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慢性疼痛患者的药物信念问卷(BMQ)

BELIEFS ABOUT MEDICINES QUESTIONNAIRE (BMQ) IN PATIENTS WITH CHRONIC PAIN.

作者信息

Dimitrijević Iva, Hnatešen Dijana, Radoš Ivan, Budrovac Dino, Tot Ozana Katarina, Pavić Roman, Matković Vanja, Gusar Ivana, Čebohin Maja, Omrčen Ivan

机构信息

Clinical Department of Pain Management, University Hospital Osijek, 31000 Osijek, Croatia.

Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia.

出版信息

Acta Clin Croat. 2023 Nov;62(Suppl4):19-26. doi: 10.20471/acc.2023.62.s4.3.

Abstract

The aim of this study was to identify demographic and disease characteristics associated with different medication beliefs of patients with chronic non-malignant pain and to investigate beliefs about medicines and their association with medicine adherence. Data were collected from 202 patients using the Beliefs about Medicines Questionnaire (BMQ) and the Numeric Rating Scale (NRS). According to four different attitudinal constructs, the results indicate that the majority of patients were Indifferent, followed by Distrustful and Mixed-feelings, whereas the lowest proportion of patients were In-favour. The highest patient age was found in the In-favour and Indifferent constructs. Primary education level was the most represented in the In-favour construct. The most patients in the In-favour, Indifferent and Distrustful constructs used a combination of non-steroidal anti-inflammatory drugs (NSAID) and opioids. In the Mixed-feelings construct, patients mostly used a combination of paracetamol and NSAIDs. Most patients in the In-favour and Mixed-feelings construct reported severe pain. In the Indifferent and Distrustful constructs, most patients reported moderate pain. The study results indicate am association between some demographic characteristics and medications beliefs and that constructs could be predictors of adherence. The BMQ can be used to identify patients who are at risk of non-adherence and can be used in multidisciplinary pain programs.

摘要

本研究的目的是确定与慢性非恶性疼痛患者不同用药观念相关的人口统计学和疾病特征,并调查对药物的看法及其与药物依从性的关联。使用药物信念问卷(BMQ)和数字评分量表(NRS)从202名患者中收集数据。根据四种不同的态度结构,结果表明,大多数患者持冷漠态度,其次是不信任和混合情感态度,而持支持态度的患者比例最低。支持和冷漠态度结构中的患者年龄最大。小学教育水平在支持态度结构中占比最大。支持、冷漠和不信任态度结构中的大多数患者使用非甾体抗炎药(NSAID)和阿片类药物的组合。在混合情感态度结构中,患者大多使用对乙酰氨基酚和NSAIDs的组合。支持和混合情感态度结构中的大多数患者报告有严重疼痛。在冷漠和不信任态度结构中,大多数患者报告有中度疼痛。研究结果表明,一些人口统计学特征与用药观念之间存在关联,并且这些态度结构可能是依从性的预测指标。BMQ可用于识别有不依从风险的患者,并可用于多学科疼痛项目。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4ed/12128793/a5e9cb58db11/acc-62_supp4-19-f1.jpg

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