Journal of Pain & Palliative Care Pharmacotherapy最新文献_第10页

Use of Dexmedetomidine in Conscious Sedation for Oesophageal Stent Placement in a High-Risk Patient. 右美托咪定用于高危患者食管支架置入术的清醒镇静。

IF 1.1

Journal of Pain & Palliative Care Pharmacotherapy Pub Date : 2023-06-01 DOI: 10.1080/15360288.2022.2160043

Prashant Sirohiya, Smita Reddy, Jasmeet Gill, Naveen Kumar

引用次数: 0

Translation and Validation of Low Back Pain Knowledge Questionnaire Among Hindi-Speaking Indian Women. 印地语印度妇女腰痛知识问卷的翻译与验证。

IF 1.1

Journal of Pain & Palliative Care Pharmacotherapy Pub Date : 2023-06-01 DOI: 10.1080/15360288.2023.2169432

Jasmine Kaur Chawla, Priyanka Sushil, Pragya Kumar

{"title":"Translation and Validation of Low Back Pain Knowledge Questionnaire Among Hindi-Speaking Indian Women.","authors":"Jasmine Kaur Chawla, Priyanka Sushil, Pragya Kumar","doi":"10.1080/15360288.2023.2169432","DOIUrl":"https://doi.org/10.1080/15360288.2023.2169432","url":null,"abstract":"Low back pain (LBP) is a common problem encountered among women worldwide. This research aimed at the cross-cultural translation, adaptation, and equivalence assessment of the Low Back Pain Knowledge Questionnaire (LBPKQ) in the Hindi language. The LBPKQ, originally in English (E-LBPKQ) was translated and validated in the Hindi language (H-LBPKQ). The forward-backward procedure was adapted from the recommended guidelines for cross-cultural adaptation of measures. Psychometric properties of the H-LBPKQ were evaluated among 250 Hindi-speaking Indian women with LBP. Test-retest reliability was evaluated in the first 161 participants of the study sample. The overall LBPKQ scores obtained a mean of 3.1 ± 1.1. The internal consistency was excellent for both E-LBPKQ and H-LBPKQ, with Cronbach's alpha of 0.983 (95% confidence interval [CI], 0.980-0.986) and 0.975 (95% CI, 0.970-0.979), respectively. Construct validity was good, with Kaiser-Meyer-Olkin value of 0.892 for E-LBPKQ and 0.852 for H-LBPKQ. Bartlett's test of sphericity (P < .0001) was significant for E-LBPKQ and H-LBPKQ. Two factors were extracted through principal component analysis. The H-LBPKQ is valid and reliable to assess LBP knowledge among Hindi speaking population. Low LBPKQ scores indicate poor LBP knowledge; hence, LBP sensitization is needed among Indian women.","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":"37 2","pages":"123-132"},"PeriodicalIF":1.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9596819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Home Management and Prevention of Vaso-Occlusive Crisis of Sickle Cell Disease Knowledge among Nursing Students. 护理学生镰状细胞病血管闭塞危象的家庭管理与预防。

IF 1.1

Journal of Pain & Palliative Care Pharmacotherapy Pub Date : 2023-06-01 DOI: 10.1080/15360288.2023.2184442

Hawa Ibrahim Abdalla Hamid, Aruna Jothi Shanmugam, Soad Mohamed Abdalla Alnassry, Amani Abdelgader Mohammed Abdelgader, Wafa Abdein Humza Bashir, Maha Abdalla Abdelsadig Ali, Anitha Madhappan

{"title":"Home Management and Prevention of Vaso-Occlusive Crisis of Sickle Cell Disease Knowledge among Nursing Students.","authors":"Hawa Ibrahim Abdalla Hamid, Aruna Jothi Shanmugam, Soad Mohamed Abdalla Alnassry, Amani Abdelgader Mohammed Abdelgader, Wafa Abdein Humza Bashir, Maha Abdalla Abdelsadig Ali, Anitha Madhappan","doi":"10.1080/15360288.2023.2184442","DOIUrl":"https://doi.org/10.1080/15360288.2023.2184442","url":null,"abstract":"Sickle cell crisis, or vaso-occlusive crisis, is a painful complication of sickle cell disease that occurs in adolescents and adults, which is considered the most common reason these patients seek medical attention in an emergency room. Despite the high prevalence of sickle cell disease in the Jazan region, Saudi Arabia, there hasn't been a study looking at nursing students' knowledge about sickle cell disease and home management and prevention of vaso-occlusive crises associated with sickle cell disease. Most of those focused on the investigation of the public, parents of children with sickle cell disease, school students, and patients with sickle cell disease. Therefore, this study aims to assess the level of knowledge about home management and prevention of vaso-occlusive crises among Saudi nursing students at the Aldayer University College, Jazan University, Kingdom of Saudi Arabia. A descriptive cross-sectional design was used in this study that involved 167 nursing students. The study revealed that Aldayer nursing students had adequate knowledge about the home management and prevention of sickle cell disease vaso-occlusive crises.","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":"37 2","pages":"157-163"},"PeriodicalIF":1.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9596855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Barriers Facing Physicians in Opioids Prescribing for the Management of Moderate to Severe Pain in a Tertiary Care Center in Saudi Arabia. 在沙特阿拉伯的三级保健中心，医生在阿片类药物处方管理中重度疼痛的障碍。

