Kirkpatrick Zachary A, Boyd Carol J
Zachary A. Kirkpatrick, BSN, RN, University of Michigan School of Nursing, Ann Arbor. Carol J. Boyd, PhD, FAAN, Department of Psychiatry, University of Michigan, Ann Arbor.
J Addict Nurs. 2018 Apr/Jun;29(2):84-89. doi: 10.1097/JAN.0000000000000219.
Research reveals a decade-long increase in prescription drug misuse (PDM) of stimulant medication used to treat attention deficit hyperactivity disorder, and college students in particular are at the highest risk for these behaviors. However, PDM has not been specifically studied in undergraduate nursing students, and thus, this study fills a gap in our knowledge of PDM of stimulants. This descriptive study used a cross-sectional, convenience sample of undergraduate nursing students (N = 249) attending a large midwestern university. The purpose of this study was to examine the medical use, medical misuse, nonmedical use, and diversion of attention deficit hyperactivity disorder stimulant medications as well as to compare CRAFFT scores among these four groups of stimulant users. A 28-item, Web-based survey was sent via email to all registered undergraduate nursing students during the winter semester of 2017. Results showed that 10.4% of respondents used prescription stimulants nonmedically in the past 12 months, and over half (51.5%) of respondents screened positive on the CRAFFT, an indication of possible alcohol and drug misuse behaviors. In addition, there was a strong association between medical misuse and nonmedical use and positive CRAFFT scores. The high percentage of positive CRAFFT scores is a concern and indicates a pressing need for nursing faculty to evaluate and address substance use by nursing students.
研究表明，用于治疗注意力缺陷多动障碍的刺激性药物的处方药物滥用（PDM）在过去十年中呈上升趋势，尤其是大学生面临这些行为的风险最高。然而，尚未对本科护理专业学生的PDM进行专门研究，因此，本研究填补了我们在兴奋剂PDM知识方面的空白。这项描述性研究采用了横断面便利抽样，样本为一所中西部大型大学的本科护理专业学生（N = 249）。本研究的目的是调查注意力缺陷多动障碍刺激性药物的医疗使用、医疗滥用、非医疗使用和转移情况，并比较这四组兴奋剂使用者的CRAFFT分数。2017年冬季学期，通过电子邮件向所有注册本科护理专业学生发送了一份包含28个项目的在线调查问卷。结果显示，10.4%的受访者在过去12个月中曾非医疗使用处方兴奋剂，超过一半（51.5%）的受访者在CRAFFT测试中呈阳性，这表明可能存在酒精和药物滥用行为。此外，医疗滥用与非医疗使用以及CRAFFT阳性分数之间存在密切关联。CRAFFT阳性分数的高比例令人担忧，这表明护理教师迫切需要评估并解决护理专业学生的药物使用问题。
