Huang Jrywan N, Gerardi Margit, Yeargain Olivia, Senterfitt Tracy, Saldiva Maria
School of Nursing, University of Texas Health, San Antonio, Texas, USA.
South Texas Veterans Health System, San Antonio, Texas, USA.
Issues Ment Health Nurs. 2023 Dec;44(12):1265-1271. doi: 10.1080/01612840.2023.2265614. Epub 2024 Jan 5.
Over half of veterans diagnosed with OUD have experienced an overdose leading to hospitalization or death. Naloxone is an opioid receptor antagonist that reverses the effects of opioid overdose. Telephone outreach improves naloxone access in high-risk populations. In June 2022, 47.37% of at-risk veterans in an outpatient facility were prescribed naloxone which was significantly lower than the 65.10% national average of other facilities. The nurse-led intervention team implemented the telephone outreach from June 7, 2022, to September 7, 2022. The naloxone prescription rate for veterans diagnosed with OUD in the facility increased from 47.37% in June 2022 ( = 19) to 82.35% in September 2022. The rate for at-risk veterans increased from 20.0% in June 2022 ( = 90) to 58.24% in September 2022. The telephone outreach exceeded goals and increased the naloxone prescription rates for at-risk veterans at the facility in three months.
超过半数被诊断患有阿片类物质使用障碍（OUD）的退伍军人曾经历过导致住院或死亡的药物过量情况。纳洛酮是一种阿片受体拮抗剂，可逆转阿片类药物过量的影响。电话外展服务可改善高危人群获取纳洛酮的情况。2022年6月，一家门诊机构中47.37%的高危退伍军人被开具了纳洛酮处方，这显著低于其他机构65.10%的全国平均水平。护士主导的干预团队在2022年6月7日至2022年9月7日期间实施了电话外展服务。该机构中被诊断患有OUD的退伍军人的纳洛酮处方率从2022年6月的47.37%（n = 19）增至2022年9月的82.35%。高危退伍军人的处方率从2022年6月的20.0%（n = 90）增至2022年9月的58.24%。电话外展服务超额完成目标，并在三个月内提高了该机构高危退伍军人的纳洛酮处方率。
