背景:COVID-19大流行和禁闭期间的医疗保健提供导致成瘾中心的活动发生了重大变化。医疗保健活动的这些变化可能对双重病理患者产生了更大的影响。这项研究的目的是比较在禁闭前期间在成瘾中心患有双重病理的患者的治疗指标,禁闭,和禁闭后时期。
方法:在2019年2月1日至2021年6月30日期间进行了一项回顾性观察性研究。共有2785名接受专业戒毒服务的患者根据入院时间分为三个时期:产前,禁闭,和监禁后。
结果:在大流行前期间,成瘾中心平均收治121.3名(SD=23.58)患者,在分娩期间减少到53名患者(SD=19.47),在分娩后期间为80.69(SD=15.33)。在分娩期间,每位病人每月安排的预约次数有所减少,虽然这个数字在禁闭后增加了。在禁闭期间和禁闭后(酒精除外)进行的毒理学测试数量均有所减少。
结论:结果显示,就诊的患者数量和对双重诊断患者的护理活动减少。这些结果,这是由COVID预防措施引起的,可能会影响双重患者的进展和恢复。需要更大的投资来使护理活动达到分娩前几年的标准。
BACKGROUND: Health care provision during the COVID-19 pandemic and confinement has led to significant changes in the activity of addiction centers. These changes in healthcare activity may have had a greater impact on patients with dual pathology. The aim of this study is to compare the treatment indicators of patients with dual pathology in addiction centers during the pre-confinement, confinement, and post-confinement periods.
METHODS: A retrospective observational study was conducted for the period between 1 February 2019 and 30 June 2021. A total of 2785 patients treated in specialized addiction services were divided into three periods according to their time of admission: pre-confinement, confinement, and post-confinement.
RESULTS: During the pre-pandemic period, the addiction centers attended to an average of 121.3 (SD = 23.58) patients, decreasing to 53 patients during confinement (SD = 19.47), and 80.69 during the post-confinement period (SD = 15.33). The number of appointments scheduled monthly for each patient decreased during the confinement period, although this number increased after confinement. There was a reduction in the number of toxicological tests carried out both during and after confinement (except for alcohol).
CONCLUSIONS: The results show a reduction in the number of patients seen and the care activity delivered to dual diagnosis patients. These results, which were caused by the COVID-preventive measures, may affect the progress and recovery of dual patients. A greater investment is needed to bring the care activity up to the standards of the years prior to confinement.