"我们都在寻找神奇的药丸":对患者使用 gabapentinoids 治疗慢性疼痛的经验进行了定性研究
Amy G McNeilage1, Claire E Ashton-James2, Brett Scholz3
1School of Medicine and Psychology, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia; Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
The International journal on drug policy
|July 15, 2023
概括
由于绝望,患者经常开始治疗慢性疼痛的 gabapentinoids,但经验差异很大. 改善患者与医疗服务提供者之间的沟通对于知情的 gabapentinoid 使用和管理至关重要.
科学领域:
- 药理学 药理学是指药理学的学科.
- 疼痛管理 疼痛管理
- 定性研究是指质量研究.
背景情况:
- 加巴丁类药物越来越多地用于治疗慢性疼痛.
- 对于患者对这些药物的体验,人们的理解有限.
- 这项研究解决了对 gabapentinoids 的生活经验的知识差距.
研究的目的:
- 质量地探索患者使用 gabapentinoids 治疗慢性疼痛的经验.
- 了解患者对有效性,安全性的看法,以及关于 gabapentinoid 治疗的信息.
主要方法:
- 对12名澳大利亚成年人进行了半结构化采访,这些成年人被处方为治疗慢性疼痛的 gabapentin 或 pregabalin.
- 利用反射主题分析来分析转录的采访数据.
- 采用药物坚持模型作为数据合成的框架.
主要成果:
- 最初的 gabapentinoid 使用通常是由绝望和缺乏替代品的感知驱动的.
- 患者对 gabapentinoids 的体验从有效和安全到无用或有害不等.
- 一些患者报告说,处方医生对 gabapentinoid 风险的信息不足.
结论:
- 强调了患者-提供者沟通在 gabapentinoid 处方和取消处方中的关键作用.
- 强调需要以患者为中心的方法来治疗涉及 gabapentinoids 的慢性疼痛.
- 建议未来的研究涉及初级保健提供者,以了解处方司机和教育障碍.
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