St Marie Barbara
1The University of Iowa, USA.
West J Nurs Res. 2014 Apr;36(4):534-51. doi: 10.1177/0193945913495315. Epub 2013 Jul 15.
The aim of this qualitative study was to examine the narratives of people who experience chronic pain (lasting 6 months or more) and were receiving methadone for the treatment of their opiate addiction through a major methadone clinic. This paper featured the pathway of how the participants developed chronic pain and addiction, and their beliefs of how prescription opioids would impact their addiction in the future. Thirty-four participants who experienced chronic pain and received methadone for treatment of opiate addiction were willing to tell the story of their experiences. The findings in three areas are presented: (a) whether participants experienced addiction first or pain first and how their exposures to addictive substances influenced their experiences, (b) the significance of recreational drug use and patterns of abuse behaviors leading to chronic pain, and (c) participants' experiences and beliefs about the potential for abuse of prescription opioid used for treatment of pain.
这项定性研究的目的是，通过一家大型美沙酮诊所，考察那些患有慢性疼痛（持续6个月或更长时间）且正在接受美沙酮治疗阿片类药物成瘾的人们的经历。本文着重介绍了参与者产生慢性疼痛和成瘾的过程，以及他们对于处方阿片类药物未来将如何影响其成瘾情况的看法。34名患有慢性疼痛且接受美沙酮治疗阿片类药物成瘾的参与者愿意讲述他们的经历。研究呈现了三个方面的结果：（a）参与者是先成瘾还是先疼痛，以及他们接触成瘾物质的经历如何影响了他们的情况；（b）娱乐性药物使用的重要性以及导致慢性疼痛的滥用行为模式；（c）参与者对于用于治疗疼痛的处方阿片类药物潜在滥用情况的经历和看法。
