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非甾体抗炎药贴剂理想特性方面的医患差异:一项在线调查。

Patient-Physician Differences in Desired Characteristics of NSAID Plasters: An Online Survey.

作者信息

Takeda On, Chiba Daisuke, Ishibashi Yasuyuki, Tsuda Eiichi

机构信息

Department of Orthopaedic Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.

Department of Rehabilitation Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.

出版信息

Pain Res Manag. 2017;2017:5787854. doi: 10.1155/2017/5787854. Epub 2017 Nov 26.

Abstract

In Japan, adhesive skin plasters containing nonsteroidal anti-inflammatory drugs (NSAIDs) are frequently used to treat pain of musculoskeletal origin. There are many reports on their efficacy but few on patients' impressions of usability or levels of satisfaction. . To elucidate the differences in perception between patients and physicians concerning NSAID plasters. . We conducted two surveys about NSAID plasters on patients and physicians. 600 patients currently using plasters and 200 physicians currently prescribing NSAID plasters were studied. . Questionnaire included items concerning usage, efficacy and side effects, site and intensity of their pain, pain management strategies, characteristics they desired from NSAID plasters, and their satisfaction with them. . The characteristic most frequently reported as desirable by patients was analgesic efficacy, followed by avoiding skin irritation and low medication cost. The characteristics most frequently reported as desirable by physicians were analgesic efficacy, alignment with patient preference, safety to skin, and comfort when applied. Our survey revealed that both patients and physicians prioritized analgesic efficacy of NSAID plasters. However, approximately half of the patients and physicians were unsatisfied with the analgesic efficacy of plasters. . Physicians may improve patient satisfaction by discussing analgesic efficacy, skin complications, and price with patients before prescription.

摘要

在日本,含有非甾体抗炎药(NSAIDs)的粘贴式皮肤膏药常用于治疗肌肉骨骼源性疼痛。关于其疗效的报道众多,但关于患者对其易用性的印象或满意度水平的报道却很少。为了阐明患者和医生对NSAIDs膏药的认知差异,我们针对患者和医生开展了两项关于NSAIDs膏药的调查。研究对象为600名正在使用膏药的患者和200名目前正在开具NSAIDs膏药处方的医生。问卷包括有关使用方法、疗效和副作用、疼痛部位及强度、疼痛管理策略、他们对NSAIDs膏药的期望特性以及对其满意度等项目。患者最常提及的期望特性是镇痛效果,其次是避免皮肤刺激和药物成本低。医生最常提及的期望特性是镇痛效果、符合患者偏好、对皮肤安全以及使用时的舒适度。我们的调查显示,患者和医生都将NSAIDs膏药的镇痛效果列为优先考虑因素。然而,约一半的患者和医生对膏药的镇痛效果不满意。医生在开处方前可通过与患者讨论镇痛效果、皮肤并发症和价格来提高患者满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e17/5727753/342ff98321ad/PRM2017-5787854.001.jpg

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