定义和衡量嗜食恐惧症:一个系统性审查
Karen E Alsbrook1, Eileen Danaher Hacker1
1Department of Nursing, M. D. Anderson Cancer Center, The University of Texas, Houston, Texas, USA.
Worldviews on evidence-based nursing
|July 31, 2025
概括
对阿片类药物的恐惧,缺乏明确的定义和测量,导致不一致的研究和干预. 本次审查强调了需要标准化定义和验证的工具来改进疼痛管理策略的需要.
科学领域:
- 疼痛管理 疼痛管理
- 医学社会学 医学社会学
- 健康心理学 心理健康心理学
背景情况:
- "阿片恐怖症"是一个用来描述阿片类药物的不足使用的术语,但它缺乏明确的定义和一致的测量.
- 这种模糊性使疼痛管理中的研究和临床干预复杂化.
研究的目的:
- 在涉及成年人群的定量研究中,系统地审查片恐惧症的概念化和操作化.
- 评估片恐惧症在不同的医疗保健环境中如何定义和测量.
主要方法:
- 从CINAHL,Embase,MEDLINE和Scopus数据库中对2024年7月之前发表的同行评审文章进行系统审查.
- 包括在内的研究定义和/或测量了成年患者,护理人员和医疗保健专业人员的阿片恐怖症或阿片类药物耻辱感.
- 两阶段的审查:第一,研究特征;第二,阿片恐怖症的概念化和测量.
主要成果:
- 三十六篇文章符合纳入标准,重点关注医疗保健专业人员 (64%) 和成人患者 (33%).
- 对片恐惧症的常见定义包括恐惧,偏见,不情愿,成,夸大,使用不足和不适当的态度.
- 限制包括观察设计占主导地位 (89%) 和使用研究人员开发的仪器 (73%).
结论:
- 目前衡量阿片恐怖症的仪器主要集中在与阿片类药物相关的恐惧和由此产生的行为.
- 目前尚不清楚片恐惧症是否包括对处方阿片类药物的不良坚持.
- 定义和测量工具的变化会产生不一致性,需要进一步研究标准化干预措施.
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