一般医生和社区药剂师对阿片类药物治疗非恶性疼痛的信念和做法
E A W Jansen-Groot Koerkamp1,2, Y M Weesie3, M Heringa1
1SIR Institute for Pharmacy Practice and Policy, Leiden, The Netherlands.
European journal of pain (London, England)
|June 26, 2024
概括
一般医生和社区药剂师认识到过度使用阿片类药物治疗慢性非恶性疼痛,但在实施方面扎. 需要教育和工具来使实践与改善阿片类药物相关护理的指南保持一致.
科学领域:
- 药理学和疼痛管理
- 医疗保健专业实践 医疗保健专业实践
- 公共卫生 公共卫生
背景情况:
- 在欧洲,阿片类药物的使用急剧增加,主要用于慢性非恶性疼痛 (CNMP).
- 一般医生和社区药剂师在为CNMP处方阿片类药物方面发挥着关键作用.
- 了解他们的信仰和做法对于制不断升级的阿片类药物使用至关重要.
研究的目的:
- 探索全科医生和CP的信念和做法,关于阿片类药物处方的CNMP.
- 确定在CNMP中实施阿片类药物使用指南的障碍和促进者.
主要方法:
- 一项以健康信念模型为指导的全国性调查对全科医生和常规医生进行了管理.
- 该调查评估了与阿片类药物使用相关的威胁,益处,障碍和自我有效性的信念.
- 调查的答案使用千平方分析进行了比较.
主要成果:
- 大多数一般医生和CP (大约. 67%) 认为CNMP处方的阿片类药物太多.
- 两组人都对阿片类药物成潜力表示严重担忧 (GP 83.1%,CP 71.7%).
- 在评估推措施以减少阿片类药物处方时,只有不到一半的人积极实施这些措施.
结论:
- 一般医生和常规医生对CNMP过度使用阿片类药物感到担忧,但缺乏有效的实施策略.
- 在一般医生和常规医生之间存在感知到的好处和自我有效性的差异.
- 迫切需要教育,合作和工具来改善阿片类药物护理,并使实践与指南保持一致.
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