Practices, Perceptions, and Concerns of Primary Care Physicians About Opioid Dependence Associated with the Treatment of Chronic Pain
Practices, Perceptions, and Concerns of Primary Care Physicians About Opioid Dependence Associated with the Treatment of Chronic Pain
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DOI：
10.1080/08897077.2011.630944
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发表时间：
2012-01-01
期刊：
影响因子：
3.5
通讯作者：
Blondell, Richard D.
中科院分区：
文献类型：
--
作者：
Keller, Craig E.;Ashrafioun, Lisham;Blondell, Richard D.
当开阿片类药物治疗慢性疼痛时，医生面临着在平衡有效的疼痛管理和避免医源性阿片成瘾之间的两难境地。通过邮寄调查，目前的研究评估了初级保健医生对这一困境的担忧、看法和做法。在35名(43%)回复的医生中，32名(91.4%)报告开了阿片类药物治疗疼痛。26名(81.3%)医生提到，“合法疼痛”是大多数阿片依赖患者开始使用阿片类药物的主要原因。大多数医生(71.5%)认为他们对阿片类药物依赖的治疗/管理的知识/舒适度较低。尽管这些医生认为培训对于了解慢性疼痛和阿片类药物依赖所涉及的风险是必不可少的，但许多医生认为他们自己在这些领域的医学培训并不令人满意。在解决慢性疼痛和阿片类药物成瘾的治疗问题时，培训方案可能会更好地装备初级保健医生。
When prescribing opioids to treat chronic pain, physicians face the dilemma of balancing effective pain management while avoiding iatrogenic opioid addiction. Through mailed surveys, the current study assessed concerns, perceptions, and practices of primary care physicians related to this dilemma. Of the 35 (43%) physicians that replied, 32 (91.4%) reported to prescribe opioids for pain. Twenty-six (81.3%) physicians mentioned that "legitimate pain" was the main reason whymost patients who are opioid dependent begin using opioids. Most physicians (71.5%) rated their knowledge/comfort of treatment/management of opioid dependence as being low. Although these physicians believed training is essential to learning about the risks involved with chronic pain and opioid dependence, many of these physicians evaluated their own medical training in these areas as unsatisfactory. Training programs may better equip primary care physicians when addressing the treatment of chronic pain and addiction to opioids.