Department of Emergency Medicine, 21798Perelman School of Medicine and the Center for Public Health Initiatives at the University of Pennsylvania, Philadelphia, PA, USA.
Department of Emergency Medicine, 43358Perelman School of Medicine the Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA.
Am J Health Promot. 2023 Feb;37(2):200-209. doi: 10.1177/08901171221107908. Epub 2022 Jun 10.
Our aim was to explore perspectives of patients who received naloxone in the emergency department (ED) about (1) naloxone carrying and use following an ED visit and (2) motivation for performing these behaviors.
Semi-structured interviews of patients prescribed naloxone at ED discharge.
Three urban academic EDs in Philadelphia, PA.
25 participants completed the in-depth, semi-structured interviews and demographic surveys. Participants were majority male, African American, and had previously witnessed or experienced an overdose.
Interviews were recorded, transcribed and analyzed using content analysis. We used a hybrid inductive-deductive approach that included prespecified and emergent themes.
We found that naloxone carrying behavior was variable and influenced by four main motivators: (1) naloxone access; (2) personal experience and salience of naloxone, (3) comfort with naloxone administration, and (4) societal influences on naloxone carrying. In particular, those with personal history of overdose or close friends or family at risk were motivated to carry naloxone.
Participants in this study reported several important motivators for naloxone carrying after an ED visit, including ease of naloxone access and comfort, perceived risk of experiencing or encountering an overdose, and social influences on naloxone carrying behaviors. EDs, health systems, and public health officials should consider these factors influencing motivation when designing future interventions to increase access, carrying, and use of naloxone.
我们旨在探讨在急诊科（ED）接受纳洛酮的患者对以下方面的看法：（1）在 ED 就诊后携带和使用纳洛酮；（2）实施这些行为的动机。
对 ED 出院时开具纳洛酮的患者进行半结构化访谈。
宾夕法尼亚州费城的三家城市学术性急诊科。
25 名参与者完成了深入的半结构化访谈和人口统计调查。参与者主要为男性、非裔美国人，并且曾目睹或经历过过量用药。
使用内容分析法对访谈进行记录、转录和分析。我们采用了一种混合的归纳演绎方法，包括预设和新兴主题。
我们发现，携带纳洛酮的行为是多变的，受到四个主要动机的影响：（1）纳洛酮的可及性；（2）个人对纳洛酮的经历和显著性；（3）对纳洛酮给药的舒适度；（4）对携带纳洛酮的社会影响。特别是那些有过量用药史或有风险的亲密朋友或家人的人更有动机携带纳洛酮。
本研究的参与者报告了 ED 就诊后携带纳洛酮的几个重要动机，包括纳洛酮获取的便利性和舒适度、对经历或遇到过量用药的感知风险，以及对携带纳洛酮行为的社会影响。ED、医疗系统和公共卫生官员在设计未来增加纳洛酮获取、携带和使用的干预措施时，应考虑这些影响动机的因素。
