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在阿片类药物流行背景下构建癌症幸存者获取、使用和处置处方阿片类药物的情况

Framing Cancer Survivors' Access to and Use and Disposal of Prescribed Opioids Within the Opioid Epidemic.

作者信息

Marshall Victoria K, Chavez Melody N, Rigg Khary K, Lubrano di Ciccone Barbara, Rajasekhara Sahana, Efre Andrea, Martinez Tyson Dina

机构信息

University of South Florida.

H. Lee Moffitt Cancer Center.

出版信息

Oncol Nurs Forum. 2022 Dec 16;50(1):25-34. doi: 10.1188/23.ONF.25-34.

Abstract

PURPOSE

To explore cancer survivors' access to and use and disposal of opioids in the context of the opioid epidemic.

PARTICIPANTS & SETTING: Community-based recruitment strategies were employed for individuals aged 18 years or older who were previously diagnosed with cancer, completed cancer treatment within the past five years, or were cancer free, and who were prescribed opioids for cancer-related pain.

METHODOLOGIC APPROACH

This qualitative study used semistructured interviews. Data were analyzed using applied thematic analysis techniques.

FINDINGS

Themes included the following: (a) restrictive policies affecting opioid access and supply, (b) decreased opioid use because of concerns of addiction and other opioid-related side effects, and (c) lack of clarity on safeguarding and disposal of opioids.

IMPLICATIONS FOR NURSING

Cancer survivors may encounter barriers to opioid access, alter medication-taking behavior over fear of addiction and side effects, and face inadequate education regarding proper disposal of opioids. Nurses can advocate for appropriate access to prescribed opioids, assess opioid-taking behavior, provide education regarding storage and disposal, and implement educational interventions accordingly.

摘要

目的

在阿片类药物流行的背景下,探讨癌症幸存者获取、使用和处置阿片类药物的情况。

参与者与背景

采用基于社区的招募策略,招募年龄在18岁及以上、曾被诊断患有癌症、在过去五年内完成癌症治疗或已无癌症且因癌症相关疼痛而被开具阿片类药物处方的个体。

方法学途径

本定性研究采用半结构式访谈。数据采用应用主题分析技术进行分析。

研究结果

主题包括以下方面:(a)影响阿片类药物获取和供应的限制性政策;(b)因担心成瘾和其他阿片类药物相关副作用而减少阿片类药物使用;(c)在阿片类药物的安全保管和处置方面缺乏明确指导。

对护理工作的启示

癌症幸存者在获取阿片类药物方面可能会遇到障碍,因担心成瘾和副作用而改变用药行为,并且在阿片类药物的正确处置方面面临教育不足的问题。护士可以倡导适当获取处方阿片类药物,评估用药行为,提供有关储存和处置的教育,并相应地实施教育干预措施。

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