido del tipo temática. Se constató que la mayoría de los profesionales no dispone de conocimiento para el servicio la esa demanda, se sienten inseguros y sus posturas eran guiadas por juicio moral y preconcepto. Las acciones se mostraron poco eficaces en el servicio, visto que casi siempre las mismas se concentraban en problemas clínicos. Reforzamos la necesidad de formación de los profesionales de salud para ese servicio, especialmente debido a la creciente busca de estos servicios...
Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Capacitación Profesional , Grupo de Atención al Paciente , Grupo de Enfermería , Servicios Médicos de Urgencia , Trastornos Relacionados con Opioides/terapia , Consumidores de DrogasRESUMEN
En el ensayo se argumenta que preguntarse por los beneficios de tomar o no una postura de reducción de daño en el contexto del consumo de drogas es un falso dilema. No es posible tener una posición absoluta frente al tema, debido a que existen variables individuales, culturales, históricas, entre otras, que influyen en los resultados de las prácticas asociadas a la reducción del daño y que no permiten establecer la bondad o no de dicha postura