在药房获得注射器 (ASAP):药房级干预措施的初步影响
Beth E Meyerson1, Linnea B Linde-Krieger2, Jon Agley3
1Harm Reduction Research Lab, College of Nursing, University of Arizona, Tucson, Arizona, USA; Comprehensive Center for Pain and Addiction, University of Arizona, Tucson, Arizona, USA.
Journal of the American Pharmacists Association : JAPhA
|October 18, 2025
概括
在药房获得注射器 (ASAP) 干预措施增加了非处方注射器的销售额,并减少了药房工作人员的耻辱感. 这种减少危害的策略显示出有望预防血液传播疾病,如艾滋病毒和C型肝炎.
科学领域:
- 公共卫生 公共卫生
- 药房实践 在药房实践中
- 预防传染病 预防传染病
背景情况:
- 社区药房对于减少血液传播疾病 (艾滋病毒,C型肝炎) 至关重要.
- 诸如耻辱和工作人员不适之类的障碍阻碍了基于药房的减少危害服务.
- 药房为使用毒品的人提供服务有限.
研究的目的:
- 为了评估药房注射器 (ASAP) 干预措施的获取.
- 在社区药房增加非处方注射器的销售.
- 为了减少与注射器接入和使用毒品的人相关的耻辱.
主要方法:
- 试点研究涉及亚利桑那州三个社区药房的18名员工 (2022年1月至4月).
- 每月的调查评估了减少伤害,舒适和耻辱感.
- 生态瞬间评估跟踪了注射器分发行为.
- 线性混合效应模型分析了随时间变化的变化.
主要成果:
- 所有药房都销售没有处方的注射器;发放量从44.4%增加到77.8%.
- 员工对减少危害的实践的舒适度在培训后显著增加.
- 耻辱评分在培训后和研究结束时显著下降.
- 较高的耻辱与较低的注射器发放概率相关.
结论:
- ASAP干预表明了基于药房的有效教育的潜力.
- 它可以增加非污注射器的注射量,减少血液感染.
- 需要进一步的受控试验来确认有效性和优化实施.
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