对家庭住院患者的阿片类药物处置过程的评估
Annals of family medicine
|January 18, 2024
概括
家庭住院护士提供必要的阿片类药物处置教育,但一致性各不相同. 加强这种教育对于防止在阿片类药物流行中滥用和转移至关重要.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 公共卫生 公共卫生
- 护理教育 护理教育
背景情况:
- 全国阿片类药物流行病需要在家庭临终关怀中进行安全的受控物质管理.
- 家庭护理人员是主要的,使宿舍护士对阿片类药物处置的教育至关重要.
- 有效的教育将阿片类药物滥用和转移的风险降到最低.
研究的目的:
- 评估家庭临终关怀中的标准化阿片类药物处置政策.
- 评估宿舍护士对阿片类药物教育和处置标准的知识.
- 改善安全的阿片类药物管理实践.
主要方法:
- 混合方法研究使用追溯数据和护士调查.
- 实施了三步骤的阿片类药物处置政策:招生教育,检查清单使用和标准审查.
- 分析了160名家庭临终关怀患者和16名注册护士的数据.
主要成果:
- 108名 (67.9%) 患者/家庭接受了最初的阿片类药物教育;152名 (95.6%) 讨论了死亡证明时的处置.
- 只有18.8%的护士始终提供所有必要的初级教育.
- 87.5%提供了正确的剂量/施用/储存信息; 81.2%提供了正确的死亡处置教育.
结论:
- 家庭临终关怀护士通常提供准确的阿片类药物教育,但缺乏一致性.
- 持续护理教育对于安全的阿片类药物使用,处置和转移意识至关重要.
- 标准化政策和持续培训可以改善家庭临终关怀中的阿片类药物管理.
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