Abstract：
OBJECTIVE: Substance use disorders (SUDs) are frequently encountered in hospice palliative care (HPC) and pose substantial quality-of-life issues for patients. However, most HPC physicians do not directly treat their patients\' SUDs due to several institutional and personal barriers. This review will expand upon arguments for the integration of SUD treatment into HPC, will elucidate challenges for HPC providers, and will provide recommendations that address these challenges.
METHODS: A thorough review of the literature was conducted. Arguments for the treatment of SUDs and recommendations for physicians have been synthesized and expanded upon.
RESULTS: Treating SUD in HPC has the potential to improve adherence to care, access to social support, and outcomes for pain, mental health, and physical health. Barriers to SUD treatment in HPC include difficulties with accurate assessment, insufficient training, attitudes and stigma, and compromised pain management regimens. Recommendations for physicians and training environments to address these challenges include developing familiarity with standardized SUD assessment tools and pain management practice guidelines, creating and disseminating visual campaigns to combat stigma, including SUD assessment and intervention as fellowship competencies, and obtaining additional training in psychosocial interventions.
CONCLUSIONS: By following these recommendations, HPC physicians can improve their competence and confidence in working with individuals with SUDs, which will help meet the pressing needs of this population.
METHODS: A thorough review of the literature was conducted. Arguments for the treatment of SUDs and recommendations for physicians have been synthesized and expanded upon.
RESULTS: Treating SUD in HPC has the potential to improve adherence to care, access to social support, and outcomes for pain, mental health, and physical health. Barriers to SUD treatment in HPC include difficulties with accurate assessment, insufficient training, attitudes and stigma, and compromised pain management regimens. Recommendations for physicians and training environments to address these challenges include developing familiarity with standardized SUD assessment tools and pain management practice guidelines, creating and disseminating visual campaigns to combat stigma, including SUD assessment and intervention as fellowship competencies, and obtaining additional training in psychosocial interventions.
CONCLUSIONS: By following these recommendations, HPC physicians can improve their competence and confidence in working with individuals with SUDs, which will help meet the pressing needs of this population.
摘要：
目的：在临终关怀姑息治疗（HPC）中经常遇到物质使用障碍（SUDs），并给患者带来实质性的生活质量问题。然而,由于一些机构和个人障碍，大多数HPC医生不直接治疗他们的患者。这篇综述将扩展SUD治疗与HPC整合的论点，将阐明HPC提供商面临的挑战，并将提供应对这些挑战的建议。
方法：对文献进行了全面回顾。已综合并扩展了SUD治疗的参数和对医生的建议。
结果：在HPC中治疗SUD有可能提高对护理的依从性，获得社会支持，以及疼痛的结果，心理健康,和身体健康。HPC中SUD治疗的障碍包括准确评估的困难，培训不足,态度和耻辱，和妥协的疼痛管理方案。针对医生和培训环境应对这些挑战的建议包括：熟悉标准化SUD评估工具和疼痛管理实践指南。创造和传播视觉运动来对抗污名，包括SUD评估和干预作为研究金能力，并获得心理社会干预方面的额外培训。
结论：遵循这些建议，HPC医生可以提高他们与SUD患者合作的能力和信心，这将有助于满足这些人口的迫切需求。
方法：对文献进行了全面回顾。已综合并扩展了SUD治疗的参数和对医生的建议。
结果：在HPC中治疗SUD有可能提高对护理的依从性，获得社会支持，以及疼痛的结果，心理健康,和身体健康。HPC中SUD治疗的障碍包括准确评估的困难，培训不足,态度和耻辱，和妥协的疼痛管理方案。针对医生和培训环境应对这些挑战的建议包括：熟悉标准化SUD评估工具和疼痛管理实践指南。创造和传播视觉运动来对抗污名，包括SUD评估和干预作为研究金能力，并获得心理社会干预方面的额外培训。
结论：遵循这些建议，HPC医生可以提高他们与SUD患者合作的能力和信心，这将有助于满足这些人口的迫切需求。
