Opioid Misuse Harm Reduction.

Journal of addictions nursing Pub Date : 2024-01-01 Epub Date: 2024-02-15 DOI:10.1097/JAN.0000000000000561
Nancy R Bailey, Kimberly A Mitchell, Theresa M Miller
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Abstract

Background/aims: The misuse of opioids by the public is a major health issue. Prescription opioids and nonprescription opioids, such as heroin and opium, are misused in epidemic proportions. When opioids are used incorrectly or illegally, they can lead to drug dependence, addiction, morbidity, and mortality. This program is in collaboration with the Jolt Foundation that provides resources to prevent opioid overdose deaths.

Design/methods: This program involves community education on the dangers of opioid use and training on the use of naloxone rescue procedures to prevent overdose deaths. A pretest-posttest design was employed to determine if participants gained knowledge regarding the naloxone administration procedures.

Participants: The researcher presented 10 community naloxone trainings that included staff from 20 different social service agencies, two schools, and three local churches. Each agency received at least one naloxone kit.

Findings: The outcomes were met and included educating 137 participants on the risk factors and signs and symptoms of opioid overdose and the proper procedure to administer naloxone. One hundred twenty-eight posttests were returned and showed that the objectives for the project were met. The overall mean score for the pretests was 65.00 ( n = 126) with a standard deviation of 19.01, and the overall mean for the posttests was 86.64 ( n = 128) with a standard deviation of 14.60.

Conclusions: Community social service agency staff were successfully educated to respond appropriately to overdose situations in a group training setting as evidenced by significant posttest scores.

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减少滥用阿片类药物的危害。
背景/目的:公众滥用阿片类药物是一个重大的健康问题。处方类阿片和非处方药类阿片(如海洛因和鸦片)被滥用的情况十分普遍。一旦阿片类药物被滥用或非法使用,就会导致药物依赖、成瘾、发病和死亡。该计划与 Jolt 基金会合作,为防止阿片类药物过量致死提供资源:该计划包括关于阿片类药物使用危害的社区教育,以及关于使用纳洛酮抢救程序以防止用药过量死亡的培训。采用了前测-后测设计,以确定参与者是否获得了有关纳洛酮使用程序的知识:研究人员举办了 10 次社区纳洛酮培训,参加培训的人员来自 20 个不同的社会服务机构、两所学校和三个当地教堂。每个机构至少收到一个纳洛酮工具包:结果:培训达到了预期目标,包括向 137 名参与者讲解了阿片类药物过量的风险因素、症状和体征,以及使用纳洛酮的正确程序。收回的 128 份后测试表明,项目目标已经实现。前测的总平均分为 65.00 分(n = 126),标准差为 19.01,后测的总平均分为 86.64 分(n = 128),标准差为 14.60:社区社会服务机构的工作人员在小组培训中成功地学会了在用药过量的情况下做出适当的反应,这一点可以从显著的事后测试得分中得到证明。
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