IF 1.1

Journal of Pain & Palliative Care Pharmacotherapy Pub Date : 2023-06-01 DOI: 10.1080/15360288.2023.2189342

Waleed M AlShehri, Eman Aldweikh, Alwaleed M Alharbi, Fouad H Alnajjar

{"title":"Barriers Facing Physicians in Opioids Prescribing for the Management of Moderate to Severe Pain in a Tertiary Care Center in Saudi Arabia.","authors":"Waleed M AlShehri, Eman Aldweikh, Alwaleed M Alharbi, Fouad H Alnajjar","doi":"10.1080/15360288.2023.2189342","DOIUrl":"https://doi.org/10.1080/15360288.2023.2189342","url":null,"abstract":"Although several interventions are utilized for pain management, opioids remain the most effective intervention for moderate to severe pain. Despite opioids being the most potent analgesics used in different pain settings, several factors impede the optimal prescribing of opioids.The study seeks to identify and address the barriers physicians face to prescribing opioids in managing pain.This study was conducted in a tertiary care center in Riyadh, Saudi Arabia. It involved distributing questionnaires to the participants. The questionnaires sought to identify prescribers' knowledge and current practices as well as obstacles that they face when prescribing opioids. A total of 109 questionnaires were completed by participants.More than half [59.6%] of the respondents thought that opioid use was an optimal way to treat moderate to severe pain. About 33% chose \"never\" when asked if they fear legal sanctions when prescribing opioids. Fear of side effects limited almost 90% of the respondents from prescribing opioids.The study confirmed the perception that opioids are the most potent pharmacological intervention in treating pain. Several barriers were identified and discussed in this study. Further studies from different settings to understand these barriers are highly recommended.","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":"37 2","pages":"164-169"},"PeriodicalIF":1.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9597334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient-Controlled Analgesia vs Intravenous Push Hydromorphone for Pain Management of Vaso-Occlusive Crisis Associated With Sickle Cell Disease. 患者自控镇痛与静脉推氢吗啡酮治疗镰状细胞病相关血管闭塞危像的疼痛管理

IF 1.1

Journal of Pain & Palliative Care Pharmacotherapy Pub Date : 2023-06-01 DOI: 10.1080/15360288.2023.2167035

Katharine Russo, Poonam Chhunchha

{"title":"Patient-Controlled Analgesia vs Intravenous Push Hydromorphone for Pain Management of Vaso-Occlusive Crisis Associated With Sickle Cell Disease.","authors":"Katharine Russo, Poonam Chhunchha","doi":"10.1080/15360288.2023.2167035","DOIUrl":"https://doi.org/10.1080/15360288.2023.2167035","url":null,"abstract":"Patient-controlled analgesia (PCA) appears to be the preferred modality for treatment of pain associated with vaso-occlusive crisis (VOC) and is the current standard of therapy at most institutions. With limited data available, this study analyzed the effectiveness of PCA vs intravenous push (IVP) hydromorphone for pain management of VOC. The primary objective was to determine whether PCA or IVP hydromorphone is more effective in controlling VOC pain determined by a reduction in mean absolute difference pain intensity (MPI) from baseline to discharge. This retrospective single-center study evaluated differences in outcomes between patients treated with PCA vs those treated with IVP hydromorphone for VOC during hospital admission. Those 18 years or older admitted with one of the following International Classification of Diseases, Tenth Revision codes were included: D57.0 (Hb-SS disease with crisis), D57.2 (sickle cell/Hb-C disease), and D57.4 (sickle cell thalassemia), and administered PCA or IVP hydromorphone. The observed difference in absolute pain scores were not statistically significant (p = 0.753). The use of IVP hydromorphone resulted in a significant reduction in length of stay (LOS) and morphine milligram equivalent (MME) use compared to PCA, but was associated with a numerical increase in treatment failures. This study was limited by its retrospective nature, uneven distribution of groups, and only reviewed use of IVP and PCA hydromorphone at one institution.","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":"37 2","pages":"116-122"},"PeriodicalIF":1.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9646855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Treating Prehospital Pain in Children: A Retrospective Chart Review Comparing the Safety and Efficacy of Prehospital Pediatric Ketamine and Opioid Analgesia. 治疗院前儿童疼痛:回顾性分析比较院前儿童氯胺酮和阿片类镇痛的安全性和有效性。

