目的:降低风险和损害是一个公共卫生问题,允许将成瘾视为一种慢性病理,患者有机会成为自己护理的参与者,与治疗教育共享的哲学。在这种情况下,我们的目标是开发一种适应特殊结构的患者/用户人群的工具,符合有针对性的教育活动的标准,让他们更好地了解和管理他们每天对阿片类药物的成瘾。
方法:在多专业环境中,涉及药剂师,医生和护士,进行了探索阶段,以确定主题,目标人群和工具格式。然后,该工具的构建和验证旨在通过教学来应对患者/用户每天遇到的问题。
结果:教学工具,称为“LeQUIZZàmoindrerisque”,包含51个问题,分为两个结构化部分,涉及减少与阿片剂消费和替代药物有关的风险。专注于患者/使用者的问题,它帮助他们在健康和更好的生活质量方面实现更大的自主权,尽管有疾病。拟议的格式使其成为患者/用户可以根据其做法和需求自由咨询的工具;它也可以用于与护理人员一起举办的小组讲习班。
结论:开发的工具旨在(i)使阿片类药物使用者能够掌握技能,以改善其消费和相关风险的管理,以及(ii)通过为患者/使用者和护理人员提供成为其护理行为者的机会来加强他们之间的沟通。该工具目前正在诺曼底的许多城市进行测试和评估,其优化将有助于改善护理,以满足挑战和需求。
OBJECTIVE: Risk and damage reduction is a public health issue and allows to consider addiction as a chronic pathology in which patients have the opportunity to become actors of their own care, a philosophy shared with Therapeutic Education. In this context, our objective is to develop a tool adapted to the populations of patients/users in specialized structures, meeting the criteria of a Targeted Educational Activity, to allow them a better understanding and management of their addiction to opiates on a daily basis.
METHODS: In a multi-professional setting, involving pharmacists, doctors and nurses, an exploratory phase was conducted in order to identify the theme, the target population and the tool format. Then, the tool was built and validated with the ambition of responding pedagogically to the problems encountered daily by patients/users.
RESULTS: The pedagogical tool, called \"Le QUIZZ à moindre risque\", contains 51 questions categorized in 2 structured parts on the reduction of risks related to opiate consumption and substitution drugs. Focused on the problems of patients/users, it helps them achieve greater autonomy in their health and a better quality of life, with and despite the illness. The proposed format makes it a tool that can be freely consulted by patients/users according to their practices and needs; it can also be used in group workshops conducted with the caregivers.
CONCLUSIONS: The tool developed aims to (i) enable opiate users to acquire skills to improve the management of their consumption and the risks involved and (ii) strengthen communication between patients/users and caregivers by offering them the opportunity to be actors of their care. The tool is currently being tested and evaluated in many cities in Normandy and its optimization will allow for an improvement in care that meets the challenges and needs.