非癌性疼痛患者阿片类药物逐渐减少的经验:系统回顾和综合。

Sophie A Young,Shania Liu,Asad E Patanwala,Justine M Naylor,Jennifer Stevens,Jonathan Penm
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引用次数: 0

摘要

逐渐减少阿片类药物是降低长期阿片类药物治疗相关风险的有效策略。然而,患者的经验逐渐减少可以影响这种治疗的成功。了解患者对阿片类药物减量的经历将允许采用以患者为中心的方法来定制干预措施,以实现安全和成功的减量结果。本文旨在综合定性数据捕捉患者的经验与阿片类药物逐渐减少非癌性疼痛。包括探讨非癌性疼痛中阿片类药物逐渐减少的患者经历的英语定性研究。检索了MEDLINE, Embase, Scopus和PsycINFO从成立到2023年3月。两位作者独立选择研究,提取数据,并使用关键评估技能程序评估纳入研究的质量。元综合允许确定总体主题,以形成对过去文献背景下数据的新解释。从被纳入的5714篇文章中,经过标题/摘要筛选和全文审查,纳入了10篇符合纳入标准的研究。这些研究涉及218名经历过阿片类药物逐渐减少的患者。确定了指导新综合的三个关键主题:(1)患者与提供者的互动;(2)个性化护理;(3)管理阿片类药物逐渐减少过程的策略。本综述表明,在阿片类药物逐渐减少过程中,患者与提供者的互动、量身定制的护理和有效的逐渐减少策略在促进良好的患者体验方面发挥着作用。未来的研究应纳入本综述中确定的主题,以优化患者的减径体验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patients' Experiences With Opioid Tapering in Noncancer Pain: A Systematic Review and Meta-synthesis.
Tapering opioids is an effective strategy to reduce the risks associated with long-term opioid therapy. However, patients' experience with tapering can influence the success of this treatment. Understanding patients' experiences with opioid tapering will allow for patient-centered approaches to be adopted to tailor interventions to achieve safe and successful taper outcomes. This paper aims to synthesize qualitative data capturing patients' experiences with opioid tapering for noncancer pain. Qualitative studies in English that explored patients' experiences with opioid tapering in noncancer pain were included. MEDLINE, Embase, Scopus, and PsycINFO were searched from inception to March 2023. Two authors independently selected the studies, extracted data, and assessed the quality of included studies using the Critical Appraisal Skills Programme. A meta-synthesis allowed for overarching themes to be identified to form a new interpretation of the data in the context of past literature. From 5714 articles identified, 10 studies were included that met the inclusion criteria after title/abstract screening and full-text review. These studies involved 218 patients with experience tapering opioids. Three key themes guiding the new meta-synthesis were identified: (1) patient-provider interactions, (2) individualized care, and (3) tactics to manage the opioid tapering process. This review demonstrated the role that patient-provider interactions, tailored care, and effective tapering strategies play in facilitating a favorable patient experience during the opioid tapering process. Future research should incorporate the themes identified in this review to optimize the patient's taper experience.
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