Dion Kimberly A
Kimberly A. Dion, PhD, RN, CNE, University of Massachusetts Amherst.
J Addict Nurs. 2016 Jan-Mar;27(1):7-11. doi: 10.1097/JAN.0000000000000106.
Death by overdose has been steadily increasing since 1992 and has become a public health epidemic. With the rise of prescription pain medications for nonmedical use and the highest use of illicit substances by those ages 18-25, the need for action is imperative.
The aim of the study was to determine whether an educational intervention had an effect on nursing students' knowledge and skills regarding administration of intranasal naloxone for opioid overdose.
A convenience sample of baccalaureate nursing students was recruited for the study. A pretest/posttest design was used to evaluate the educational intervention. A paired t test was used to compare differences in pre- and posttest scores.
A total of 49 students completed the study. The majority were women ages 25 and below, 31 (63.2%) had some or no background knowledge of opioid overdose, and 42 (85.7%) had not received previous training on intranasal naloxone. Student knowledge increased significantly (p < .001) following the educational intervention. Twenty-four students requested hands-on training for implementation of the intranasal naloxone and scored 100% accuracy in return demonstration.
Implementation of this brief training was effective for increasing the knowledge of opioid overdose for an at-risk population. The nursing student is in a unique position to educate, train, and intervene for peers, friends, and family members who are at high risk for an opiate overdose. Nursing students have a pronounced advantage to assess for respiratory depression and initiate CPR, thereby interrupting a fatal overdose.
自1992年以来，过量用药导致的死亡人数一直在稳步上升，并已成为一场公共卫生流行病。随着非医疗用途处方止痛药的增加以及18至25岁人群非法药物使用率的上升，采取行动势在必行。
本研究的目的是确定教育干预是否对护理专业学生在阿片类药物过量时鼻内注射纳洛酮的知识和技能有影响。
本研究招募了一个方便样本的护理学学士学生。采用前测/后测设计来评估教育干预。使用配对t检验来比较前测和后测分数的差异。
共有49名学生完成了研究。大多数是25岁及以下的女性，31名（63.2%）对阿片类药物过量有一些或没有背景知识，42名（85.7%）之前没有接受过鼻内注射纳洛酮的培训。教育干预后学生的知识显著增加（p <.001）。24名学生要求进行鼻内注射纳洛酮实施的实践培训，并在回示操作中获得了100%的准确率。
实施这一简短培训对于增加高危人群对阿片类药物过量的知识是有效的。护理专业学生处于一个独特的位置，可以为有阿片类药物过量高风险的同龄人、朋友和家庭成员提供教育、培训和干预。护理专业学生在评估呼吸抑制和启动心肺复苏方面具有明显优势，从而中断致命的过量用药。
