在波兰接受选择性手术的患者中,与阿片类药物滥用相关的因素
Jakub Klimkiewicz1, Maria Wysocka2, Martyna Hordowicz3
1Department of Anesthesiology and Intensive Care, Military Institute of Medicine - National Research Institute, Legionowo Hospital, Warsaw, Poland.
Journal of addictive diseases
|September 30, 2023
概括
在波兰10.8%的手术患者中发现了阿片类药物的滥用. 滥用者报告说疼痛控制不足,并对阿片类药物安全性有误解,强调迫切需要患者教育以防止阿片类药物危机.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 全球阿片类药物危机是一个重大的公共卫生问题.
- 滥用阿片类药物,即非医疗目的使用处方阿片类药物,是主要的驱动因素.
- 在波兰,这个问题没有得到充分的研究,那里没有正式承认阿片类药物危机.
研究的目的:
- 调查在波兰接受选择性手术的患者中阿片类药物滥用的流行情况.
- 为了确定与该人口中阿片类药物滥用相关的因素.
- 评估患者关于阿片类止痛药和疼痛管理的知识和意见.
主要方法:
- 一项研究对92名接受选择性手术的患者进行了研究.
- 患者接受了基于阿片类药物的术后疼痛治疗.
- 收集的数据包括阿片类药物滥用频率,疼痛控制史,申请额外的疼痛治疗,以及对阿片类药物的知识/意见.
主要成果:
- 在研究样本的10.8%中检测到阿片类药物的滥用.
- 患有潜在阿片类药物使用障碍的患者报告了更频繁的不充分控制的术后疼痛 (p=0.023).
- 滥用者要求额外的疼痛治疗几乎是非滥用者 (p<0.000) 的六倍,并且对阿片类药物的危害和安全性持有较低的信念.
结论:
- 波兰手术患者中存在阿片类药物的滥用,与疼痛管理不佳和特定误解有关.
- 需要有针对性的患者教育来解决这些问题.
- 积极的教育干预对于减轻波兰不断升级的阿片类药物危机的风险至关重要.
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