Improving Outcomes of Opioid Overdose Preparing Nursing Students to Intervene
Improving Outcomes of Opioid Overdose Preparing Nursing Students to Intervene
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DOI：
10.1097/jan.0000000000000106
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发表时间：
2016-01-01
影响因子：
1.5
通讯作者：
Dion, Kimberly A.
中科院分区：
文献类型：
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作者：
Dion, Kimberly A.
自1992年以来，过量死亡一直在稳步上升，并已成为一种公共卫生流行病。随着用于非医疗用途的处方止痛药的增加和18-25岁年龄段非法药物的使用率最高，研究的目的是确定教育干预是否对护理专业学生关于鼻内纳洛酮治疗阿片类药物过量的知识和技能有影响。study.采用前测/后测设计评价教育干预效果。采用配对t检验比较前后测scores.ResultsA的差异，共有49名学生完成了研究。大多数是25岁及以下的女性，31名（63.2%）有一些或没有阿片类药物过量的背景知识，42名（85.7%）以前没有接受过鼻内纳洛酮的培训。在教育干预后，学生的知识显著增加（p < .001）。24名学生要求动手培训的实施鼻内纳洛酮和得分100%的准确性返回demonstration.ConclusionsImplementation这个简短的培训是有效的增加知识阿片类药物过量的高危人群。护理专业的学生是在一个独特的位置，教育，培训和干预的同龄人，朋友和家庭成员谁是高风险的阿片类药物过量。护理专业的学生有一个明显的优势，以评估呼吸抑制和启动心肺复苏术，从而中断致命的过量。
ProblemDeath by overdose has been steadily increasing since 1992 and has become a public health epidemic. With the rise of prescription pain medications for nonmedical use and the highest use of illicit substances by those ages 18-25, the need for action is imperative.PurposeThe aim of the study was to determine whether an educational intervention had an effect on nursing students' knowledge and skills regarding administration of intranasal naloxone for opioid overdose.MethodA convenience sample of baccalaureate nursing students was recruited for the study. A pretest/posttest design was used to evaluate the educational intervention. A paired t test was used to compare differences in pre- and posttest scores.ResultsA total of 49 students completed the study. The majority were women ages 25 and below, 31 (63.2%) had some or no background knowledge of opioid overdose, and 42 (85.7%) had not received previous training on intranasal naloxone. Student knowledge increased significantly (p < .001) following the educational intervention. Twenty-four students requested hands-on training for implementation of the intranasal naloxone and scored 100% accuracy in return demonstration.ConclusionsImplementation of this brief training was effective for increasing the knowledge of opioid overdose for an at-risk population. The nursing student is in a unique position to educate, train, and intervene for peers, friends, and family members who are at high risk for an opiate overdose. Nursing students have a pronounced advantage to assess for respiratory depression and initiate CPR, thereby interrupting a fatal overdose.