纳洛在癌症环境中的有效性,可接受性和可行性:一个范围审查
Nandakumar Ravichandran1, Walter Cullen2, Marie Claire Van Hout3
1School of Medicine, University College Dublin, Dublin, Ireland. nandakumar.ravichandran@ucd.ie.
Harm reduction journal
|November 29, 2025
概括
纳洛 (一种用于逆转阿片类药物过量服用的药物) 在监狱中是可以接受的,可行的和有效的. 本次审查强调了其在监禁人员和释放后减少过量死亡的潜力.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 犯罪学 犯罪学
背景情况:
- 片类药物依赖是监狱人口中的一个重要问题,导致释放后过量死亡的高率.
- 纳洛是阿片类药物毒性的关键干预措施,但其在惩戒设施中的实施不一致.
研究的目的:
- 系统地审查纳洛干预措施在全球拘留环境中的可接受性,可行性和有效性.
- 确定研究缺口,并为监狱中纳洛实施政策提供信息.
主要方法:
- 使用Arksey和O'Malley框架进行了范围审查.
- 搜索包括PubMed,Scopus和Embase (2000-2025年),遵循PRISMA扩展范围审查指南.
- 用叙事合成分析了数据.
主要成果:
- 24个记录符合纳入标准,揭示了当前纳洛供应,人口满意度和组织因素的主题.
- 确定了纳洛的分发,带回家计划,鼻内纳洛和自动售货机.
- 接受度和可行性通常很高,并确定了实施障碍和促进者的障碍.
结论:
- 在监狱环境中提供纳洛是可以接受的,可行的和有效的,用于预防监禁期间和释放后的过量服用.
- 囚犯和工作人员的支持很强,但对于弱势群体 (妇女,青年,移民被拘留者) 存在差距.
- 将纳洛纳纳入监狱卫生系统,通过培训和同行支持,对于减少过量死亡和改善护理连续性至关重要.
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