Journal of addictions nursing最新文献_第4页

Substance Abuse Stigma: Concept Analysis. 药物滥用病耻感:概念分析。

Journal of addictions nursing Pub Date : 2023-10-01 DOI: 10.1097/JAN.0000000000000531

Kelly Fetterhoff

引用次数: 0

Improving Nurses' Attitudes Toward Substance Use Disorder: Screening, Brief Intervention, and Referral to Treatment. 改善护士对物质使用障碍的态度:筛查、短暂干预和转诊治疗。

Journal of addictions nursing Pub Date : 2023-10-01 DOI: 10.1097/JAN.0000000000000549

Ashley Manzotti, Shannon Avery-Desmarais, Maria Ducharme, Kathleen Elliott, Kara Misto

{"title":"Improving Nurses' Attitudes Toward Substance Use Disorder: Screening, Brief Intervention, and Referral to Treatment.","authors":"Ashley Manzotti, Shannon Avery-Desmarais, Maria Ducharme, Kathleen Elliott, Kara Misto","doi":"10.1097/JAN.0000000000000549","DOIUrl":"10.1097/JAN.0000000000000549","url":null,"abstract":"Abstract: Patients with substance use disorder (SUD) encounter many barriers to healthcare, including negative attitudes of healthcare personnel. Compared with other healthcare professions, nurses have been reported as having less tolerant attitudes toward patients with SUD. Knowledge acquisition combined with role support has been shown to improve therapeutic attitudes of nurses toward patients with SUD. Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based educational intervention aimed to improve the outcomes of patients at risk and with SUD. SBIRT education has been shown as an effective educational tool with licensed nurses. Therefore, the aim of this study was to evaluate whether a 2-hour educational session on SBIRT (Mitchell et al., 2013) improved the therapeutic attitudes of nurses toward patients with SUD. Peplau's theory of interpersonal relations guided this study with an emphasis on the nurse-patient relationship. A quasi-experimental pretest/posttest design was used to evaluate nurses' attitudes pre and post a 2-hour educational session. Participants included 65 registered nurses employed in a 247-bed teaching hospital in New England. Attitudes were measured before and after the educational session using the 20-item, five-subscale Drug and Drug Problems Perceptions Questionnaire. A paired t test was performed, showing statistically significant improvements in attitudes postintervention. Prior education on SUD significantly correlated with baseline attitudes. A standard regression model, with practice setting, family history of SUD, and prior education as dependent variables, was not predictive of baseline attitudes. The results suggest conducting SBIRT should be considered a mandatory nursing competency, both in undergraduate curriculum and among licensed nurses.","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"34 4","pages":"266-272"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138447516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integrating the Lived Experience of Opioid Use Disorder Patients Into Taiwan's Addiction Treatment Practice. 将阿片类药物使用障碍患者的生活经验纳入台湾成瘾治疗实践。

Journal of addictions nursing Pub Date : 2023-10-01 DOI: 10.1097/JAN.0000000000000546

Lien-Chung Wei

引用次数: 0

Nighttime Sleep and Respiratory Disturbances in Individuals Receiving Methadone to Treat Opioid Use Disorder. 接受美沙酮治疗阿片类药物使用障碍患者的夜间睡眠和呼吸系统紊乱。

Journal of addictions nursing Pub Date : 2023-10-01 Epub Date: 2023-09-28 DOI: 10.1097/JAN.0000000000000470

Myles Finlay, Julie A Erwin, Lillian Skeiky, Devon A Hansen, Matthew E Layton, Raymond Quock, Hans P A Van Dongen, Marian Wilson

{"title":"Nighttime Sleep and Respiratory Disturbances in Individuals Receiving Methadone to Treat Opioid Use Disorder.","authors":"Myles Finlay, Julie A Erwin, Lillian Skeiky, Devon A Hansen, Matthew E Layton, Raymond Quock, Hans P A Van Dongen, Marian Wilson","doi":"10.1097/JAN.0000000000000470","DOIUrl":"10.1097/JAN.0000000000000470","url":null,"abstract":"Abstract: Opioids are a leading cause of drug overdose deaths in the United States. Methadone used as medication for opioid use disorder (MOUD) reduces drug cravings and promotes abstinence. However, individuals in methadone-based MOUD treatment commonly report subjective sleep complaints and are at risk for respiratory depression from opioids. We investigated nighttime sleep and respiratory function in eight individuals (six women, two men; ages 31-68 years) in their first 90 days of methadone-based MOUD treatment. Participants underwent overnight cardiorespiratory polysomnography. Sleep and respiratory variables were characterized with descriptive statistics for comparison to reference data from similarly aged healthy adults. Although participants spent 8.1 ± 0.3 hours (mean ± SD ) in bed, their total sleep time was only 6.8 ± 1.3 hours. They exhibited longer sleep latency and intermittent wakefulness. Sleep structure was irregular, with disrupted sleep cycles. Participants also displayed a decreased amount of N1 sleep and an increased amount of N3 sleep, compared with reference data. Participants showed respiratory depression, with an average apnea-hypopnea index of 16.5 ± 8.9 events per hour. Central sleep apneas comprised 69.1% ± 20.9% of the respiratory events. A Cheyne-Stokes-like breathing pattern, consisting of 30-second cycles of three central sleep apneas, was observed in 75% of participants. Our results suggest that individuals early in methadone-based MOUD treatment experience disordered sleep and respiratory disturbances. Such nighttime physiological changes may have serious long-term health consequences and contribute to unintended overdose rates. Identifying and treating MOUD individuals with sleep apnea could reduce risk of death.","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":" ","pages":"E180-E188"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41143368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What Can Customers See? Exposed Information on E-cigarette Online Retail Website: A Systematic Review. 顾客能看到什么?电子烟在线零售网站暴露信息的系统评价

