Patient engagement and prescription opioid use in perioperative pain management.
Patient engagement and prescription opioid use in perioperative pain management.
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DOI：
10.5055/jom.2022.0736
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发表时间：
2022-09
影响因子：
--
通讯作者：
Hanna MN
中科院分区：
文献类型：
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作者：
Xie A;Hsu YJ;Speed TJ;Villanueva M;Hanna I;Slupek DA;Nguyen J;Shechter R;Hanna MN
为了检查（1）患者对他们的参与及其家属参与围手术期疼痛管理的看法，（2）与感知的患者和家属参与相关的人口统计学和临床特征，以及（3）感知的患者和家属参与与患者结局之间的关联。一项前瞻性观察性研究，在巴尔的摩的约翰霍普金斯医院进行的个性化疼痛计划（PPP），自PPP开始以来，在每次诊所访视之前对患者进行调查，以使用简明疼痛量表评估其疼痛严重程度和干扰。从2018年8月22日开始，调查中增加了两个额外的问题，以评估患者对其参与度及其家属参与围手术期疼痛管理的看法。此外，还审查了电子病历，以收集术前和术后首次和末次PPP访视期间阿片类药物每日消耗量的数据。最终分析包括来自155名患者的511份调查问卷。患者在围手术期疼痛管理中的感知参与度随着时间的推移而改善（p<.001），并与术后处方阿片类药物消耗量的减少显著相关（coef=12.7，SE=5.8，p=.031）。手术患者及其家属应积极参与围手术期疼痛管理，以改善处方阿片类药物的使用以及围手术期护理的质量和安全性。
To examine (1) patient perceptions regarding their engagement and the engagement of their families in perioperative pain management, (2) demographic and clinical characteristics associated with perceived patient and family engagement, and (3) the association between perceived patient and family engagement and patient outcomes A prospective, observational study The Personalized Pain Program (PPP) at the Johns Hopkins Hospital in Baltimore, MD Patients having more than one visit to the PPP n/a Since the inception of the PPP, patients were surveyed prior to each clinic visit to assess their pain severity and interference using the Brief Pain Inventory. Starting August 22, 2018, two additional questions were added to the survey to assess patient perceptions of their engagement and the engagement of their families in perioperative pain management. In addition, electronic medical records were reviewed to collect data on daily opioid consumption during the first and last PPP visits pre-surgery and post-surgery. The final analysis included 511 survey responses from 155 patients. Perceived engagement of the patient in perioperative pain management improved over time (p<.001) and was significantly associated with reduction in prescription opioid consumption after surgery (coef=12.7, SE=5.8, p=.031). Surgical patients and their family members should be actively engaged in perioperative pain management to improve prescription opioid use and the quality and safety of perioperative care.