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接受阿片类药物滥用及意外过量用药预防培训后药剂师认知的变化

Changes in Pharmacists' Perceptions After a Training in Opioid Misuse and Accidental Overdose Prevention.

作者信息

Eukel Heidi N, Skoy Elizabeth, Werremeyer Amy, Burck Siri, Strand Mark

机构信息

Ms. Eukel: Associate Professor of Practice, Pharmacy Practice, North Dakota State University, Fargo, ND. Ms. Skoy: Associate Professor of Practice, Pharmacy Practice, North Dakota State University, Fargo, ND. Ms. Werremeyer: Associate Professor, Pharmacy Practice, North Dakota State University, Fargo, ND. Ms. Burck: PharmD Candidate, School of Pharmacy, North Dakota State University, Fargo, ND. Dr. Strand: Professor, Pharmacy Practice, Master of Public Health Program, North Dakota State University, Fargo, ND.

出版信息

J Contin Educ Health Prof. 2019 Winter;39(1):7-12. doi: 10.1097/CEH.0000000000000233.

Abstract

INTRODUCTION

Continuing education is needed for health professionals to take an active role in reversing the opioid crisis. This report describes the results of training to promote behavioral change by altering pharmacists' perceptions toward opioid misuse through the provision of content-related education.

METHODS

A free 3-hour opioid misuse and overdose prevention training program was developed and delivered to 43 community pharmacists. The training consisted of five modules addressing the disease of addiction, risks associated with opioids and accidental overdose, the role of naloxone, opioid dispensing and consultation pearls, and effective ways to communicate with patients about opioids. A paired analysis was performed from a 12-item survey delivered before and after the training program to assess changes in pharmacists' perception.

RESULTS

Five items showed a statistically significant (P < .05) change in perceptions after the training. Significant changes were reported for opioid addiction being outside the control of the affected person, the role of family history in prescription drug abuse, the value of counseling to support patients at risk of prescription opioid abuse, the value of screening tools, and the importance of viewing things from the patient's perspective. Correlation analysis identified that pharmacists' views on their role in the fight against the opioid epidemic and their agreement in the value to screen for opioid misuse were most closely related to the desire for behavioral change.

DISCUSSION

A training program influenced pharmacists' attitudes and perceptions about targeted behaviors and associated with the value of screening for opioid misuse or overdose risk and counseling patients about the benefits and risks of opioids.

摘要

引言

卫生专业人员需要持续教育,以便在扭转阿片类药物危机方面发挥积极作用。本报告描述了通过提供与内容相关的教育来改变药剂师对阿片类药物滥用的看法,从而促进行为改变的培训结果。

方法

制定了一个免费的3小时阿片类药物滥用和过量预防培训计划,并向43名社区药剂师提供。培训包括五个模块,涉及成瘾疾病、阿片类药物相关风险和意外过量、纳洛酮的作用、阿片类药物配药和咨询要点,以及与患者就阿片类药物进行有效沟通的方法。在培训计划前后进行了一项12项调查的配对分析,以评估药剂师看法的变化。

结果

五项内容在培训后的看法上显示出统计学上的显著变化(P <.05)。报告显示,在受影响者无法控制阿片类药物成瘾、家族史在处方药滥用中的作用、为有处方阿片类药物滥用风险的患者提供咨询的价值、筛查工具的价值以及从患者角度看待问题的重要性方面有显著变化。相关性分析确定,药剂师对其在抗击阿片类药物流行中的作用的看法以及他们对筛查阿片类药物滥用价值的认同与行为改变的愿望最为密切相关。

讨论

一个培训计划影响了药剂师对目标行为的态度和看法,并与筛查阿片类药物滥用或过量风险以及就阿片类药物的益处和风险向患者提供咨询的价值相关。

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