Journal of addictions nursing Pub Date : 2023-10-01 DOI: 10.1097/JAN.0000000000000559

引用次数: 0

What Can Customers See? Exposed Information on E-Cigarette Online Retail Website: A Systematic Review. 顾客能看到什么?电子烟在线零售网站暴露信息的系统评价。

Journal of addictions nursing Pub Date : 2023-10-01 DOI: 10.1097/JAN.0000000000000548

Yanjun Zhou, Misol Kwon, Eunhee Park, Yu-Ping Chang

{"title":"What Can Customers See? Exposed Information on E-Cigarette Online Retail Website: A Systematic Review.","authors":"Yanjun Zhou, Misol Kwon, Eunhee Park, Yu-Ping Chang","doi":"10.1097/JAN.0000000000000548","DOIUrl":"10.1097/JAN.0000000000000548","url":null,"abstract":"Background: The internet is the main channel for electronic nicotine delivery systems sales that the media uses to publicize electronic cigarettes (e-cigarettes). Once e-cigarettes entered the market, they quickly became widely available online and in retail stores in many countries and regions around the world. This systematic review aims to explore the online marketing strategies for e-cigarette retail websites including the design of e-cigarette retail websites and how the information of retail websites was exposed to the public.Method: Studies were searched in five databases: Cumulative Index to Nursing and Allied Health Literature, EMBASE, Web of Science, Communication & Mass Media Complete, and PubMed. Included studies were published between 2007 and 2019.Results: Eight studies were included in this review. Topics covered included smoking cessation claims, nicotine content claims, health or harmful substance exposure claims, age restriction/verification, membership and discounts, and media and celebrity effect. Most of the claims included information about the benefits of e-cigarettes, such as helping to quit smoking, being more environmentally friendly than traditional paper cigarettes, and not containing nicotine. Common marketing techniques included celebrity endorsements, showing discounts or membership offers, or getting a link to buy from the media.Conclusions: The marketing of e-cigarettes is complex, and the authenticity of the information presented on the websites needs to be thoroughly understood. Such information will undoubtedly increase the interest and desire of potential buyers for e-cigarettes. Therefore, it is critical to establish necessary regulations regarding e-cigarette product information.","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"34 4","pages":"251-265"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138447580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Associations of Psychological Distress and Alcohol Use Patterns Among Older Adults of Sexual Minority Status and Heterosexual Peers. 性少数群体和异性恋同龄人中心理困扰和酒精使用模式的关联。

Journal of addictions nursing Pub Date : 2023-10-01 DOI: 10.1097/JAN.0000000000000556

Carolyn K Tran, Rebecca L Casarez, Angela J Nash, J Michael Wilkerson, Stanley Cron

{"title":"Associations of Psychological Distress and Alcohol Use Patterns Among Older Adults of Sexual Minority Status and Heterosexual Peers.","authors":"Carolyn K Tran, Rebecca L Casarez, Angela J Nash, J Michael Wilkerson, Stanley Cron","doi":"10.1097/JAN.0000000000000556","DOIUrl":"10.1097/JAN.0000000000000556","url":null,"abstract":"Background: There is limited research investigating sexual-orientation-related differences in older adults and their relationship with alcohol use.Objective: The purpose of this study was to determine if sexual minority status moderates the relationship between psychological distress and alcohol drinking patterns.Methods: This study was a secondary analysis of data from the 2017-2018 National Survey on Drug Use and Health. Health outcomes among lesbian, gay, and bisexual (LGB) older adults (N = 462) aged 50 years or older were compared with heterosexual (N = 16,856) peers using univariate analyses and logistic regressions. Interaction terms evaluated the influence of sexual orientation on psychological distress and alcohol consumption.Results: Sexual orientation was a predictor of alcohol use in the past year, past month, and at any time (p < .001) but was not a predictor of alcohol dependence or misuse, binge drinking, or heavy drinking. Heterosexual older adults were less likely to consume alcohol than those who identified as LGB. Respondents not reporting psychological distress were less likely to engage in problematic drinking. However, there was no evidence that sexual minority status moderates the relationship between psychological distress and alcohol use.Conclusion: Limited evidence supports higher rates of alcohol use and alcohol-related problems among sexual minority persons than heterosexuals. Prediction models for alcohol use were not improved by using sexual orientation and psychological distress as interaction terms. Future research should examine the underlying causes of impaired health in the older LGB population. Those findings should be used to research methods of preventing and minimizing alcohol misuse.","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"34 4","pages":"E153-E162"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138447511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of Drinking Pattern on the Quality of Sleep Among Korean Male Adults Below 65 Years. 饮酒方式对韩国65岁以下男性睡眠质量的影响。

