Brief overdose education is sufficient for naloxone distribution to opioid users
Brief overdose education is sufficient for naloxone distribution to opioid users
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DOI：
10.1016/j.drugalcdep.2014.12.009
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发表时间：
2015-03-01
影响因子：
4.2
通讯作者：
Coffin, Phillip O.
中科院分区：
文献类型：
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作者：
Behar, Emily;Santos, Glenn-Milo;Coffin, Phillip O.
背景：虽然药物使用者经常配备纳洛酮用于非阿片类药物过量逆转，但为确保掌握适应症和给药知识所需的教育程度尚不清楚。方法：我们对第一次接受纳洛酮治疗的阿片类药物使用者（N = 60）和在社区分配项目中再次接受纳洛酮治疗的阿片类药物使用者（N = 54）实施了四种工具，以评估阿片类药物过量和纳洛酮给药的舒适度和知识。受试者在服用纳洛酮之前完成了这些仪器；首次受者在标准化5-10分钟教育后立即重复使用仪器。结果：首次接受纳洛酮药物过量事件的患者在接受简短教育后，对纳洛酮药物过量事件的认知、反应和给药舒适度显著提高（p < 0.05）。在所有评估中，对阿片类药物过量的适当反应的了解都很高；96%的参与者可以确定至少一种可接受的行动来评估和一种可接受的行动来护理阿片类药物过量。纳洛酮给药的便利度在所有评估中都很高，首次接受教育后鼻内给药的便利度显著增加（p < 0.001）。首次接受者（教育前后）和再填充者对简短过量识别和反应评估表现出较高的知识水平，正确识别16种过量情景中的平均13.7种。结论：在旧金山寻求纳洛酮的阿片类药物使用者在识别和应对阿片类药物过量方面具有高水平的基线知识，并且那些返回补充的人保留了这一知识。简短的教育足以提高认识和管理用药过量的舒适度和便利程度。2014爱思唯尔爱尔兰有限公司版权所有。
Background: While drug users are frequently equipped with naloxone for lay opioid overdose reversal, the amount of education needed to ensure knowledge of indications and administration is unknown.Methods: We administered four instruments, assessing comfort and knowledge around opioid overdose and naloxone administration, to opioid users receiving naloxone for the first time (N = 60) and upon returning for a refill (N = 54) at community distribution programs. Participants completed the instruments prior to receiving naloxone; first-time recipients repeated the instruments immediately after the standardized 5-10 min education.Results: Comfort with recognition of, response to, and administration of naloxone for an overdose event significantly increased after brief education among first-time recipients (p < 0.05). Knowledge of appropriate responses to opioid overdose was high across all assessments; 96% of participants could identify at least one acceptable action to assess and one acceptable action to care for an opioid overdose. Facility with naloxone administration was high across all assessments and significantly increased for intranasal administration after education for first-time recipients (p < 0.001). First-time recipients (before and after education) and refillers demonstrated a high level of knowledge on the Brief Overdose Recognition and Response Assessment, correctly identifying a mean of 13.7 out of 16 overdose scenarios.Conclusions: Opioid users seeking naloxone in San Francisco have a high level of baseline knowledge around recognizing and responding to opioid overdose and those returning for refills retain that knowledge. Brief education is sufficient to improve comfort and facility in recognizing and managing overdose. (C) 2014 Elsevier Ireland Ltd. All rights reserved.