利用纳洛酮教育降低阿片类药物暴露人群中过量用药死亡的死亡率和发病率。
Utilizing Naloxone Education to Reduce the Mortality and Morbidity Rate of Overdose Deaths Within Opioid-Exposed Populations.
作者信息
Marchek Anna M, Wolf Julia P, O'Leary Georgia H, Pages Gabriela, Benefield Madison C, Bennett Brooke, Arunkumar Priyanka, Burrows Marc, Redden David, Stoner Alexis, Cashman Jeff
机构信息
Medical School, Edward Via College of Osteopathic Medicine, Spartanburg, USA.
Public Health, Challenges, Inc., Powdersville, USA.
出版信息
Cureus. 2025 May 25;17(5):e84793. doi: 10.7759/cureus.84793. eCollection 2025 May.
While efforts are being made to reduce opioid overdose fatalities, there is a need to equip individuals to act in overdose emergencies in an effort to slow the increasing rates of preventable opioid-related deaths in the United States. This study sought to determine whether education on naloxone administration would increase confidence in individuals utilizing harm reduction services to intervene in the presence of an opioid overdose. Methods: A cross-sectional study was conducted that included adult participants attending Challenges, Inc., a mobile harm reduction service site. Participants completed a baseline survey assessing their level of comfort and experience with naloxone administration. An optional standardized educational session focusing on proper naloxone use followed, and all participants were offered free naloxone. Participants completed a post-survey reassessing their confidence and willingness to administer naloxone. Results: Of the 100 participants, 75% reported witnessing at least one opioid overdose, with the majority of those seeing 10 or more opioid overdoses. Additionally, 58% of respondents had previously administered naloxone treatment, on average between one and four times. A significant increase was found in participants' confidence level of administering naloxone following the educational session (p < 0.0001). When asked about the likelihood of intervening when witnessing an opioid overdose, 96% agreed or strongly agreed that they would administer naloxone treatment. Conclusion: A single education session increased the confidence, willingness, and comfort of individuals in administering naloxone in the presence of an opioid overdose. Ultimately, improving naloxone education and access could lead to a decrease in morbidity and mortality in association with opioid-related overdoses.
在努力减少阿片类药物过量致死率的同时,有必要让个人具备在过量用药紧急情况下采取行动的能力,以减缓美国可预防的阿片类药物相关死亡人数不断上升的趋势。本研究旨在确定纳洛酮给药教育是否会增强使用减少伤害服务的个人在阿片类药物过量时进行干预的信心。方法:进行了一项横断面研究,纳入了参加Challenges公司(一个流动减少伤害服务站点)的成年参与者。参与者完成了一项基线调查,评估他们对纳洛酮给药的舒适度和经验水平。随后进行了一次关于正确使用纳洛酮的可选标准化教育课程,所有参与者都获得了免费的纳洛酮。参与者完成了一项调查后评估,重新评估他们给予纳洛酮的信心和意愿。结果:在100名参与者中,75%报告至少目睹过一次阿片类药物过量,其中大多数人目睹过10次或更多次阿片类药物过量。此外,58%的受访者此前曾给予纳洛酮治疗,平均给药一至四次。教育课程后,参与者给予纳洛酮的信心水平显著提高(p<0.0001)。当被问及目睹阿片类药物过量时进行干预的可能性时,96%的人同意或强烈同意他们会给予纳洛酮治疗。结论:单次教育课程提高了个人在阿片类药物过量时给予纳洛酮的信心、意愿和舒适度。最终,改善纳洛酮教育和可及性可能会降低与阿片类药物相关过量用药相关的发病率和死亡率。
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本文引用的文献
JAMA Health Forum. 2024-7-5
Harm Reduct J. 2023-11-28
JAMA Health Forum. 2022-8-5
Cureus. 2021-11-23
J Behav Ther Exp Psychiatry. 2022-3
Am J Public Health. 2021-8