患者对最佳疼痛管理的信念:一项初步研究

Alex M. T. Russell, Bridget Marcinkowski, M. Chin
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引用次数: 0

摘要

阿片类药物通常用于治疗慢性疼痛,尽管存在潜在的不良副作用、误用和滥用的风险,而且改善结果的证据有限。患者对疼痛管理的观点和理解可能会影响治疗方法和治疗的成功。然而,很少有研究调查患者对最佳疼痛管理的信念如何影响他们的护理。我们对200名慢性疼痛患者进行了前瞻性调查,目的是评估患者对慢性疼痛最佳管理的信念。结果表明:1)大多数应答者认为阿片类药物是控制疼痛的最佳方法(p<0.05),尤其是正在服用阿片类药物的应答者(p<0.0001);2)接受疼痛注射的患者不认为阿片类药物是控制疼痛的最佳方法(p<0.0001);3)大多数参与者知道其他控制疼痛的选择(p<0.05),但阿片类药物患者对其他控制疼痛的选择的意识明显不足(p<0.05)。这项研究表明,在我们诊所接受调查的大多数慢性疼痛患者认为阿片类药物是治疗慢性疼痛的最佳选择,但这一发现并不适用于那些接受其他干预措施(如注射)治疗疼痛的患者。当疼痛医生试图将非阿片类药物和/或非药物治疗纳入慢性疼痛管理时,可能会遇到阻力。进一步的研究可能有助于确定患者教育和接触这些疗法是否有助于对抗这些挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patients’ Beliefs in Optimal Pain Management: A Pilot Study
Opioids are commonly prescribed for chronic pain despite potential adverse side effects, risks of misuse and abuse, and limited evidence for improved outcomes. Patients’ perspectives and understanding of pain management may impact treatment approaches and the success of therapies. Yet, few studies have investigated how patients’ beliefs in optimal pain management may influence their care. We prospectively surveyed 200 patients with chronic pain with the aim of assessing patients’ beliefs on the optimal management of their chronic pain. The following significant findings were made: 1) most responders agreed that opioid medication was the best way to control pain (p<0.05), especially those currently taking opioids (p<0.0001); 2) those who received injections for pain disagreed that opioids were the best way to control pain (p<0.0001); 3) most participants were aware of other options to control pain (p<0.05), but patients on opioids were significantly less aware of other options for pain control (p<0.05). This study demonstrated that most patients with chronic pain surveyed in our clinic believed that opioids were the best option for treating their chronic pain, but this finding did not hold true for those who were exposed to other interventions for their pain, such as injections. Pain physicians may encounter resistance when attempting to incorporate non-opioid and or non-pharmacological therapies for chronic pain management. Further research may help determine whether patient education and exposure to such therapies can help combat these challenges.
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