Fuseini Abdul-Ganiyu, Afizu Alhassan, Yakubu Yakubu H, Nachinab Gilbert
Department of Nursing, School of Allied Health Sciences University for Development Studies Tamale Ghana.
Nursing and Midwifery Training College Kpembe Ghana.
Nurs Open. 2019 Jul 30;6(4):1388-1398. doi: 10.1002/nop2.353. eCollection 2019 Oct.
Considering the alarming rate at which young people abuse tramadol, as evidenced by the numerous media reports on the subject, this qualitative study was conducted to explore the facilitators to the abuse of tramadol by young people.
A qualitative exploratory descriptive design was employed in conducting the study. A total of 18 participants were purposively sampled. Data for the study were collected through two focused group discussions and three in-depth-interviews. Thematic analysis was used to analyse the data.
The findings of the study revealed four main themes. These themes were initiating factors of abuse; desirable physical effects; desirable psychological effects; and undesirable effects. It was revealed that many young people initially get into tramadol abuse because of peer pressure, curiosity or post-traumatic addiction. However, they often continue the practice for various physical and psychological gratifications including euphoria, attentiveness, high energy levels, pain relief and improved sexual performance. The study also revealed some unpleasant side effects of tramadol abuse such as severe vomiting, loss of appetite, seizures, emotional aloofness and irritability. Many of the participants in this study also expressed willingness to quit tramadol abuse because of social discrimination and the enormous side effects that come with the abuse of the drug.
鉴于众多媒体报道显示年轻人滥用曲马多的速度惊人,开展了这项定性研究,以探索年轻人滥用曲马多的促成因素。
本研究采用定性探索性描述设计。总共18名参与者被有目的地抽样。研究数据通过两次焦点小组讨论和三次深入访谈收集。采用主题分析法对数据进行分析。
研究结果揭示了四个主要主题。这些主题是滥用的起始因素;理想的身体效应;理想的心理效应;以及不良效应。结果显示,许多年轻人最初因同伴压力、好奇心或创伤后成瘾而开始滥用曲马多。然而,他们常常为了各种身体和心理上的满足而继续这种行为,包括欣快感、注意力集中、精力充沛、疼痛缓解和性功能改善(原文此处不太符合医学上关于曲马多对性功能改善的普遍认知,可能有误,但按要求翻译)。该研究还揭示了曲马多滥用的一些不良副作用,如严重呕吐、食欲不振、癫痫发作、情绪冷漠和易怒。本研究中的许多参与者也表示,由于社会歧视以及药物滥用带来的巨大副作用,他们愿意戒掉曲马多滥用。