Nursing interventions in patients with substance use disorders. A systematic review

To analyze the current available evidence on non-pharmacological interventions for increasing the withdrawal of patients with substance use disorder. A systematic review of randomized clinical trials with a control group has been carried out where a non-pharmacological intervention is carried out in...

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Bibliographic Details
Published in:Enfermería clínica (Internet. English ed.) 2024-07, Vol.34 (4), p.271-292
Main Authors: Lucas-Guerra, Clara, González-Ordi, Héctor, del-Gallego-Lastra, Ramón
Format: Article
Language:English
Subjects:
Clinical trial
Consumidores de drogas (Decs)
Drug users (Mesh)
Enfermería
Ensayo clínico
Nursing
Revisión sistemática
Substance-related disorder
Systematic review
Trastornos relacionados con sustancias
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Summary:To analyze the current available evidence on non-pharmacological interventions for increasing the withdrawal of patients with substance use disorder. A systematic review of randomized clinical trials with a control group has been carried out where a non-pharmacological intervention is carried out in which nurses participate. The search was carried out in Pubmed, Cinahl, Web of Science, Scopus and Cochrane. randomized clinical trials with a control group published between 2018 and 2023 were selected. 15 articles were selected. A longer abstinence time was observed in the interventions that proposed a personalized telematic follow-up with a health worker, the establishment of the figure of the care coordinator or financial rewards based on the abstinence time. No significant differences regarding abstinence were observed in the formative interventions or with relaxation techniques only. However, relaxation techniques combined with other interventions could be effective. The identified interventions can be incorporated into nursing practice. They present encouraging results, although it would be advisable to study their long-term effectiveness. Analizar la evidencia actual disponible sobre intervenciones no farmacológicas para aumentar el tiempo de abstinencia de pacientes con trastorno por consumo de sustancias. se ha realizado una revisión sistemática de ensayos clínicos aleatorizados con grupo control donde se lleve a cabo una intervención no farmacológica en la que haya participación enfermera. La búsqueda fue realizada en Pubmed, Cinahl, Web of Science, Scopus y Cochrane. Se seleccionaron ensayos clínicos aleatorizados con grupo control publicados entre 2018 y 2023. Se seleccionaron 15 artículos. Se observó mayor tiempo de abstinencia en las intervenciones que planteaban un seguimiento telemático personalizado con un sanitario, el establecimiento de la figura del coordinador de cuidados o recompensas económicas en función del tiempo de abstinencia. No se observaron diferencias significativas en la abstinencia en estudios que planteaban EPS o técnicas de relajación únicamente. No obstante, las técnicas de relajación combinadas con otras intervenciones sí podrían ser efectivas. Las intervenciones identificadas pueden ser incorporadas a la práctica enfermera. Presentan resultados esperanzadores, aunque sería recomendable estudiar su efectividad a largo plazo.
ISSN:2445-1479
2445-1479
DOI:10.1016/j.enfcle.2024.07.006