Journal of addictions nursing Pub Date : 2023-10-01 DOI: 10.1097/JAN.0000000000000469

Yeo Won Jeong, Juyeon Oh

{"title":"Effect of Drinking Pattern on the Quality of Sleep Among Korean Male Adults Below 65 Years.","authors":"Yeo Won Jeong, Juyeon Oh","doi":"10.1097/JAN.0000000000000469","DOIUrl":"10.1097/JAN.0000000000000469","url":null,"abstract":"Abstract: This study aimed to analyze the differences in sleep quality according to drinking patterns and identify factors associated with poor sleepers among Korean male adults younger than 65 years. Data from 68,711 male participants from the Korean Community Health Survey collected in Korea in 2018 were analyzed. After dividing them into binge drinking and nonbinge drinking groups, each group was further categorized into three subgroups according to the frequency of drinking: less than occasionally, frequent, and very frequent. The quality of sleep and depression were assessed through face-to-face interviews using the Pittsburgh Sleep Quality Index and the Patient Health Questionnaire-9, respectively. Total sleep quality was the lowest in the group that participated in \"very frequent\" binge drinking; the groups that participated in \"frequent\" binge drinking and \"very frequent\" nonbinge drinking had similar levels of sleep quality. Poisson regression with robust variance analysis revealed an almost 50% higher prevalence of poor sleep in the \"very frequent\" binge drinking group (prevalence ratio = 1.49, p < .001) compared with the reference group (nonbinge drinking, less than occasionally) after controlling for confounding variables. Significantly higher prevalence ratios of poor sleep were found in the \"frequent\" and \"very frequent\" drinking groups compared with the reference group. Health policies could emphasize the importance of reducing one's frequency and amount of drinking. In addition, it is also necessary for healthcare professionals to assess drinking patterns when caring for people experiencing poor quality sleep and support them in correcting such drinking behaviors.","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"34 4","pages":"E163-E171"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138447513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prioritizing Harm Reduction Services to Reduce the Burden of Substance Use: A Joint Position Statement of the International Society of Psychiatric-Mental Health Nurses and the International Nurses Society on Addictions-USA Chapter. 优先减少伤害服务以减轻物质使用的负担:国际精神病学-心理健康护士协会和国际护士协会成瘾-美国分会的联合立场声明。

Journal of addictions nursing Pub Date : 2023-10-01 DOI: 10.1097/JAN.0000000000000557

Brayden Nicole Kameg, Madeleine Lepore, Rebecca Burkart, Ann Mitchell

引用次数: 0

Closing the Opioid Treatment Gap Through Advance Practice Nursing Activation: Curricular Design and Initial Outcomes. 通过高级实践护理激活关闭阿片类药物治疗差距:课程设计和初步结果。

Journal of addictions nursing Pub Date : 2023-10-01 DOI: 10.1097/JAN.0000000000000547

Matthew Tierney, Elizabeth Castillo, Adam Leonard, Emily Huang

{"title":"Closing the Opioid Treatment Gap Through Advance Practice Nursing Activation: Curricular Design and Initial Outcomes.","authors":"Matthew Tierney, Elizabeth Castillo, Adam Leonard, Emily Huang","doi":"10.1097/JAN.0000000000000547","DOIUrl":"10.1097/JAN.0000000000000547","url":null,"abstract":"Introduction: Buprenorphine, an effective medication for opioid use disorder (MOUD), reduces opioid-related harms including overdose, but a significant gap exists between MOUD need and treatment, especially for marginalized populations. Historically, low MOUD treatment capacity is rising, driven by advanced practice registered nurses (APRNs). A graduate nursing course was designed to increase equitable buprenorphine treatment delivery by APRNs. We report on baseline findings of a curriculum evaluation study with a pretest-posttest design.Design: Computerized surveys assessed trainee satisfaction with the course, trainee knowledge for providing MOUD, and trainee satisfaction in working with people who use drugs.Methods: Quantitative survey results utilizing Likert scales are presented.Results: Baseline precourse surveys revealed less than half (44%) of APRN students agreed/strongly agreed that they had a working knowledge of drugs and drug-related problems and 37% agreed/strongly agreed that they knew enough about the causes of drug problems to carry out their roles when working with people who use drugs. Approximately two thirds of APRN students agreed/strongly agreed that they want to work with people who use drugs (63%), that it is satisfying to work with people who use drugs (66%), and that it is rewarding to work with people who use drugs (63%). Nearly all students reported high satisfaction with the course.Conclusion: APRN students reported high satisfaction with a novel course grounded in health equity that has potential to reduce health disparities and accelerate the closure of the MOUD treatment gap, particularly for racial/ethnic minorities, rural populations, and transition-age youth.","PeriodicalId":94062,"journal":{"name":"Journal of addictions nursing","volume":"34 4","pages":"240-250"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138447512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0