IF 1.1

Journal of Pain & Palliative Care Pharmacotherapy Pub Date : 2023-06-01 DOI: 10.1080/15360288.2023.2169433

Amima Mahmood, Nathaniel Hunt, Spencer Masiewicz, James A Cranford, Stacey Noel, Christine Brent, Deborah Wagner

{"title":"Treating Prehospital Pain in Children: A Retrospective Chart Review Comparing the Safety and Efficacy of Prehospital Pediatric Ketamine and Opioid Analgesia.","authors":"Amima Mahmood, Nathaniel Hunt, Spencer Masiewicz, James A Cranford, Stacey Noel, Christine Brent, Deborah Wagner","doi":"10.1080/15360288.2023.2169433","DOIUrl":"https://doi.org/10.1080/15360288.2023.2169433","url":null,"abstract":"Prior to 2020, pain management in the Washtenaw/Livingston County Medical Control Authority (W/L MCA) Emergency Medical Service (EMS) system in Southeast Michigan was limited to morphine, fentanyl, ketorolac, and acetaminophen. Based on the increasing evidence describing its safety and efficacy, ketamine was added to local protocols for pain management. This study aimed to evaluate differences in pain management and adverse effects of ketamine and opioid administration. Data from pediatric patients who received ketamine or an opioid in the W/L MCA EMS system from October 2019 to March 2021 were analyzed. The primary outcome was the difference in pain score, and the secondary outcome was adverse effects observed after analgesic administration. The decrease in pain scores was greater among ketamine patients (mean: 5.2) compared to opioid patients (mean: 2.9), p < 0.001. The prevalence of adverse effects was higher among patients in the ketamine group (28.6%) compared to patients in the opioid group (2.4%, p < 0.001). Of 14 patients who received ketamine, one 17-year-old male experienced mild anxiety (7.1%), two teenage females experienced mild dissociation (14.3%), and one 20-year-old female experienced mild nausea (7.1%). Overall, ketamine is a safe and effective option compared to opioids for pediatric patients experiencing moderate to severe prehospital pain.","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":"37 2","pages":"133-142"},"PeriodicalIF":1.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9596821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Society of Pain and Palliative Care Pharmacists White Paper on the Role of Opioid Stewardship Pharmacists. 疼痛与姑息治疗药剂师协会阿片类药物管理药剂师的角色白皮书。

IF 1.1

Journal of Pain & Palliative Care Pharmacotherapy Pub Date : 2023-03-01 DOI: 10.1080/15360288.2022.2149670

Sandra DiScala, Tanya J Uritsky, Michelle E Brown, Stephanie M Abel, Nicole T Humbert, Dharma Naidu

{"title":"Society of Pain and Palliative Care Pharmacists White Paper on the Role of Opioid Stewardship Pharmacists.","authors":"Sandra DiScala, Tanya J Uritsky, Michelle E Brown, Stephanie M Abel, Nicole T Humbert, Dharma Naidu","doi":"10.1080/15360288.2022.2149670","DOIUrl":"https://doi.org/10.1080/15360288.2022.2149670","url":null,"abstract":"Opioid stewardship is one essential function of pain and palliative care pharmacists and a critical need in the United States. In recent years, this country has been plagued by two public health emergencies: an opioid crisis and the COVID-19 pandemic, which has exacerbated the opioid epidemic through its economic and psychosocial toll. To develop an opioid stewardship program, a systematic approach is needed. This will be detailed in part here by the Opioid Stewardship Taskforce of the Society of Pain and Palliative Care Pharmacists (SPPCP), focusing on the role of the pharmacist. Many pain and palliative care pharmacists have made significant contributions to the development and daily operation of such programs while also completing other competing clinical tasks, including direct patient care. To ensure dedicated time and attention to critical opioid stewardship efforts, SPPCP recommends and endorses opioid stewardship models employing a full time, opioid stewardship pharmacist in both the inpatient and outpatient setting. Early research suggests that opioid stewardship pharmacists are pivotal to improving opioid metrics and pain care outcomes. However, further research and development in this area of practice is needed and encouraged.","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":"37 1","pages":"3-15"},"PeriodicalIF":1.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9078891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Effectiveness of an Opioid Stewardship Guideline in Renal Transplant Recipients Post-Discharge. 肾移植受者出院后阿片类药物管理指南的有效性。

