| Abstract [eng] |
In Lithuania, persons who have opioid dependence are more often assigned to inpatient treatment and pharmacotherapy with methadone or buprenorphine. These patients are allocated with round the clock care service, therefore in order to improve the quality of care, it is important to find out how patients with opioid dependence and carers working in addiction recovery centres rate care aspects, what factors have a positive or negative impact on the process of care and on expectations of patients. Objective of the thesis. Analyze expectations in care process of patients with opioid dependence. Methods. Empirical quantitative research has been conducted. The following methods were applied: anonymous survey using standardized (adapted) questionnaires, processing of statistical data and analysis of medical literature. The survey was carried out in two Centres of Addictive Disorders. 266 patients (addicts on opioids), who were treated in Centres of Addictive Disorders, and 71 nurses from these medical institutions have participated in the research. The study was conducted in accordance with ethical principles. Findings. It was found that factors having most influence to expectations of patients are as follows: behaviour of nurses, their honesty, kindness and tolerance, adaptation of environment to treatment, providing information about importance of treatment and care, and usage of medicines, expressing attention, communication with patients and family members, respecting patients and their personal habits. The results showed that expectations of patients are affected by socio-demographic characteristics of participants and by different medical institutions where patients were treated. However, while evaluating the care factors, not all socio-demographic characteristics of patients were significant. Conclusion. Technical and functional factors have influence when meeting expectations of patients with opioid dependence in care process, and assessment of expectations depends on patients’ socio-demographic characteristics. |
