麻醉师使用药物风险的预测因素。

Journal of addictions nursing Pub Date : 2024-01-01 Epub Date: 2024-02-15 DOI:10.1097/JAN.0000000000000551
Karen J Foli, Anna K Forster, Loretta Ann Bostic, Lingsong Zhang, Zeyu Zhang, Linda Stone
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引用次数: 0

摘要

背景:注册麻醉师(CRNA)每天都要接触高度成瘾的药物和紧张的工作环境,这使他们面临药物使用失调(SUD)的风险。以往的研究表明,阿片类药物和异丙酚是麻醉师的首选药物。因此,本研究的目的是利用世界卫生组织的酒精、吸烟和药物参与筛查测试来调查 SUD 风险的预测因素:2020年6月至7月,通过美国麻醉护士协会研究调查服务向3000名CRNAs发送了一份在线调查,约有225名成员回复:结果发现,CRNAs 在以下几类疾病中处于中度风险:烟草占 10.27%,酒精占 23.56%,大麻占 6.28%。在这一同质样本中,按物质类别进行的回归分析包括稳健、不同的模型。所有三个模型的预测因素包括一系列人口统计学变量、宗教信仰、焦虑、焦虑导致的困难、抑郁、药物使用史、与美国麻醉护士协会同伴援助计划的联系以及组织支持:结论:10% 以上的注册麻醉师有罹患烟草使用障碍的风险,近四分之一的受访者有罹患酒精使用障碍的中度风险。这些数据令人担忧,可能表明注册麻醉师使用的首选物质已从受控物质转向酒精。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Predictors of Substance Use Risk in Nurse Anesthetists.

Background: Certified registered nurse anesthetists (CRNAs) are exposed daily to highly addictive substances and stressful work environments, placing them at risk for substance use disorders (SUDs). Previous research, which is scarce, indicated that drugs of choice were opioids and propofol. Therefore, the purpose of this study was to investigate predictors of SUD risk using the World Health Organization Alcohol, Smoking and Substance Involvement Screening Test.

Method: From June to July 2020, an online survey was sent via the American Association of Nurse Anesthesiology Research Survey Service to 3,000 CRNAs with a response of approximately 225 members.

Results: CRNAs were found to be at a moderate risk for SUDs in the following categories: 10.27% for tobacco, 23.56% for alcohol, and 6.28% for cannabis. Regression analysis by substance category includes robust, differing models in this homogeneous sample. Predictors for all three models include a collection of demographic variables, religiosity, anxiety, difficulties due to anxiety, depression, substance use history, contact with the American Association of Nurse Anesthesiology Peer Assistance Program, and organizational support.

Conclusion: Over 10% of CRNAs are at risk for developing tobacco use disorder, and almost one quarter of those surveyed are at a moderate risk for developing alcohol use disorder. These data are of concern and may indicate a shift of preferred substances used by CRNAs from controlled substances to alcohol.

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