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首页> 外文期刊>Drugs: education, prevention, and policy >Prospects for people who use drugs: Maintenance, recovery or progress? An analysis of motivation to change in individuals attending for opioid agonist prescribing (OAP) in a general practice setting
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Prospects for people who use drugs: Maintenance, recovery or progress? An analysis of motivation to change in individuals attending for opioid agonist prescribing (OAP) in a general practice setting

机译：使用药物的人的前景：维护，恢复或进展？ 在一般实践环境中，参加阿片类枕剂处方（OAP）的个体变化的动机分析

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Aims: To evaluate the characteristics and potential for change in a group of opiate dependent patients. Methods: A convenience sample of individuals receiving a prescription for an opiate substitute were recruited during a consultation with their general practitioner in an NHS practice located in a city in Central Scotland with a high incidence and prevalence of opiate drug use. Participants completed a standardised questionnaire (Christo Inventory for Substance Misuse) and self-allocated to a motivational group representing willingness to consider change of prescription. Findings: The group had a high level of comorbidity and a low interest in change of prescription. Stability of drug use was found to be common even in the presence of frequent mental and physical health problems. Unemployment was high in a largely male population who had a high need but low uptake for psychological help. Conclusions: For study participants, potential for change seems limited with medium to long-term continuation of an opiate agonist treatment plan appropriate. They represent a high risk group for death from various causes and may be protected by their current situation. Engagement with other health and social care professions is poor. Implications for clinical practice are that OAP is, for many, a longer term prospect and that recovery, or progress, should be assessed by a wider range of measures than just drug intake.
机译：目的：评估一组阿片依赖患者的变化的特征和潜力。方法：在与其在苏格兰市中心的一个城市的NHS实践的磋商中，招聘了接受鸦片替代品处方的个人的便利样本，其苏格兰中部的一个城市具有高发病率和鸦片药物使用的患病率。与会者完成了标准化的问卷（基督徒库存的药物滥用），并自我分配给代表愿意考虑转变处方的愿望。调查结果：该组具有高水平的合并症和对处方变化的低兴趣。即使在频繁的心理和身体健康问题存在下，发现药物使用的稳定性也是共同的。失业率很高，主要是男性群体高，但对心理帮助的影响很低。结论：对于学习参与者来说，随着Apiep激动作用的治疗计划的长期延续，变革的可能性似乎是有限的。它们代表了来自各种原因的死亡的高风险群，可能受到他们目前的情况的保护。与其他健康和社会护理职业的参与差。对临床实践的影响是，对于许多人来说，OAP是更长的阶段的前景和恢复或进展，应通过更广泛的措施进行评估，而不是仅仅是药物摄入量。

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