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首页> 外文期刊>Journal of substance abuse treatment >Home- versus office-based buprenorphine inductions for opioid-dependent patients.
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Home- versus office-based buprenorphine inductions for opioid-dependent patients.

机译：阿片依赖患者的家庭和办公室丁丙诺啡诱导治疗。

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Recent legislation permits the treatment of opioid-dependent patients with buprenorphine in the primary care setting, opening doors for the development of new treatment models for opioid dependence. We modified national buprenorphine treatment guidelines to emphasize patient self-management by giving patients the opportunity to choose to have buprenorphine inductions at home or the physician's office. We examined whether patients who had home-based inductions achieved greater 30-day retention than patients who had traditional office-based inductions in a study of 115 opioid-dependent patients treated in an inner-city health center. Retention was similar in both groups: 50 (78.1%) in office-based group versus 40 (78.4%) in home-based group, p = .97. Several patient characteristics were associated with choosing office- versus home-based inductions, which likely influenced these results. We conclude that opioid dependence can be successfully managed in the primary care setting. Approaches that encourage patient involvement in treatment for opioid dependence can be beneficial.
机译：最近的立法允许在初级保健机构中用丁丙诺啡治疗阿片类药物依赖性患者，为开发新的阿片类药物依赖性治疗模型打开了大门。我们修改了国家丁丙诺啡治疗指南，通过让患者有机会选择在家中或医师办公室进行丁丙诺啡诱导来强调患者的自我管理。在一项对115名阿片类药物依赖患者的研究中，我们检查了在家中诱导的患者是否比传统办公室诱导的患者具有更高的30天保留率。两组的保留率相似：办公室组为50（78.1％），家庭组为40（78.4％），p = 0.97。几种患者特征与选择办公室诱导和家庭诱导有关，可能会影响这些结果。我们得出的结论是，在初级保健机构中可以成功解决阿片类药物依赖性。鼓励患者参与阿片类药物依赖治疗的方法可能是有益的。

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