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执法人员对纳洛酮培训及其在过量用药逆转后的效果的看法。

Law Enforcement Perceptions About Naloxone Training and Its Effects Post-Overdose Reversal.

机构信息

University of Michigan, School of Nursing, 400 N. Ingalls St. Rm. 3174, Ann Arbor, MI 48104

University of Michigan, School of Nursing, 400 N. Ingalls St., Ann Arbor, MI 48104

出版信息

J Addict Nurs. 2022;33(2):E2. doi: 10.1097/JAN.0000000000000467.

DOI:10.1097/JAN.0000000000000467
PMID:35640219
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9175640/
Abstract

BACKGROUND

: Law enforcement officers (LEO) often are the first responders to arrive at a scene of an opioid overdose. Thus, equipping LEOs as first responders with naloxone is necessary to prevent overdose deaths, and a recommended strategy. However, little is known about how LEOs perceive naloxone training and their feelings after using naloxone to save a life. It is important to understand LEO’s experiences with naloxone so as to develop additional training materials that are relevant to the LEO experience.

METHODS

: A descriptive exploratory study was conducted to explore the perceptions of LEOs about using naloxone in the field and to identify areas that should be included in future naloxone trainings. Interview data were obtained through face-to-face interviews with LEOs (N=14) and analyzed using manifest content analysis.

RESULTS

: LEOs changed their attitudes and beliefs toward naloxone after receiving training and experiencing a successful resuscitation. The change in attitudes was enhanced after saving a life. However, misconceptions about naloxone and lack of understanding about disease of addiction persisted even after training.

CONCLUSION

: Future naloxone curriculum could benefit from additional lessons on the stigma of addiction, the disease of addiction, misconceptions about the safety of naloxone, strategies for post-overdose responses, and the role naloxone might play in a hopeful recovery.

摘要

背景

执法人员(LEO)通常是最先到达阿片类药物过量现场的急救人员。因此,为预防过量死亡,有必要为执法人员配备纳洛酮作为急救人员,并将其作为推荐策略。然而,人们对执法人员对纳洛酮培训的看法以及使用纳洛酮挽救生命后的感受知之甚少。了解执法人员使用纳洛酮的经验对于开发与执法人员相关的额外培训材料非常重要。

方法

本研究采用描述性探索性研究方法,以探索执法人员对现场使用纳洛酮的看法,并确定未来纳洛酮培训中应包含的领域。通过与执法人员(N=14)进行面对面访谈获得访谈数据,并使用明显内容分析法进行分析。

结果

执法人员在接受培训并成功复苏后,改变了对纳洛酮的态度和信念。挽救生命后,态度的变化得到了增强。然而,即使在培训之后,对纳洛酮的误解和对成瘾性疾病的理解不足仍然存在。

结论

未来的纳洛酮课程可以从关于成瘾性污名、成瘾性疾病、纳洛酮安全性的误解、过量后应对策略以及纳洛酮在充满希望的康复中可能发挥的作用等方面的附加课程中受益。

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