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Updated: Jul 27, 2025

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在安全网医院遵守阿片类药物患者处方协议
Soraira Pacheco1, Linh M T Nguyen1, John M Halphen1
1Joan and Stanford Alexander Division of Geriatric and Palliative Medicine, McGovern Medical School, UTHealth, Houston, TX 77030, USA.
Cancers
|June 10, 2023
概括
患者处方协议 (PPA) 有助于减轻非医疗性阿片类药物使用. 不遵守PPA与男性性别,单身状态,物质使用和犯罪活动等风险因素有关,这表明需要有针对性的查.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 成 药物 药物 药物 药物
背景情况:
- 建议使用患者处方协议 (PPA) 或阿片类药物合同,以减少非医疗性阿片类药物使用 (NMOU).
- 了解PPA完成率和坚持率对于癌症患者有效的阿片类药物管理至关重要.
研究的目的:
- 为了确定患有PPA的癌症患者的比例.
- 评估不遵守电力购买合同的比例.
- 为了确定PPA完成和不遵守的临床预测因素.
主要方法:
- 在息治疗诊所连续接受阿片类药物的癌症患者的回顾性研究 (2015-2019).
- 收集的数据包括患者人口统计,癌症细节和PPA信息.
- 用多变量逻辑回归分析来确定预测因素.
主要成果:
- 在905名患者中,54%患有PPA,10%患有PPA的人不坚持.
- PPA与年轻的年龄和酒精使用有关.
- 不坚持的预测因素包括男性性别,单身状态,烟草/酒精使用,犯罪关联,非恶性疼痛指示和更高的疼痛得分.
结论:
- 显著的一小部分服用阿片类药物的癌症患者不遵守PPAs.
- 患有已确定的NMOU风险因素的患者中,不坚持更为常见.
- 全面的PPA和系统的NMOU风险查可以改善患者的护理和安全.
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