一般医生对阿片类药物管理和关节或膝关节置换手术前逐渐减少的看法:一种定性研究
Stephen John Hughes1, Jennifer Stevens2, Justine Naylor3
1Sydney Pharmacy School, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia stephen.hughes@sydney.edu.au.
BJGP open
|December 3, 2025
概括
一般医生 (GPs) 支持在手术前逐渐减少阿片类药物用于骨关节炎疼痛管理,但面临障碍. 与药剂师的合作可以帮助在关节置换手术前最大限度地减少阿片类药物的危害.
科学领域:
- 疼痛管理 疼痛管理
- 药理学 药理学是指药理学的学科.
- 一般实践 一般实践
背景情况:
- 骨关节炎和关节置换手术在老年人群中很普遍.
- 在等待手术期间,阿片类止痛药通常用于骨关节炎疼痛.
- 在手术前的阿片类药物逐渐减少是未充分利用的,尽管它有潜力尽量减少阿片类药物相关的伤害.
研究的目的:
- 探索全科医生 (GPs) 在关节置换手术前对疼痛管理的理解和信念.
- 确定全科医生的支持需求,以管理正在等待手术的阿片类药物患者,包括手术前的逐渐缩小.
- 调查一般医生对阿片类药物使用和在关节修复前护理的背景下逐渐减少实践的观点.
主要方法:
- 采用了定性研究设计.
- 与澳大利亚的17名全科医生进行了半结构面试.
- 采访数据被转录,去识别,并使用诱导和专题分析进行分析.
主要成果:
- 一般医生表现出有限的知识,但对关节前整形前阿片类药物逐渐减少的普遍支持.
- 关键主题确定了疼痛管理和阿片类药物处方方面的挑战,最佳管理的患者和系统层面障碍,以及药剂师的潜在支持.
- 一般医生感到手术前疼痛管理和阿片类药物处方具有挑战性,障碍阻碍了最佳疼痛管理和逐渐减少.
结论:
- 解决个人,患者和系统层面的障碍对于实现手术前阿片类药物逐渐减少的好处至关重要.
- 一般医生重视和欢迎药剂师对阿片类药物管理的支持,但合作模式尚未发展.
- 需要进一步的实施研究来开发和评估阿片类药物管理的协作初级保健模型.
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