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Exploring the experience of inpatients with severe alcohol use disorder on a managed alcohol program (MAP) at St. Paul's Hospital.
Harm Reduction Journal ( IF 4.756 ) Pub Date : 2020-05-12 , DOI: 10.1186/s12954-020-00371-6
Beena P Parappilly 1 , Emma Garrod 2 , Ryan Longoz 1 , Eric Eligh 2 , Holly van Heukelom 1 , Christopher Kit Fairgrieve 3 , Bernadette Pauly 4
Affiliation  

BACKGROUND Managed alcohol programs are a harm reduction approach for people with severe alcohol use disorder that provide alcohol in a structured setting. We examined the patient experience of receiving alcohol after the implementation of a hospital-based managed alcohol program. METHODS Using an interpretative descriptive methodology, we conducted interviews with five patients. The criteria for enrollment included continuation of community managed alcohol program or provision of alcohol for stabilization in hospital and ability to provide consent. RESULTS Five themes emerged in the analysis: (1) Reasons for alcohol use highlighting factors leading to alcohol consumption; (2) I'm very appreciative indicating participant's perception of hospital-based managed alcohol program; (3) From just vibrating to calm and It's kinda like a pacifier for me recognizing the impact of hospital-based managed alcohol program on managing withdrawal and on psychological health; (4) I have no need to go anywhere at all demonstrating engagement in healthcare; and (5) Might be nice to have a selection for other people indicating the need for a broader selection of alcohol. CONCLUSIONS This study helped to explore the effectiveness of a hospital-based managed alcohol program as experienced by the patients. Overall, participants had a positive experience on hospital-based managed alcohol program. Their perceptions can be used to inform implementation of managed alcohol programs in other hospital settings.

中文翻译:

在圣保罗医院通过管理性酒精计划(MAP)探索患有严重饮酒障碍的住院患者的经验。

背景技术酒精管理计划是一种针对严重酒精使用障碍患者的减低危害的方法,这些患者在结构化的环境中提供酒精。在实施基于医院的酒精管理计划之后,我们检查了患者接受酒精的经历。方法我们采用解释性描述性方法,对5名患者进行了访谈。入学标准包括继续社区管理的酒精计划或提供酒精以稳定医院并提供同意的能力。结果分析中出现了五个主题:(1)饮酒的原因突出了导致饮酒的因素;(2)我非常感谢参与者对基于医院的酒精管理计划的看法;(3)从振动到平静,我有点像安抚奶嘴,因为我认识到以医院为基础的酒精管理计划对管理戒断和心理健康的影响;(4)我完全没有必要去参加任何医疗活动;(5)可以选择其他人可能很好,这表明需要更多的酒精选择。结论这项研究有助于探索患者体验的基于医院的酒精管理计划的有效性。总体而言,参与者对基于医院的酒精管理计划有积极的经验。他们的看法可以用来指导在其他医院环境中实施酒精管理计划。(4)我完全没有必要去参加任何医疗活动;(5)可以选择其他人可能很好,这表明需要更多的酒精选择。结论这项研究有助于探索患者体验的基于医院的酒精管理计划的有效性。总体而言,参与者对基于医院的酒精管理计划有积极的经验。他们的看法可以用来指导在其他医院环境中实施酒精管理计划。(4)我完全没有必要去参加任何医疗活动;(5)可以选择其他人可能很好,这表明需要更多的酒精选择。结论这项研究有助于探索患者体验的基于医院的酒精管理计划的有效性。总体而言,参与者对基于医院的酒精管理计划有积极的经验。他们的看法可以用来指导在其他医院环境中实施酒精管理计划。参与者在基于医院的酒精管理计划方面拥有积极的经验。他们的看法可以用来指导在其他医院环境中实施酒精管理计划。参与者在基于医院的酒精管理计划方面拥有积极的经验。他们的看法可以用来指导在其他医院环境中实施酒精管理计划。
更新日期:2020-05-12
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