Stinson Jennifer, Harris Lauren, Garofalo Elizabeth, Lalloo Chitra, Isaac Lisa, Brown Stephen, Tyrrell Jennifer, Ruskin Danielle, Campbell Fiona
Department of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
Department of Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada.
Can J Pain. 2017 Aug 4;1(1):84-93. doi: 10.1080/24740527.2017.1337468. eCollection 2017.
: The prevalence of chronic pain in children and adolescents is well established. What is not well understood is how over-the-counter (OTC) oral and topical pain treatments are being used by adolescents with chronic pain, their decision making around use of these products, and how they communicate with their health care providers about their use. : The aim of this study was to explore the use, decision-making process, and communication about the use of OTC pain medications with health care professionals among adolescents living with chronic pain and their primary caregiver. : A qualitative descriptive design with semistructured, audiotaped individual interviews was undertaken with adolescents with chronic pain ( = 15, aged 12-18 years, mean age = 16, = 1.79) and their caregivers ( = 16). A convenience sample of patient-caregiver dyads was recruited from a tertiary care pediatric chronic pain clinic in Ontario. : Interview questions focused on four topics: (1) experience with chronic pain and medication; (2) perceptions of medications and concerns with long-term consumption; (3) decision making for use of OTC medications guided mainly by a trusted source or health care professional; and (4) topical OTC medications perceived as harmless. Content analysis within these four topics uncovered two to four subthemes, which are described in detail. : An improved understanding of the prevalence of use, decision-making process around use, and how patients and their families communicate about the use of OTC pain medications with health care providers can help clinicians better personalize treatments and help adolescents with chronic pain to make sound self-care decisions.
儿童和青少年慢性疼痛的患病率已得到充分证实。但目前尚不清楚患有慢性疼痛的青少年如何使用非处方（OTC）口服和外用止痛药物，他们在使用这些产品时的决策过程，以及他们如何与医疗保健提供者就用药情况进行沟通。本研究的目的是探讨患有慢性疼痛的青少年及其主要照顾者使用非处方止痛药物的情况、决策过程以及与医疗保健专业人员就用药情况进行的沟通。采用定性描述性设计，对患有慢性疼痛的青少年（n = 15，年龄12 - 18岁，平均年龄 = 16岁，标准差 = 1.79）及其照顾者（n = 16）进行半结构化、录音的个人访谈。从安大略省一家三级护理儿科慢性疼痛诊所招募了患者 - 照顾者二元组的便利样本。访谈问题集中在四个主题上：（1）慢性疼痛和药物治疗的经历；（2）对药物的看法以及对长期服用的担忧；（3）主要由可信赖的来源或医疗保健专业人员指导使用非处方药物的决策；（4）认为外用非处方药物无害。在这四个主题内的内容分析揭示了两到四个子主题，并进行了详细描述。更好地了解非处方止痛药物的使用患病率、使用决策过程以及患者及其家庭如何与医疗保健提供者就用药情况进行沟通，有助于临床医生更好地实现个性化治疗，并帮助患有慢性疼痛的青少年做出合理的自我护理决策。
