20.500.12556/DKUM-95405 Obravnava pacientov odvisnih od psihoaktivnih substanc s pridruženo duševno motnjo Treatment of patients dependent on psychoactive substances with an associated mental disorder Uvod: Dvojna diagnoza se uporablja za opis oseb, ki imajo hkrati težave z duševnim zdravjem ter težave, povezane z uporabo drog ali alkohola. Namen zaključnega dela je raziskati obravnavo pacientov, ki so odvisni od psihoaktivnih substanc in imajo pridruženo duševno motnjo. Metode: Pri izdelavi zaključnega dela smo izvedli pregled literature s področja odvisnosti od psihoaktivnih substanc pri pacientih s pridruženo duševno motnjo. Uporabili smo podatkovne baze PubMed, SAGE Journals, Science Direct in CHINAL Ultimate (ESCO). Potek iskanja literature je prikazan s PRISMA diagramom. Moč dokazov smo ovrednotili s piramidno hierarhijo dokazov, kritično oceno člankov pa izvedli z JBI orodjem. Rezultati: V končno analizo je bilo vključenih sedem člankov, ki so ustrezali izbranim kriterijem. Ugotovljeno je, da je najučinkovitejša integrirana in celostna obravnava, ki hkrati obravnava odvisnost in pridruženo duševno motnjo. Pristop vključuje kombinacijo različnih terapevtskih metod (zlasti kognitivno-vedenjsko terapijo, motivacijski intervju, družinsko in skupinsko terapijo) ter poudarja pomen psihosocialnih dejavnikov in vzpostavljanja kakovostnega terapevtskega odnosa. Razprava in zaključek: Integrirana in celostna obravnava se izkazuje kot ključna pri učinkovitem zdravljenju pacientov z dvojno diagnozo. Potrebne so dodatne raziskave, ki bi obravnavale dolgoročno učinkovitost posameznih pristopov ter možnosti njihovega uvajanja v širšo klinično prakso. Introduction: Dual diagnosis is used to describe people who have both mental health problems and problems related to drug or alcohol use. The purpose of the final thesis is to explore the treatment of patients who are addicted to psychoactive substances and have an associated mental disorder. Methods: In preparing the final thesis, we conducted a literature review in the field of psychoactive substance dependence in patients with co-occurring mental disorders. We used the databases PubMed, SAGE Journals, Science Direct, and CHINAL Ultimate (ESCO). The literature search process is shown with a PRISMA diagram. The strength of evidence was evaluated using the pyramid hierarchy of evidence, and the critical appraisal of the articles was performed using the JBI tool. Results: Seven articles that met the selected criteria were included in the final analysis. It was found that the most effective treatment is an integrated and holistic treatment that simultaneously addresses the addiction and the associated mental disorder. The approach includes a combination of different therapeutic methods (especially cognitive-behavioral therapy, motivational interviewing, and family and group therapy) and emphasizes the importance. Discussion and conclusion: Integrated and holistic treatment has been proven to be key in the effective treatment of patients with dual diagnosis. Additional research is needed to address the long-term effectiveness of individual approaches and the potential for their introduction into wider clinical practice. odvisnost komorbidnost psihoaktivne snovi duševna motnja zdravstvena nega addiction comorbidity psychoactive substances mental disorder nursing true true false [N. Kirbiš] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2025-09-16 21:18:32 2025-11-18 13:27:43 2025-12-21 21:22:33 0000-00-00 00:00:00 2025 0 Maribor 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 615.015.6-056.24+616.89(043.2) 256280579 MAG_Kirbis_Nusa_2025.pdf MAG_Kirbis_Nusa_2025.pdf 1 081BDC8F33BF7C31509355DE80EDFB47 1342ab113166d56b154c954e021510828c9bfc3c3efc3fb77042f9d2ec04ecb3 e9591d45-9333-11f0-8742-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=198631 Fakulteta za zdravstvene vede 0 0 0