Attitudes and training related to substance use in pediatric emergency departments.
Attitudes and training related to substance use in pediatric emergency departments.
复制标题
DOI：
10.1186/s13722-022-00339-w
复制
发表时间：
2022-10-23
影响因子：
3.7
通讯作者：
Bagley, Sarah M.
中科院分区：
文献类型：
--
作者：
Hoch, Ariel M.;Schoenberger, Samantha F.;Boyle, Tehnaz P.;Hadland, Scott E.;Gai, Mam Jarra;Bagley, Sarah M.
近年来，儿科急诊科(PED)在其青少年患者群体中看到与物质使用有关的陈述有所增加。我们的目的是调查儿科急救医学(PEM)医生在照顾青少年药物使用方面的知识、态度和信念。我们通过美国儿科学会儿科急诊医学合作研究委员会(PEM-CRC)LISSERV对PEM医生进行了横断面在线调查。这项由41个项目组成的调查包含以下领域：人口统计学、管理青少年药物使用的现行方案和教育，以及对药物使用治疗的态度。我们计算了域中每个变量的描述性统计数据。在被调查者中，55.4%为女性，45.2%为50岁的≥ ，78%在儿童医院工作，50.8%的人有15年的 临床经验。总体而言，77.8%的人报告照顾与非阿片类药物使用有关的主要投诉的青少年，26.0%的人至少每月一次使用阿片类药物。大多数人(80.9%)报告对处理药物使用的主要医学并发症感到舒服，而不到一半的人对处理戒断症状感到舒服。73%的人表示他们对开丁丙诺啡不感兴趣。在这份全国性的PEM医生样本中，4名医生中有3名每月进行与物质相关的就诊，但52%的医生在处理戒断症状方面缺乏舒适性，73.1%的医生对开丁丙诺啡不感兴趣。几乎所有PEM医生确认的与物质使用相关的教育都很重要，但缺乏获得教员专业知识或教育内容的机会。需要扩大PEM医生接受与物质使用有关的教育和培训的机会。网上版载有补充材料，可在10.1186/s13722-022-00339-w查阅。
In recent years, pediatric emergency departments (PED) have seen an increase in presentations related to substance use among their adolescent patient population. We aimed to examine pediatric emergency medicine (PEM) physicians’ knowledge, attitudes, and beliefs on caring for adolescents with substance use. We conducted a cross-sectional online survey of PEM physicians through the American Academy of Pediatrics Pediatric Emergency Medicine Collaborative Research Committee (PEM-CRC) listserv. The 41-item survey contained the following domains: demographics, current protocols and education for managing adolescent substance use, and attitudes about treatment of substance use. We calculated descriptive statistics for each variable within the domains. Of 177 respondents (38.2% response rate), 55.4% were female, 45.2% aged ≥ 50 years, 78% worked in a children’s hospital, and 50.8% had > 15 years clinical practice. Overall, 77.8% reported caring for adolescents with a chief complaint related to non-opioid substance use and 26.0% opioid use at least once a month. Most (80.9%) reported feeling comfortable treating major medical complications of substance use, while less than half were comfortable treating withdrawal symptoms. 73% said that they were not interested in prescribing buprenorphine. Among this national sample of PEM physicians, 3 of 4 physicians managed substance-related visits monthly, but 52% lacked comfort in managing withdrawal symptoms and 73.1% were not interested in prescribing buprenorphine. Almost all PEM physician identified substance use-related education is important but lacked access to faculty expertise or educational content. Expanded access to education and training for PEM physicians related to substance use is needed. The online version contains supplementary material available at 10.1186/s13722-022-00339-w.
登录
查看更多内容
影响因子：
8
作者：
Cunningham, Rebecca M.;Chermack, Stephen T.;Walton, Maureen A.
通讯作者：
Walton, Maureen A.
影响因子：
8
作者：
Hadland, Scott E.;Xuan, Ziming;Naimi, Timothy S.
通讯作者：
Naimi, Timothy S.
影响因子：
26.1
作者：
Gaither, Julie R.;Leventhal, John M.;Camenga, Deepa R.
通讯作者：
Camenga, Deepa R.
影响因子：
6
作者：
McCabe, Sean E.;West, Brady T.;Boyd, Carol J.
通讯作者：
Boyd, Carol J.
影响因子：
3.8
作者：
Holland, Taylor J.;Penm, Jonathan;Chaar, Betty
通讯作者：
Chaar, Betty