在初级保健中,患者对处方阿片类药物教育的满意度
Lisa E M Davies1, Hendrika A van den Ham1, Arnt F A Schellekens2
1Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences (UIPS), Utrecht University, Utrecht, the Netherlands.
Patient education and counseling
|December 1, 2024
概括
患者对使用和缓解疼痛的阿片类药物教育比对副作用和逐渐减轻更满意. 为了更好地教育阿片类药物患者,需要对风险和逐渐减少的信息更清楚.
科学领域:
- 药理学 药理学是指药理学的学科.
- 患者教育 患者教育
- 公共卫生 公共卫生
背景情况:
- 有效的患者教育对于安全和最佳的处方阿片类药物使用至关重要.
- 了解患者对当前阿片类药物教育的满意度对于识别差距和改善结果至关重要.
研究的目的:
- 为了评估患者对处方阿片类药物教育的满意度.
- 确定在阿片类药物教育方面需要改进的具体领域.
- 为了比较不同患者群体之间的满意度水平.
主要方法:
- 进行了一项横截面调查,对1605名有处方阿片类药物经验的成年人进行了调查.
- 收集的数据包括人口统计数据,阿片类药物细节,疼痛应对策略,以及从处方医生和药剂师获得的教育满意度.
- 开放式问题探讨了加强阿片类药物教育的建议.
主要成果:
- 患者报告说,与副作用和逐渐减少相比,他们对阿片类药物使用教育和预期的疼痛缓解的满意度更高.
- 处方师的教育获得的满意度比药房工作人员的满意度更高,尽管这两种来源都受到重视.
- 不满意的患者通常具有更高的教育水平,较差的疼痛应对能力,并经历了无效的阿片类药物治疗.
结论:
- 在治疗开始时,阿片类药物患者的教育必须优先提供关于副作用,成风险和逐渐减少的明确信息.
- 处方医生和药房工作人员都在教育患者关于阿片类药物的过程中发挥着至关重要的作用.
- 让药房工作人员参与其中,特别是在重复发药时,可以显著改善阿片类药物患者的教育.
相关概念视频
Analgesia and Pain Management
513
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
513
Opioid Analgesics: Morphine and Other Natural Cogeners
183
Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
183
Opioid Analgesics: Synthetic and Semisynthetic Opioids
225
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
225
Prescription, Nonprescription and Orphan Drugs
695
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
695
Drug Dosage Regimen: Overview
3.5K
A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
3.5K
Opioid Receptors: Overview
529
Opioid receptors, including the mu (μ, MOR), delta (δ, DOR), and kappa (κ, KOR) types, belong to the rhodopsin family of G protein-coupled receptors. These receptors are located throughout the central and peripheral nervous systems and in non-neuronal tissues such as macrophages and astrocytes. Opioid receptor ligands can be categorized into agonists or antagonists. Highly selective agonists include [d-Ala2, MePhe4, Gly(ol)5]-enkephalin or DAMGO for MOR, [D-Pen2,...
529


