在瘤学中使用阿片类药物和二类药物:共同处方和降低风险的观点
Amy O'Regan1, Jeehye Rose Lee2, Cara L McDermott3
1Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, United States.
Journal of geriatric oncology
|December 15, 2024
概括
由于安全问题,癌症提供者很少共同处方阿片类药物和二类药物. 他们使用缓慢定位和患者教育等预防措施,但有机会改善药物审查和物质滥用查.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 药理学 药理学是指药理学的学科.
背景情况:
- 阿片类药物和二类药物经常被处方用于癌症症状管理.
- 同时使用这些药物会增加不良事件的风险,特别是在有多种健康状况的老年人中.
- 了解共同处方和减轻危害的提供者做法至关重要.
研究的目的:
- 调查癌症护理提供者在联合处方阿片类药物和二类药物方面的做法.
- 确定提供者用来减轻与这种药物组合相关的潜在危害的策略.
主要方法:
- 定性研究涉及采访来自两个卫生系统的瘤学和息护理提供者.
- 对面试成绩单进行主题分析,以识别态度和实践中的模式.
- 专注于共同处方习惯和安全措施.
主要成果:
- 医疗服务提供者表示,由于安全问题,他们不愿意联合处方二.
- 关键的安全预防措施包括缓慢剂量定位,处方整合,以及患者/护理人员对副作用,过量剂量和纳洛的教育.
- 息护理提供者比瘤学家更有可能提供纳洛.
- 风险评估包括检查处方药监测计划和图表审查,尽管一些瘤学家因为耻辱问题而犹.
- 观察了患者的主观评估和潜在偏见.
结论:
- 在瘤学中,有机会加强药物审查和调和.
- 建议在瘤学环境中增加纳洛的使用.
- 需要对滥用物质进行系统查,并整合成/精神病学服务.
- 在瘤学中实施老年学评估可以解决观察到的安全问题.
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