Jones Jermaine D, Roux Perrine, Stancliff Sharon, Matthews William, Comer Sandra D
Division on Substance Abuse, New York State Psychiatric Institute, Columbia University, College of Physicians and Surgeons, 1051 Riverside Drive, New York, NY 10032, United States.
Division on Substance Abuse, New York State Psychiatric Institute, Columbia University, College of Physicians and Surgeons, 1051 Riverside Drive, New York, NY 10032, United States; INSERM U912 (SESSTIM), Marseille, France; Université Aix Marseille, IRD, UMR-S912, Marseille, France; ORS PACA, Observatoire Régional de la Santé Provence Alpes Côte d'Azur, Marseille, France.
Int J Drug Policy. 2014 Jan;25(1):166-70. doi: 10.1016/j.drugpo.2013.05.006. Epub 2013 Jun 15.
In an effort to increase effective intervention following opioid overdose, the New York State Department of Health (NYSDOH) has implemented programs where bystanders are given brief education in recognizing the signs of opioid overdose and how to provide intervention, including the use of naloxone. The current study sought to assess the ability of NYSDOH training to increase accurate identification of opioid and non-opioid overdose, and naloxone use among heroin users.
Eighty-four participants completed a test on overdose knowledge comprised of 16 putative overdose scenarios. Forty-four individuals completed the questionnaire immediately prior to and following standard overdose prevention training. A control group (n=40), who opted out of training, completed the questionnaire just once.
Overdose training significantly increased participants' ability to accurately identify opioid overdose (p<0.05), and scenarios where naloxone administration was indicated (p<0.05). Training did not alter recognition of non-opioid overdose or non-overdose situations where naloxone should not be administered.
The data indicate that overdose prevention training improves participants' knowledge of opioid overdose and naloxone use, but naloxone may be administered in some situations where it is not warranted. Training curriculum could be improved by teaching individuals to recognize symptoms of non-opioid drug over-intoxication.
为了加强阿片类药物过量后的有效干预，纽约州卫生部（NYSDOH）实施了相关项目，向旁观者提供简短培训，使其了解阿片类药物过量的迹象以及如何进行干预，包括使用纳洛酮。本研究旨在评估纽约州卫生部培训在提高海洛因使用者对阿片类药物和非阿片类药物过量的准确识别能力以及纳洛酮使用方面的效果。
84名参与者完成了一项由16个假定过量场景组成的过量知识测试。44人在标准过量预防培训前后立即完成了问卷。一个选择不参加培训的对照组（n = 40）只完成了一次问卷。
过量培训显著提高了参与者准确识别阿片类药物过量的能力（p < 0.05），以及表明应使用纳洛酮的场景的识别能力（p < 0.05）。培训并未改变对非阿片类药物过量或不应使用纳洛酮的非过量情况的识别。
数据表明，过量预防培训提高了参与者对阿片类药物过量和纳洛酮使用的知识，但在某些不必要的情况下可能会使用纳洛酮。通过教导个人识别非阿片类药物过度中毒的症状，可以改进培训课程。
