深入探讨澳大利亚消费者和消费者代表对慢性疼痛管理的看法:关键知情人访谈研究》。

Ingrid Bindicsova, Leanne M Hides, Melissa A Day
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引用次数: 0

摘要

慢性疼痛影响着数百万澳大利亚人。尽管指南建议将非药物疗法作为一线治疗方法,但阿片类药物仍是最常见的治疗方法之一。本研究采访了消费者和消费者代表(即澳大利亚高峰疼痛倡导组织的代表),以获得有关澳大利亚慢性疼痛治疗的第一手资料。研究人员对三位消费者和三位代表进行了个人半结构式关键信息访谈(KIIs)。访谈内容均已转录,并进行了主题分析。结果显示,消费者和消费者代表指出了获得治疗的关键障碍。另一个共同主题与护理的总体原则有关,其次主题涉及跨学科方法和疼痛教育的必要性。另一个共同主题侧重于典型的医疗干预,其中一个共同的次主题涉及疼痛药物的益处和弊端。两个小组都强调了生物-心理-社会方法的重要性,同时考虑到了心理健康,特别是与感知到的耻辱和合并症有关的心理健康。这些调查结果表明,在澳大利亚,慢性疼痛的治疗仍然不足。亟需采用新方法来克服就医障碍和耻辱感,并推进精准医疗,尽早为患者匹配最有可能获益的治疗方法。
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An in-Depth Exploration of Consumer and Consumer Representative Views on Chronic Pain Management in Australia: A Key Informant Interview Study.

Chronic pain affects millions of Australians. Despite guidelines recommending non-pharmacological approaches as the first line treatment, opioid medications remain among the most common treatments. This study interviewed consumers and consumer representatives (i.e., representatives of peak pain advocacy organizations in Australia) to gain first-hand perspectives on chronic pain treatment in Australia. Individual semi-structured Key Informant Interviews (KIIs) with three consumers and three representatives were undertaken. Interviews were transcribed, and thematic analysis applied. Results showed that consumers and consumer representatives identified critical treatment access barriers. Another shared theme related to overarching principles of care, with sub-themes pertaining to the need for an interdisciplinary approach and pain education. A further shared theme focused on typical medical interventions, with one shared subtheme regarding the benefits and drawbacks of pain medications. Both groups highlighted the importance of a biopsychosocial approach with consideration of mental health, particularly related to perceived stigma and comorbidities. These findings highlight that chronic pain remains both undertreated and inadequately treated in Australia. There is a critical need to use novel approaches to overcome access barriers and stigma, and to advance precision medicine to match patients to the treatment most likely to be of benefit as early as possible in their journey.

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来源期刊
CiteScore
1.60
自引率
9.10%
发文量
40
期刊最新文献
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