St Marie Barbara
Barbara St. Marie is Assistant Professor, College of Nursing, University of Iowa, 50 Newton Road, Iowa City, IA (
AACN Adv Crit Care. 2019 Dec 15;30(4):343-352. doi: 10.4037/aacnacc2019931.
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.
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。