评估第一响应者在接受过量治疗后转移到过量治疗服务的意图
Saad T Siddiqui1, Anna La Manna2, Elizabeth Connors2
1Missouri Institute of Mental Health, University of Missouri-St. Louis, 1 University Blvd, 206 Benton Hall, St. Louis, MO, 63121, USA. saad.siddiqui@mimh.edu.
Harm reduction journal
|February 13, 2024
概括
职业安全和减少伤害的培训显著增加了急救人员的意图,将过量幸存者与重要社区服务联系起来. 这项培训有望改善过量幸存者的护理和康复支持.
科学领域:
- 公共卫生 公共卫生
- 药物使用障碍干预措施干预措施
- 紧急医疗服务 紧急医疗服务
背景情况:
- 包括执法人员 (LEO) 和消防/紧急医疗服务 (EMS) 在内的急救人员对于将过量幸存者与治疗和康复联系起来至关重要.
- 现有的培训模式可能不足以为应急人员准备这一至关重要的预防作用.
研究的目的:
- 评估综合职业安全和减少伤害培训对第一响应者将过量幸存者转移到各种支持服务的意图的影响.
- 为了确定这些意图是否根据第一响应者的职业不同 (LEO与消防/EMS).
主要方法:
- 在培训中使用了安全和健康整合在毒品执法 (SHIELD) 模型.
- 在训练前和训练后的评估中,测量了第一响应者在1-5级别上对过量幸存者进行转诊 (ITR) 的意图.
- 混合效应建模分析了ITR分数的变化和职业之间的差异.
主要成果:
- 在2020年12月至2023年1月期间,742名急救人员完成了培训和调查.
- 盾牌训练显著提高了ITR分数 (β=2.15),其中最大的收益是纳洛分发和注射器交换的转诊.
- 执法人员最初显示出更高的ITR,但消防/EMS在培训后显示出更大的改善.
结论:
- 捆绑的职业安全和减少伤害培训有效地提高了急救人员的意图,将过量幸存者与社区服务联系起来.
- 首次响应人员接受转介培训,这表明增强伙伴关系和合作的潜力.
- 需要进一步的研究来确认是否在实践中增加的意图转化为实际的转介行为.
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