受伤工人中的阿片类药物使用:疼痛和返回工作经验
Victoria Nadalin1, Nancy Carnide2,3, Cameron Mustard1,3
1Institute for Work & Health, Toronto, Ontario, Canada.
Occupational and environmental medicine
|February 12, 2025
概括
在工作场所受伤后的严重疼痛显著增加了阿片类药物的使用,无论是返回工作的时间或住宿. 这强调了疼痛管理对于减少受伤工人的阿片类药物依赖至关重要.
科学领域:
- 职业健康 职业健康 职业健康
- 疼痛管理 疼痛管理
- 药理流行病学 药理流行病学
背景情况:
- 职场伤害和疾病可能导致慢性疼痛和阿片类药物使用.
- 了解影响阿片类药物使用的因素对于有效干预至关重要.
- 回归工作 (RTW) 经历和疼痛水平是受伤后阿片类药物使用的潜在决定因素.
研究的目的:
- 调查恢复工作 (RTW) 经验,受伤后疼痛和阿片类药物使用之间的联系.
- 确定在工作场所受伤后导致阿片类药物使用的关键因素.
主要方法:
- 在加拿大安大略省,对1793名工人进行了横截面分析,这些工人提出了损失时间索赔.
- 伤害后18个月进行的电话采访,评估了阿片类药物使用,疼痛严重程度和RTW时间.
- 根据共变量调整后的物流回归模型来检查关联.
主要成果:
- 35.6%的参与者报告说在过去一年中使用过一次以上的阿片类药物.
- 严重的疼痛与阿片类药物使用的几率增加密切相关,无论RTW时间 (ORs从2.90到3.01).
- 患有严重疼痛和/或住宿优惠的工人也显示了阿片类药物使用的几率增加 (ORs从2.69到2.78).
结论:
- 受伤后的疼痛是工作场所受伤后与阿片类药物使用相关的主要因素.
- 在这种关联中,RTW体验和工作场所的适应性似乎是疼痛严重程度的次要因素.
- 建议进行进一步的纵向研究,以证实这些发现并探索因果关系.
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