IF 1.1

Journal of Pain & Palliative Care Pharmacotherapy Pub Date : 2023-03-01 DOI: 10.1080/15360288.2022.2149672

Ellen Berkley, Shannan Takhar, Machelle Wilson, Jeffrey Fine, Tam Ho, Joy Dray

{"title":"Effectiveness of an Opioid Stewardship Guideline in Renal Transplant Recipients Post-Discharge.","authors":"Ellen Berkley, Shannan Takhar, Machelle Wilson, Jeffrey Fine, Tam Ho, Joy Dray","doi":"10.1080/15360288.2022.2149672","DOIUrl":"https://doi.org/10.1080/15360288.2022.2149672","url":null,"abstract":"Previous literature suggests that kidney transplant recipients (KTRs) do not use the majority of opioid tablets prescribed after transplant surgery. This study analyzed the effectiveness of a new pain management guidance in KTRs after discharge from transplant surgery at a renal transplant center. The single center pre-, post- study compared the number of opioid refill requests, patient-reported pain control, multimodal analgesic agents, and opioid tablets prescribed at discharge in both pre- and post- cohorts. A total of 127 patients were included. Data was collected through standardized patient interviews and chart review from electronic medical records. The pre-guidance and post-guidance cohorts had no detectable difference in refill requests (p = 0.365) nor pain control (p = 0.324) post-discharge. The post-group had a significant reduction in opioid tablets prescribed at discharge (22 tablets ± 10 vs 10 tablets ± 2, p = <0.0001) with a significant increase in acetaminophen (p = 0.005) and lidocaine patches (p = <0.0001) prescribed at discharge. Both groups used a mean of three opioid tablets within the first week after discharge. The guidance resulted in 700 fewer opioid tablets in the community during the study time frame, with no difference in pain control nor refill requests after discharge.","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":"37 1","pages":"44-51"},"PeriodicalIF":1.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9078892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recurrent Persistent Hiccups on Opioid Treatment: A Case Report and Literature Review. 阿片类药物治疗后复发性持续性打嗝1例报告及文献复习。

IF 1.1

Journal of Pain & Palliative Care Pharmacotherapy Pub Date : 2023-03-01 DOI: 10.1080/15360288.2022.2157070

Giacomo Xausa, Monica Escher, Simon Singovski, Lisa Hentsch

{"title":"Recurrent Persistent Hiccups on Opioid Treatment: A Case Report and Literature Review.","authors":"Giacomo Xausa, Monica Escher, Simon Singovski, Lisa Hentsch","doi":"10.1080/15360288.2022.2157070","DOIUrl":"https://doi.org/10.1080/15360288.2022.2157070","url":null,"abstract":"Hiccups are a rare but potentially debilitating side effect of opioid treatment, with only a handful of reported cases in the medical literature. The pathophysiological mechanism linking opioids and hiccups is unknown, and a lack of evidence exists concerning the optimal management of the condition. We report on a 64-year-old man diagnosed with advanced renal cancer and painful osteolytic metastases, presenting persistent hiccups while on opioid treatment. Hiccups recurred after multiple challenges with codeine, morphine and hydromorphone on separate occasions. Hiccups ceased only after opioid discontinuation, although various pharmacological treatments were tried to shorten the duration of hiccups. Eventually, fentanyl was introduced and was well tolerated by the patient, without any recurrence of hiccups. The chronological correlation between opioid initiation and the onset of hiccups, as well as opioid discontinuation and the termination of hiccups leads to the conclusion that a causal role of codeine, morphine and hydromorphone in this occurrence is likely. Individual susceptibility probably plays a central role in the development of opioid-related hiccups. Opioid rotation is a promising strategy in the management of opioid-related hiccups, particularly when the mere discontinuation of the opioid is not a viable option, such as in the oncology and palliative care field.","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":"37 1","pages":"82-90"},"PeriodicalIF":1.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9078893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

The Impact of Provider Communication on Prescription Opioid Use: A Case Report. 提供者沟通对处方阿片类药物使用的影响:一个案例报告。

IF 1.1

Journal of Pain & Palliative Care Pharmacotherapy Pub Date : 2023-03-01 DOI: 10.1080/15360288.2022.2144584

Oscar Parkerson Martinez, Srijna Nandivada

引用次数: 1