在引入管理计划后,手术后释放阿片类药物的处方,使用和处理
Megan L Allen1,2, Anurika P De Silva3,4, Sabine Braat3,4
1Department of Anaesthesia and Pain Management, The Royal Melbourne Hospital, Melbourne, Australia.
Anaesthesia and intensive care
|June 21, 2023
概括
实施阿片类药物管理计划改善了术后阿片类药物处方,但医院与全科医生之间的沟通和阿片类药物处置率仍然很低. 有效的计划实施是最大限度地提高术后疼痛管理的好处的关键.
科学领域:
- 医学科学 医学科学 医学科学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 阿片类药物通常用于术后疼痛,但存在滥用风险.
- 出院后不适当使用阿片类药物可能导致不良后果.
- 实施了阿片类药物管理计划以减轻这些风险.
研究的目的:
- 评估阿片类药物管理计划对术后阿片类药物处方和患者结果的影响.
- 评估患者的阿片类药物使用,处理和处置.
- 确定影响退院阿片类药物处方和计划合规性的因素.
主要方法:
- 一项前性队列研究,涉及三个医院的884名手术患者.
- 引入一个由四个支柱组成的阿片类药物管理计划:处方者教育,患者教育,标准化出院量和GP沟通.
- 收集有关退院阿片类药物处方,患者使用,后续结果和程序组件合规性的数据.
主要成果:
- 74%的患者接受了阿片类药物;78%的处方符合指南.
- 只有17%的阿片类药物出院的患者收到了医生信.
- 三个月后,9.7%的人报告持续使用阿片类药物,26%的人报告处置过剩的阿片类药物.
结论:
- 阿片类药物管理计划改善了处方合规性,但突出显示了医院与全科医生之间的沟通和阿片类药物处置率较低.
- 持续使用阿片类药物与手术前消费和更高的疼痛评分有关.
- 有效的实施策略对于实现阿片类药物管理计划在术后护理中的全部好处至关重要.
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