莫斯微图手术后患者对疼痛控制的偏好:一个单中心离散选择实验
Shannon T Nugent1, Surya A Veerabagu2, Matthew Madden3
1Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
JAMA dermatology
|July 5, 2023
概括
莫斯手术后患者对疼痛管理的偏好显示出强烈的倾向于非处方药 (OTC) 药物,特别是当阿片类药物成风险被认为很高时. 许多患者完全避免使用阿片类药物,优先考虑安全,而不是潜在的缓解疼痛.
科学领域:
- 皮肤病学和整形外科
- 疼痛管理和药理学
- 患者报告的结果
背景情况:
- 了解患者在莫斯微图手术后对疼痛管理的偏好至关重要,但研究不足.
- 患者的选择受到疼痛程度和阿片类药物成的感知风险的影响.
研究的目的:
- 评估患者对仅使用非处方药 (OTC) 与OTC加上阿片类药物治疗疼痛的偏好.
- 为了评估这些偏好在不同的理论疼痛水平和阿片类药物成风险.
主要方法:
- 对295名患者和支持人员进行了前性离散选择实验.
- 参与者完成了一项调查,在不同的疼痛和成风险情景下评估疼痛药物偏好.
- 用线性插值分析数据,以确定药物选择的疼痛值.
主要成果:
- 76%的受访者更喜欢只有OTC,而不是OTC加上阿片类药物,用于莫斯后手术疼痛控制.
- 34%的人永远不会考虑阿片类药物,50%的人担心成.
- 只有当成风险为0%时,一半的人更喜欢6.5/10的疼痛水平的阿片类药物;更高的风险导致他们只喜欢OTC,即使有严重的疼痛.
结论:
- 对阿片类药物成的感知风险显著影响患者在莫斯手术后选择止痛药的选择.
- 分享决策对于将疼痛管理计划定制为个别患者的需求和关切至关重要.
- 需要进一步研究莫斯手术后的长期阿片类药物风险.
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