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急诊科由药房提供的阿片类药物干预措施的开发及可行性

The development and feasibility of a pharmacy-delivered opioid intervention in the emergency department.

作者信息

Winstanley Erin L, Mashni Rebecca, Schnee Sydney, Miller Nate, Mashni Susan M

出版信息

J Am Pharm Assoc (2003). 2017 Mar-Apr;57(2S):S87-S91. doi: 10.1016/j.japh.2017.01.021.

DOI:10.1016/j.japh.2017.01.021
PMID:28292506
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5527332/
Abstract

OBJECTIVES

To develop a brief intervention and to assess the feasibility of pharmacy-delivered education on opioid safety and overdose prevention in the emergency department.

METHODS

A convenience sample of patients (n = 102) approached between May and June 2016 at a single community-based suburban emergency department located in the Midwest.

RESULTS

The intervention included scripted counseling to be delivered in person and 2 educational brochures. The counseling took approximately 5 minutes, and only 2 patients refused the counseling. All the patients were satisfied with the intervention, and 97.4% of them reported that the counseling improved their knowledge of opioid side effects. The majority of patients thought that their own risk of addiction was significantly less than the general public's risk of addiction when taking opioids.

CONCLUSION

This study provides preliminary evidence that student pharmacists or pharmacists are able to deliver opioid safety and overdose education in the emergency department.

摘要

目的

开展一项简短干预措施,并评估在急诊科由药剂师提供阿片类药物安全及过量用药预防教育的可行性。

方法

2016年5月至6月期间,在位于美国中西部的一个社区郊区急诊科选取了102名患者作为便利样本。

结果

干预措施包括亲自进行的书面咨询以及两份教育手册。咨询大约需要5分钟,只有2名患者拒绝咨询。所有患者对干预措施均感到满意,97.4%的患者表示咨询提高了他们对阿片类药物副作用的认识。大多数患者认为自己服用阿片类药物时成瘾风险明显低于普通公众。

结论

本研究提供了初步证据,表明学生药剂师或药剂师能够在急诊科开展阿片类药物安全及过量用药教育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fdb/5527332/248bf082c86f/nihms871255f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fdb/5527332/66bec8ddc374/nihms871255f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fdb/5527332/248bf082c86f/nihms871255f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fdb/5527332/66bec8ddc374/nihms871255f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fdb/5527332/248bf082c86f/nihms871255f2.jpg

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Frequency of unsafe storage, use, and disposal practices of opioids among cancer patients presenting to the emergency department.癌症患者在急诊科就诊时阿片类药物的不安全储存、使用和处置行为的频率。
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A pilot randomized clinical trial of an intervention to reduce overdose risk behaviors among emergency department patients at risk for prescription opioid overdose.
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Conversations about analgesics in the emergency department: A qualitative study.急诊科关于镇痛药的对话:一项定性研究。
Patient Educ Couns. 2016 Jul;99(7):1130-1137. doi: 10.1016/j.pec.2016.01.011. Epub 2016 Jan 18.
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Nonmedical Prescription Opioid Use in Childhood and Early Adolescence Predicts Transitions to Heroin Use in Young Adulthood: A National Study.儿童期和青春期早期非医疗处方阿片类药物的使用预示着青年期向海洛因使用的转变:一项全国性研究。
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Opioid education and nasal naloxone rescue kits in the emergency department.急诊科的阿片类药物教育及鼻腔纳洛酮急救包
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