J Am Pharm Assoc (2003). 2019 Nov-Dec;59(6):809-815.e5. doi: 10.1016/j.japh.2019.07.010. Epub 2019 Aug 29.
The objective of this study was to estimate the association between health care practitioner counseling on medication disposal and disposal of unused opioid medications.
A 41-item survey instrument was created and administered to a nationally representative panel of adult opioid users with chronic pain using a cross-sectional, internet survey design via Qualtrics®.
Four hundred adult opioid users with chronic pain were randomly selected from the Qualtrics® panel-base to participate.
United States.
The dependent variable, disposal of unused opioid medications, was assessed with a single item asking participants how often they had disposed of unused opioid medications in the past year. Multiple logistic regression was used to assess the association between opioid disposal and the receipt of health care practitioner counseling on medication disposal.
A total of 400 surveys were completed. Participants were mostly white (70.8%) and under the age of 40 (54.1%). Less than one-half of all participants (44.5%) had disposed of opioid medications in the past year, while 60.75% had received health care practitioner counseling on disposal. Of those counseled, only 21.4% were counseled by a pharmacist. Flushing medication down the toilet (33%) was the most common method of opioid disposal. After adjustment for covariates, those who received health care practitioner counseling were more likely to have disposed of opioid medications in the past year (adjusted odds ratio 1.66, 95% CI 1.03-2.69).
Participants who received counseling on opioid disposal were more likely to have disposed of unused opioid medications. Pharmacists are uniquely positioned to counsel patients on opioid disposal and thus must be active in preventing harm and diversion due to improperly stored opioid medications. This study demonstrates the need for enhanced provider education and policy to ensure that patients are adequately counseled on proper opioid disposal.
本研究旨在评估医疗保健从业者在药物处置方面的咨询与未使用的阿片类药物处置之间的关联。
采用横断面、互联网调查设计，通过 Qualtrics®创建并向具有慢性疼痛的成年阿片类药物使用者的全国代表性小组发放了一份包含 41 个项目的调查问卷。
从 Qualtrics®小组库中随机选择了 400 名患有慢性疼痛的成年阿片类药物使用者参与研究。
美国。
未使用的阿片类药物处置情况是通过一项询问参与者过去一年中经常如何处置未使用的阿片类药物的单一项目来评估的。采用多变量逻辑回归评估阿片类药物处置与接受医疗保健从业者药物处置咨询之间的关联。
共完成 400 份调查。参与者主要为白人（70.8%）和年龄在 40 岁以下（54.1%）。不到一半的参与者（44.5%）在过去一年中处置了阿片类药物，而 60.75%的人接受了医疗保健从业者关于处置的咨询。在接受咨询的人中，只有 21.4%是由药剂师提供咨询的。将药物冲入马桶是最常见的阿片类药物处置方法（33%）。在调整了协变量后，那些接受了医疗保健从业者咨询的人更有可能在过去一年中处置了阿片类药物（调整后的优势比 1.66，95%置信区间 1.03-2.69）。
接受阿片类药物处置咨询的参与者更有可能处置未使用的阿片类药物。药剂师在指导患者处理阿片类药物方面具有独特的地位，因此必须积极防止因不当储存的阿片类药物而造成伤害和药物滥用。本研究表明，需要加强提供者教育和政策，以确保患者得到适当的阿片类药物处置咨询。
