Department of Anesthesiology and Intensive Care, Military Institute of Medicine - National Research Institute, Legionowo Hospital, Warsaw, Poland.
Department of Medical Ethics and Palliative Medicine, Medical University of Warsaw, Warsaw, Poland.
J Addict Dis. 2024 Oct-Dec;42(4):438-446. doi: 10.1080/10550887.2023.2252721. Epub 2023 Sep 30.
In many countries, the consumption of illicit opioids is rising, becoming a major public health issue called the "opioid crisis". Many reasons contribute to this phenomenon. One of them is opioid misuse, defined as the use of legally prescribed opioids for a purpose different than pain treatment. This matter has not been well studied in Poland, where the opioid crisis has not been identified so far. This study was conducted among patients admitted for elective surgery with opioid-based postoperative pain treatment. The frequency of opioid misuse was found to be 10.8% in a sample comprising 92 patients. The group of individuals with potential opioid use disorder had a more frequent history of inadequately controlled postoperative pain compared to the group of non-misusers ( = 0.023). Furthermore, this group asked to receive additional pain treatment almost six times more often than the control group ( < 0.000). Also, patients declaring opioid misuse reported substantial differences concerning their knowledge and opinions about pain treatment and opioid analgesics: supporting the administration of opioids for pain when needed, finding opioids less harmful, and supporting messages that opioids are safe, effective, well-tolerated, easy to cutoff more often than control. There is an urgent need for the education of patients to avoid the spreading of the opioid crisis.
在许多国家，非法阿片类药物的消费正在上升，成为一个主要的公共卫生问题，即“阿片类药物危机”。许多原因导致了这种现象。其中之一是阿片类药物滥用，定义为将合法开处的阿片类药物用于不同于疼痛治疗的目的。在波兰，这种情况尚未得到很好的研究，因为到目前为止，波兰尚未发现阿片类药物危机。本研究在接受择期手术并接受基于阿片类药物的术后疼痛治疗的患者中进行。在包括 92 名患者的样本中，发现阿片类药物滥用的频率为 10.8%。与非滥用者相比，有潜在阿片类药物使用障碍的个体术后疼痛控制不足的病史更为频繁（= 0.023）。此外，该组要求接受额外疼痛治疗的频率几乎是对照组的六倍（<0.000）。此外，报告阿片类药物滥用的患者在他们对疼痛治疗和阿片类镇痛药的知识和意见方面报告了显著差异：支持在需要时给予阿片类药物以缓解疼痛，认为阿片类药物的危害较小，并支持阿片类药物安全、有效、耐受性好、易于停药的信息比对照组更频繁。迫切需要对患者进行教育，以避免阿片类药物危机的蔓延。
