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社区护士对使用大麻治疗疼痛的纤维肌痛患者的支持。

Community nurses' support for patients with fibromyalgia who use cannabis to manage pain.

机构信息

Student in Health Studies, Canterbury Christ Church University, Kent.

Senior Lecturer in Health Promotion and Public Health, Canterbury Christ Church University, Kent.

出版信息

Br J Community Nurs. 2021 Feb 2;26(2):92-98. doi: 10.12968/bjcn.2021.26.2.92.

Abstract

Supporting patients to manage chronic pain conditions, such as fibromyalgia (FM), remains a challenge for community nurses. Research suggests that despite the absence of a licensed cannabis-based product for medicinal use (CBPM) available for people with FM in the UK, there is an appetite for FM patients to use cannabis for pain management. Nurses have expressed anxieties when balancing tensions between helping patients and working within medical guidelines, as well as a need for further education about patient cannabis use. This article provides community nurses with insight into how cannabis use affects the pain experience for people living with FM. Despite potential harms, cannabis is perceived by users to have a positive impact on the lived experience of pain, and it may be preferred to prescribed opioid medication. This understanding can help to inform empathic practice and recommendations are made for reducing the risks of cannabis use to patient health.

摘要

支持患有慢性疼痛疾病(如纤维肌痛症,FM)的患者仍然是社区护士面临的挑战。研究表明,尽管英国没有为 FM 患者提供许可的基于大麻的药物(CBPM),但 FM 患者有使用大麻进行疼痛管理的需求。护士在平衡帮助患者和遵守医疗指南之间的紧张关系时感到焦虑,并且需要进一步了解患者使用大麻的情况。本文为社区护士提供了有关大麻如何影响 FM 患者的疼痛体验的深入了解。尽管存在潜在危害,但使用者认为大麻对疼痛的生活体验有积极影响,并且可能比规定的阿片类药物更受欢迎。这种理解可以帮助提供富有同情心的实践,并为减少大麻使用对患者健康的风险提出建议。

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