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药物滥用与成瘾:对癌症患者疼痛管理的影响

Substance Abuse and Addiction: Implications for Pain Management in Patients With Cancer
.

作者信息

Compton Peggy, Chang Yu-Ping

机构信息

University of Pennsylvania

State University of New York at Buffalo.

出版信息

Clin J Oncol Nurs. 2017 Apr 1;21(2):203-209. doi: 10.1188/17.CJON.203-209.

DOI:10.1188/17.CJON.203-209
PMID:28315549
Abstract

BACKGROUND

Substance use disorders (SUDs) are chronic diseases that may complicate the nursing care of patients with cancer, affecting their ability to adhere to treatment protocols, responses to cancer pain, and use of opioids for analgesia.

OBJECTIVES

This article explores how the presence of an SUD may affect oncology nursing care and pain management.

METHODS: The PubMed and CINAHL® databases were searched for articles from 1980-2016 using the keywords cancer, cancer pain, addiction, substance abuse, and alcoholism.
.

FINDINGS

SUD is a common comorbidity in patients with cancer that may play a role in disease etiology. Practice guidelines are suggested for the assessment and management of addiction to improve overall outcomes for patients. Effective treatments for SUDs and cancer pain exist, and recovery can lead to improvements in multiple aspects of patients' lives.

摘要

背景

物质使用障碍(SUDs)是慢性疾病,可能使癌症患者的护理变得复杂,影响他们遵守治疗方案的能力、对癌症疼痛的反应以及使用阿片类药物进行镇痛的情况。

目的

本文探讨物质使用障碍的存在如何影响肿瘤护理和疼痛管理。

方法

在PubMed和CINAHL®数据库中检索1980年至2016年期间使用关键词癌症、癌症疼痛、成瘾、药物滥用和酒精中毒的文章。

研究结果

物质使用障碍是癌症患者中常见的合并症,可能在疾病病因中起作用。建议制定评估和管理成瘾的实践指南,以改善患者的总体结局。存在针对物质使用障碍和癌症疼痛的有效治疗方法,康复可使患者生活的多个方面得到改善。

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