Beliefs About Perioperative Opioid and Alcohol Use among Elective Surgical Patients Who Report Unhealthy Drinking: A Qualitative Study.
Beliefs About Perioperative Opioid and Alcohol Use among Elective Surgical Patients Who Report Unhealthy Drinking: A Qualitative Study.
复制标题
DOI：
10.1093/pm/pnab104
复制
发表时间：
2021-10-08
期刊：
影响因子：
--
通讯作者：
Blow F
中科院分区：
文献类型：
--
作者：
Fernandez AC;Lin LA;Bazzi AR;Boissoneault J;Borsari B;Blow F
不健康饮酒的择期手术患者具有独特的疼痛管理需求和与手术准备和康复相关的成瘾风险因素。这项描述性定性研究旨在更好地了解患者在围手术期与阿片类药物使用、饮酒和疼痛管理相关的信念和行为。我们在 2017 年 7 月至 2018 年 3 月期间进行了个人半结构化访谈。一个大型中西部学术医疗系统。参与者是符合不健康饮酒标准的择期手术患者，从卫生系统的术前麻醉诊所招募。半结构化访谈指南探讨了与酒精和阿片类药物使用、健康状况和手术护理相关的信念和行为。采访录音被转录和编码以进行主题分析。在 20 名择期手术患者（25% 为女性）中，我们确定了关于酒精使用、阿片类药物使用以及术前和术后同时使用的三个关键主题。首先，即使在处方阿片类药物之前，使用阿片类药物进行术后疼痛管理的愿望和意图也存在很大差异。其次，一些参与者将酒精描述为首选的疼痛管理策略。第三，参与者对酒精和阿片类药物同时使用的风险和益处持有一系列信念。对阿片类药物和酒精使用的信念和意图进行适当评估可以帮助识别在围手术期手术疼痛的情况下最容易受到新的阿片类药物问题和不健康酒精使用的患者的影响。这些发现对围手术期疼痛管理具有重要意义。
Elective surgical patients with unhealthy alcohol use have unique pain management needs and addiction risk factors that are relevant to surgical preparation and recovery. This descriptive qualitative study sought to better understand patients' beliefs and behaviors related to opioid use, alcohol use, and pain management in the perioperative context. We conducted individual semi-structured interviews between July 2017 and March 2018. A large Midwestern academic health system. Participants were elective surgical patients meeting unhealthy alcohol use criteria, recruited from the health system’s preoperative anesthesia clinic. Semistructured interview guides explored beliefs and behaviors relating to alcohol and opioid use, health status, and surgical care. Interview recordings were transcribed and coded for thematic analysis. Among 20 elective surgical patients (25% female), we identified three key themes regarding alcohol use, opioid use, and their co-use before and after surgery. First, desires and intentions to use opioids for postoperative pain management varied widely, even before opioids were prescribed. Second, some participants described alcohol as a preferred pain management strategy. Third, participants held a range of beliefs about the risks and benefits of alcohol and opioid co-use. Appropriate assessment of beliefs and intentions regarding opioid and alcohol use could help identify patients most vulnerable to new opioid problems and unhealthy alcohol use in the context of perioperative surgical pain. These findings have important implications for perioperative pain management.
登录
查看更多内容
DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
DOI：
10.1146/annurev-clinpsy-050718-095440
发表时间：
2019-01-01
期刊：
ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, VOL 15
影响因子：
--
作者：
Ditre, Joseph W.;Zale, Emily L.;LaRowe, Lisa R.
通讯作者：
LaRowe, Lisa R.
影响因子：
5.7
作者：
Bradley, Katharine A.;Rubinsky, Anna D.;Kivlahan, Daniel R.
通讯作者：
Kivlahan, Daniel R.
影响因子：
9.8
作者：
JAMES, MFM;DUTHIE, AM;RICE, CP
通讯作者：
RICE, CP
影响因子：
5.9
作者：
Garland EL;Manusov EG;Froeliger B;Kelly A;Williams JM;Howard MO
通讯作者：
Howard MO