马来西亚疼痛诊所非癌症疼痛患者滥用阿片类药物风险增加的相关因素。

IF 2.1 4区 医学 Q2 PSYCHOLOGY, CLINICAL
Asween R Sani, Che Suraya Zin
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引用次数: 0

摘要

本研究调查了马来西亚疼痛诊所中因非癌症疼痛而接受阿片类药物治疗的患者中滥用阿片类药物风险较高的相关因素。研究采用了 "疼痛患者筛查与阿片类药物评估修订版"(SOAPP-R)作为阿片类药物滥用风险的替代指标。数据分析分为高风险患者组和低风险患者组。评估的患者因素包括疼痛强度、疼痛对日常活动的干扰以及与健康相关的生活质量。处方阿片类药物的接触情况则通过患者的医疗和处方记录进行审查。在招募的 61 名患者中,62.3% 的患者在 SOAPP-R 中的得分≥18 分,这表明他们滥用阿片类药物的风险很高。与阿片类药物滥用高风险相关的因素包括疼痛对日常活动的干扰程度高、精神健康状况较差以及年龄较小。研究发现,高风险患者的阿片类药物日平均处方剂量较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors Associated with an Increased Risk of Opioid Misuse Among Patients with Non-Cancer Pain in Malaysian Pain Clinic Settings.

This study examined the factors associated with a high risk of opioid misuse among patients receiving opioid treatment for their non-cancer pain in Malaysian pain clinics. The Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R), a validated instrument for predicting the risk of aberrant drug-related behaviors, were used as a proxy to indicate risk of opioid misuse. Data analysis was stratified into high-risk and low-risk patient groups. Patient factors assessed included pain intensity, pain interference with daily activities, and health-related quality of life. Prescription opioid exposure was examined via patient medical and prescription records review. Among the 61 patients recruited, 62.3% scored ≥18 on the SOAPP-R, which indicates a high risk for opioid misuse. Factors associated with a high risk of opioid misuse were found to be high level of pain interference with daily activities, poorer mental health, and younger age. High-risk patients were found to be prescribed a lower mean daily opioid dose of <20 mg/day compared to low-risk patients (20-49 mg/day). This highlights the need for further research to distinguish aberrant drug-related behaviors due to inadequate pain management from that of actual prescription opioid misuse among non-cancer pain patients attending pain clinics.

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来源期刊
CiteScore
5.30
自引率
7.10%
发文量
62
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