医生的阿片恐惧:对知识,态度和行为的横截面研究
Tolga Mustafa Yaşar1,2, Hilal Özkaya3, Özge Pasin4
1Family Medicine, TC Sağlık Bakanlığ Başakşehir Çam ve Sakura Şehir Hastanesi, Başakşehir, Istanbul, Turkey tolgyasar@gmail.com.
BMJ supportive & palliative care
|November 30, 2025
概括
医生对处方阿片类药物 (阿片恐惧症) 的恐惧导致疼痛管理不足. 增加知识和定期培训显著减少了阿片恐怖症,改善了阿片类药物处方实践.
科学领域:
- 医学教育 医学教育
- 疼痛管理 疼痛管理
- 药理学 药理学是指药理学的学科.
背景情况:
- 在疼痛管理中,尤其是息治疗中,阿片类药物处方不足很普遍.
- 医生对开处方阿片类药物的恐惧,称为阿片恐惧症,是一个重要的障碍.
- 了解阿片恐怖症的驱动因素对于改善患者护理至关重要.
研究的目的:
- 调查医生中片恐惧症的流行率和促成因素.
- 确定阿片类药物知识,培训和阿片恐惧症之间的关系.
- 为减少阿片恐怖症和优化阿片类药物处方的战略提供信息.
主要方法:
- 一项涉及318名医生的横截面研究.
- 通过36个问题调查 (面对面或在线) 收集的数据.
- 使用SPSS版本 26.0.0.进行的统计分析.
主要成果:
- 46%的医生从未处方过阿片类药物;64%的人担心呼吸系统抑郁.
- 70%的人担心患者成,尽管57%的人从未观察过它.
- 片恐惧与阿片类药物知识 (p<0.001) 有负相关性,与对依赖的恐惧 (p<0.001) 有正相关性.
- 处方阿片类药物更频繁的医生具有更高的知识和更低的阿片恐惧症.
- 疼痛管理培训与增加阿片类药物处方,知识和减少阿片恐惧症有关.
结论:
- 由于阿片类药物处方不足,阿片恐怖症显著导致疼痛管理不足.
- 对成的恐惧和缺乏知识是阿片恐怖症的关键驱动因素.
- 定期,全面的疼痛管理培训对于减少阿片恐惧症至关重要.
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