患者使用阿片类药物治疗急性疼痛的动机在紧急护理后
Brittany E Punches1,2, Jennifer L Brown3, Natalie K Taul2
1College of Nursing, The Ohio State University, Columbus, OH, United States.
Frontiers in pain research (Lausanne, Switzerland)
|October 11, 2023
概括
了解患者在急性疼痛中使用阿片类药物的动机是减少阿片类药物使用障碍 (OUD) 的关键. 这项研究探讨了影响患者在急诊室访问后治疗性阿片类药物使用决定的因素.
科学领域:
- 疼痛管理 疼痛管理
- 阿片类药物使用障碍研究研究
- 医疗保健中的患者决策
背景情况:
- 患者是他们疼痛管理的核心,但影响他们关于治疗性阿片类药物用于急性疼痛的决定的因素尚未完全理解.
- 紧急诊所 (ED) 经常管理急性疼痛,需要在时间限制和患者病史有限的情况下对阿片类药物治疗做出关键决策.
- 了解患者的动机可以为减轻催产卵性阿片类药物使用障碍 (OUD) 的策略提供信息.
研究的目的:
- 定性地探索和描述影响患者关于治疗急性疼痛的阿片类药物使用的决定的激励因素.
- 确定旨在减少发生阿片类药物使用障碍的干预措施的潜在目标.
主要方法:
- 采用了一个框架分析方法.
- 从29名因急性疼痛而出院的ED患者的转录访谈进行了定性分析.
- 在焦点组或个人进行的半结构面试中,使用传统的内容分析进行了分析.
主要成果:
- 四个主要主题出现了:疼痛管理素养,患者对控制的偏好,个体风险耐受性和外部行动线索.
- 这些主题突出了影响患者对阿片类止痛药的选择因素的复杂相互作用.
- 患者的观点为急性疼痛管理决策的细微差别提供了关键的见解.
结论:
- 这些发现为开发有针对性的干预措施提供了基础,以支持患者在急性疼痛管理中的知情决策.
- 提出了一个框架,以加强患者参与,作为疼痛治疗中的积极利益相关者.
- 解决疼痛管理素养,控制偏好,风险耐受性和行动线索可以优化治疗性阿片类药物使用并降低OUD风险.
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