评估患者使用阿片类药物障碍的风险。
Assessing Patients' Risk for Opioid Use Disorder.
作者信息
St Marie Barbara
机构信息
Barbara St. Marie is Assistant Professor, College of Nursing, University of Iowa, 50 Newton Road, Iowa City, IA (
出版信息
AACN Adv Crit Care. 2019 Dec 15;30(4):343-352. doi: 10.4037/aacnacc2019931.
Abstract
Opioid use disorder and opioid misuse continue to increase rapidly in prevalence in North America. Nurses play a critical role in managing pain in patients who are at risk for opioid use disorder. The interplay of pain and opioid use disorder provides nurses with an opportunity to address urgent needs while treating patients across the continuum of care. This article reviews strategies for assessing risk for opioid use disorder while treating patients with pain. Implementing these approaches into daily nursing practice may improve patient care and help reduce the incidence of opioid use disorder.
摘要
在北美，阿片类药物使用障碍和阿片类药物滥用的患病率持续迅速上升。护士在管理有阿片类药物使用障碍风险的患者的疼痛方面发挥着关键作用。疼痛与阿片类药物使用障碍之间的相互作用为护士提供了一个机会，即在连续护理过程中治疗患者的同时满足其迫切需求。本文综述了在治疗疼痛患者时评估阿片类药物使用障碍风险的策略。将这些方法应用于日常护理实践中可能会改善患者护理，并有助于降低阿片类药物使用障碍的发生率。
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本文引用的文献
1
Factors Influencing Judgments to Consult Prescription Monitoring Programs: A Factorial Survey Experiment.
Pain Manag Nurs. 2020 Feb;21(1):48-56. doi: 10.1016/j.pmn.2019.04.001. Epub 2019 May 24.
2
Strategies to Identify Patient Risks of Prescription Opioid Addiction When Initiating Opioids for Pain: A Systematic Review.
JAMA Netw Open. 2019 May 3;2(5):e193365. doi: 10.1001/jamanetworkopen.2019.3365.
3
Development of the Revised Opioid Risk Tool to Predict Opioid Use Disorder in Patients with Chronic Nonmalignant Pain.
J Pain. 2019 Jul;20(7):842-851. doi: 10.1016/j.jpain.2019.01.011. Epub 2019 Jan 26.
4
Chronic pain after total knee arthroplasty.
EFORT Open Rev. 2018 Aug 16;3(8):461-470. doi: 10.1302/2058-5241.3.180004. eCollection 2018 Aug.
5
Four States With Robust Prescription Drug Monitoring Programs Reduced Opioid Dosages.
Health Aff (Millwood). 2018 Jun;37(6):964-974. doi: 10.1377/hlthaff.2017.1321.
6
Mandatory review of a prescription drug monitoring program and impact on opioid and benzodiazepine dispensing.
Drug Alcohol Depend. 2018 Jul 1;188:169-174. doi: 10.1016/j.drugalcdep.2018.03.036. Epub 2018 May 1.
7
Acceptance and Commitment Therapy for Prevention of Chronic Postsurgical Pain and Opioid Use in At-Risk Veterans: A Pilot Randomized Controlled Study.
J Pain. 2018 Oct;19(10):1211-1221. doi: 10.1016/j.jpain.2018.04.016. Epub 2018 May 17.
8
Emergency Department Attending Physician Variation in Opioid Prescribing in Low Acuity Back Pain.
West J Emerg Med. 2017 Oct;18(6):1135-1142. doi: 10.5811/westjem.2017.7.33306. Epub 2017 Sep 18.
9
Associations between statewide prescription drug monitoring program (PDMP) requirement and physician patterns of prescribing opioid analgesics for patients with non-cancer chronic pain.
Addict Behav. 2018 Jan;76:348-354. doi: 10.1016/j.addbeh.2017.08.032. Epub 2017 Sep 5.
10
Prescription Opioid Analgesics Commonly Unused After Surgery: A Systematic Review.
JAMA Surg. 2017 Nov 1;152(11):1066-1071. doi: 10.1001/jamasurg.2017.0831.
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