成人慢性疼痛患者获得疼痛护理的问题和不良后果:一项横断面调查研究。

IF 1.4 Q4 CLINICAL NEUROLOGY
Pain management Pub Date : 2025-02-01 Epub Date: 2025-02-12 DOI:10.1080/17581869.2025.2463865
Matthew Carrillo, Jessica Yingst, Wen-Jan Tuan, David Giampetro, Jennifer E Nyland, Aleksandra E Zgierska
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引用次数: 0

摘要

目的:处方限制显著影响慢性疼痛患者,导致阿片类药物逐渐减少和获取减少。本研究考察了这些限制的后果及其对患者健康和疼痛管理策略的影响。患者和方法/材料和方法:本研究探讨疼痛护理的障碍,特别是阿片类药物治疗,减少获得疼痛药物导致的不良健康结果,以及替代疼痛管理策略。该研究分析了美国慢性疼痛协会(ACPA)在2014年11月至2015年1月期间进行的一项横断面调查的数据。该调查收集了人口统计、医疗保健获取、疼痛管理策略和获得处方药挑战方面的定量数据,以及定性反应。描述性统计总结了定量结果;卡方检验和t检验比较了有和没有药物获取困难的患者。专题分析揭示了定性答复中反复出现的主题。结果:研究表明,超过一半的受访者难以获得处方止痛药,导致严重的不良健康后果,包括无法控制的疼痛、心理困扰和自杀念头。结论:这些发现强调了迫切需要解决疼痛药物获取的系统性和个人障碍,需要以患者为中心的护理,包括循证、整体疼痛管理策略和临床医生和患者之间的共同决策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Problems accessing pain care, and the adverse outcomes among adults with chronic pain: a cross-sectional survey study.

Aims: Prescribing restrictions have significantly impacted patients with chronic pain, leading to opioid medication tapering and reduced access. This study examines the consequences of these restrictions and their impact on patient health and pain management strategies.

Patients & methods/materials & methods: This research explores barriers to pain care, especially opioid therapy, adverse health outcomes resulting from reduced access to pain medications, and alternative pain management strategies. The study analyzes data from a cross-sectional survey conducted by the American Chronic Pain Association (ACPA) between November 2014 and January 2015. The survey gathered quantitative data on demographics, healthcare access, pain management strategies, and challenges in obtaining prescribed medications, alongside qualitative responses. Descriptive statistics summarized quantitative findings; chi-square and t-tests compared those with and without medication access difficulties. Thematic analysis revealed recurring themes in qualitative responses.

Results: The study reveals that over half of the respondents faced difficulties obtaining prescribed pain medications, leading to significant adverse health consequences, including unmanaged pain, psychological distress, and suicidal ideation.

Conclusion: These findings highlight the urgent need to address systemic and personal barriers to pain medication access, and the need for patient-centered care that incorporates evidence-based, holistic pain management strategies and shared decision-making between clinicians and patients.

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来源期刊
Pain management
Pain management CLINICAL NEUROLOGY-
CiteScore
2.90
自引率
5.90%
发文量
62
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