Department of Health Policy and Management, Indiana University Richard M. Fairbanks School of Public Health, 1050 Wishard Blvd, RG 6140, Indianapolis, IN 46202, United States.
Department of Health Policy and Management, Indiana University Richard M. Fairbanks School of Public Health, United States.
Drug Alcohol Depend. 2022 Jul 1;236:109480. doi: 10.1016/j.drugalcdep.2022.109480. Epub 2022 Apr 29.
Injury is one of the most common reasons adolescents are prescribed opioids. Little is known about adolescent experiences who used prescription opioids throughout their recovery from traumatic injury.
We used a qualitative exploratory study design nested within a longitudinal cohort study conducted at two trauma hospitals in the United States. We conducted semi-structured telephone interviews with adolescents (n = 28) aged from 12 to 20 years at the time of their hospital admission for injury. We used purposive sampling to gather a broad range of experiences from the longitudinal patient cohort. We conducted a modified thematic analysis of transcribed interviews.
Adolescents reported a wide range of efficacy with which prescription opioids controlled their pain during the injury recovery and numerous opioid-related side effects. A desire for relief from acute pain caused by the injury was the most common driver for using opioids in the hospital. At home, adolescents' decisions to use opioids were influenced by family history of addiction, awareness of harms associated with opioids, and desire to challenge themselves. Adolescents reported closely adhering to a prescribed regimen or using fewer opioids than prescribed while recovering at home. Finally, adolescents reported considerable variability in parental involvement in prescription opioid use, ranging from giving adolescents unrestricted access to prescription opioids to complete parental discretion and administration upon request.
Adolescents had diverse experiences with prescription opioids during recovery from traumatic injury. Educational interventions that focus on the appropriate use of opioids to address pain care needs among adolescents with traumatic injuries are urgently needed.
受伤是青少年开处阿片类药物的最常见原因之一。对于在创伤康复过程中使用处方类阿片类药物的青少年的经历，我们知之甚少。
我们使用了定性探索性研究设计，嵌套在美国的两家创伤医院进行的纵向队列研究中。我们对 28 名在医院因受伤而住院时年龄在 12 至 20 岁的青少年进行了半结构化电话访谈。我们采用有针对性的抽样方法，从纵向患者队列中收集了广泛的经验。我们对转录访谈进行了修改后的主题分析。
青少年报告称，处方类阿片类药物在受伤康复期间控制疼痛的效果范围很广，并且存在许多与阿片类药物相关的副作用。受伤引起的急性疼痛缓解是他们在医院使用阿片类药物的最常见原因。在家里，青少年使用阿片类药物的决定受到家庭成瘾史、对阿片类药物相关危害的认识以及挑战自我的愿望的影响。青少年报告说，在康复期间他们严格遵守规定的方案或使用的阿片类药物少于规定的剂量。最后，青少年报告说，父母对处方类阿片类药物使用的参与程度差异很大，从给予青少年无限制使用处方类阿片类药物到完全由父母自行决定和按需使用。
青少年在创伤康复过程中使用处方类阿片类药物的经历多种多样。迫切需要针对青少年创伤性疼痛护理需求的适当使用阿片类药物的教育干预措施。
