Dahlem Chin Hwa Gina, King Lisa, Anderson Glynis, Marr Ashton, Waddell Jonathon Eric, Scalera Marci
School of Nursing, University of Michigan, Ann Arbor, MI, USA.
Washtenaw County Sheriff's Office, Ann Arbor, MI, USA.
Public Health Nurs. 2017 Nov;34(6):516-521. doi: 10.1111/phn.12365. Epub 2017 Oct 6.
This study describes the implementation and evaluation of revised opioid overdose prevention and education of naloxone training for law enforcement officers (LEOs) that added: (1) a recovery testimony and (2) the process for deputy-initiated referrals postnaloxone administration.
Evaluation regarding the naloxone training included a pre- and postopioid overdose knowledge surveys (N = 114) and subsequent 1-year postnaloxone training outcomes.
Pre- and posttest scores for all knowledge outcome measures were statistically significant (p < .001) with favorable comments pertaining to the recovery testimony. Out of 31 individuals who received naloxone, 6 individuals (19.4%) continue to be in treatment or received some treatment services. The most common symptoms reported were unconsciousness/unresponsiveness (40.5%), abnormal breathing patterns (24.3%), and blue lips (16.2%). The majority of the calls (65.6%) were to a residential area, and the time for naloxone revival ranged <1-10 min (M = 3.48; SD = 2.27).
As nearly 20% of individuals sought treatment after a LEO-initiated referral, it is recommended that other agencies consider the referral process into the training. Future research will investigate the impact of the recovery testimony in reducing the stigma of addiction.
本研究描述了对执法人员（LEO）修订后的阿片类药物过量预防及纳洛酮培训的实施与评估，该培训增加了：（1）康复见证；（2）纳洛酮给药后副警长发起转诊的流程。
纳洛酮培训的评估包括阿片类药物过量知识的术前和术后调查（N = 114）以及纳洛酮培训1年后的后续结果。
所有知识结果测量的测试前和测试后分数在统计学上具有显著差异（p <.001），且对康复见证有好评。在31名接受纳洛酮治疗的个体中，6人（19.4%）继续接受治疗或接受了一些治疗服务。报告的最常见症状是意识丧失/无反应（40.5%）、呼吸模式异常（24.3%）和嘴唇发紫（16.2%）。大多数呼叫（65.6%）发生在居民区，纳洛酮复苏时间范围为<1 - 10分钟（M = 3.48；SD = 2.27）。
由于近20%的个体在执法人员发起转诊后寻求治疗，建议其他机构考虑将转诊流程纳入培训。未来的研究将调查康复见证在减少成瘾污名化方面的影响。
