Health and quality of life after discharge from hospital: A prospective study on opioid treatment for acute pain after trauma or surgery

IF 1.5 Q3 NURSING
Anne Mari Gunnheim Klausen , Jorunn Drageset , Frøydis Kristine Bruvik
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引用次数: 0

Abstract

Objectives

The aim of this study was to examine opioid use, health, quality of life, and pain after discharge from hospital in opioid naïve patients receiving opioid treatment for sub acute pain after trauma or surgery.

Methods

A prospective cohort with a four-week follow-up was conducted. Of the 62 patients included, 58 remained in the follow-up. The following questionnaires were assessed: Numeric Rating Scale for pain (NRS), EQ-5D-5L (health-related quality of life) and EQ-VAS (self-reported health). Paired t-test, two-sample t-test and chi square test were used in the study.

Results

Every fourth participant still received opioid treatment at follow-up, and reported no significant increase in EQ-VAS. Overall, an improvement in EQ-5D-5L (0.569 (SD = 0.233) to 0.694 (SD = 0.152), p < 0.001) and EQ-VAS (55 (SD = 20) to 63 (SD = 18), p = 0.001) from baseline to follow-up was found. Pain intensity decreased in the same period (6.4 (SD = 2.2) to 3.5 (SD = 2.6), p < 0.001). An unmet need for information regarding pain management was reported by 32% of the participants.

Conclusions

Our findings show that patients with acute pain, treated with opioids, reported improved pain intensity, health-related quality of life and self-reported health four weeks after discharge. There is room for improvement regarding the provision of patient information on pain management.

出院后的健康和生活质量:阿片类药物治疗创伤或手术后急性疼痛的前瞻性研究。
目的:本研究的目的是检查因创伤或手术后亚急性疼痛而接受阿片类药物治疗的阿片类天真患者的阿片药物使用、健康、生活质量和出院后疼痛。方法:进行为期四周的前瞻性队列随访。在包括在内的62名患者中,58名仍在随访中。评估了以下问卷:疼痛数字评定量表(NRS)、EQ-5D-5L(健康相关的生活质量)和EQ-VAS(自我报告的健康状况)。本研究采用配对t检验、双样本t检验和卡方检验。结果:在随访中,每四分之一的参与者仍然接受阿片类药物治疗,并且报告EQ-VAS没有显著增加。总体而言,EQ-5D-5L(0.569(SD=0.233)至0.694(SD=0.152)有所改善,p结论:我们的研究结果表明,接受阿片类药物治疗的急性疼痛患者在出院四周后报告疼痛强度、健康相关的生活质量和自我报告的健康状况有所改善。在提供患者疼痛管理信息方面还有改进的空间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.60
自引率
14.30%
发文量
34
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