Merrill Katreena C, Haslam Valynn Christina, Luthy Karlen E Beth, Nuttall Craig
J Perianesth Nurs. 2019 Oct;34(5):1025-1031. doi: 10.1016/j.jopan.2018.12.008. Epub 2019 Mar 17.
To examine opioid prescription practices, patient use of opioids after laparoscopic cholecystectomy, and patient knowledge about disposal of unused medication.
Mixed methods design with a chart review and structured phone interview.
Thirty-four patients were interviewed by phone and asked how many opioids were prescribed, how many excess pills they had 6 to 10 days postoperatively, and if they knew how to dispose of them.
Average number of excess pills ranged from 0 to 42 (mean = 14; SD = 11.7). Nearly half of patients (47%) perceived the prescribed quantity as "too many." Seventy-one percent of patients using opioids for 5 days or less and 88% did not recall any instruction about medication disposal.
Patients often have excess prescribed opioids after laparoscopic cholecystectomy, and they do not understand proper disposal of unused medications. Education about proper disposal of unused opioids medications is a key role of perianesthesia.
研究阿片类药物的处方习惯、腹腔镜胆囊切除术后患者对阿片类药物的使用情况以及患者对未使用药物处理方法的了解程度。
采用图表回顾和结构化电话访谈的混合方法设计。
通过电话对34名患者进行访谈，询问他们所开阿片类药物的数量、术后6至10天多余药丸的数量以及他们是否知道如何处理这些药丸。
多余药丸的平均数量在0至42之间（均值 = 14；标准差 = 11.7）。近一半的患者（47%）认为所开药量“过多”。使用阿片类药物5天及以下的患者中，71%以及88%的患者不记得任何关于药物处理的说明。
腹腔镜胆囊切除术后患者经常有多余的阿片类药物处方，并且他们不了解未使用药物的正确处理方法。对未使用阿片类药物进行正确处理的教育是围麻醉期的一项关键职责。
