Patient motivators to use opioids for acute pain after emergency care

Frontiers in Pain Research

Pain Research

Brittany E. Punches¹  Tamilyn Bakas²  Gordon L. Gillespie²  Jill E. Martin-Boone³  Edward W. Boyer⁴  Hawa A. Sall⁴  Michael S. Lyons⁴  Natalie K. Taul⁴  Jennifer L. Brown⁵ 

[1] College of Nursing, The Ohio State University, Columbus, OH, United States;Department of Emergency Medicine, The Ohio State University College of Medicine, Columbus, OH, United States;College of Nursing, University of Cincinnati, Cincinnati, OH, United States;College of Pharmacy, University of Cincinnati, Cincinnati, OH, United States;Department of Emergency Medicine, The Ohio State University College of Medicine, Columbus, OH, United States;Department of Psychological Sciences, Purdue University, West Lafayette, IN, United States;

关键词: opioid;    acute pain;    decision-making;    emergency care;    patient preferences;   

DOI  :  10.3389/fpain.2023.1151704

 received in 2023-01-26, accepted in 2023-09-11,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionPatients are stakeholders in their own pain management. Factors motivating individuals to seek or use opioids therapeutically for treatment of acute pain are not well characterized but could be targeted to reduce incident iatrogenic opioid use disorder (OUD). Emergency departments (EDs) commonly encounter patients in acute pain for whom decisions regarding opioid therapy are required. Decision-making is necessarily challenged in episodic, unscheduled care settings given time pressure, limited information, and lack of pre-existing patient provider relationship. Patients may decline to take prescribed opioids or conversely seek opioids from other providers or non-medical sources.MethodsUsing a framework analysis approach, we qualitatively analyzed transcripts from 29 patients after discharge from an ED visit for acute pain at a large, urban, academic hospital in the midwestern United States to describe motivating factors influencing patient decisions regarding opioid use for acute pain. A semi-structured interview guide framed participant discussion in either a focus group or interview transcribed and analyzed with conventional content analysis.ResultsFour major themes emerged from our analysis including a) pain management literacy, b) control preferences, c) risk tolerance, and d) cues to action.DiscussionOur findings suggest targets for future intervention development and a framework to guide the engagement of patients as stakeholders in their own acute pain management.

【 授权许可】

Unknown   
© 2023 Punches, Brown, Taul, Sall, Bakas, Gillespie, Martin-Boone, Boyer and Lyons.