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首页> 外文期刊>Journal of opioid management >Older adults' postoperative pain medication usage after total knee arthroplasty: A qualitative descriptive study
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Older adults' postoperative pain medication usage after total knee arthroplasty: A qualitative descriptive study

机译：全膝关节置换术后老年人术后止痛药的使用：定性描述研究

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Objective: Most total knee arthroplasty (TKA) recipients experience pain following the procedure. Patients are provided with medications to manage pain but there is little information regarding their usage of analgesics after hospital discharge. This study investigated analgesic usage in recent TKA recipients. Design and participants: A qualitative descriptive approach was taken to produce a summary of the experiences of 14 participants. Purposive sampling methods were used during recruitment. One semistructured interview was conducted with each participant. Interviewing continued until theoretical saturation was reached. Results: Most participants used less medication than was prescribed and stopped taking prescription analgesics before requiring a renewal. Participants adjusted their usage in response to pain, adverse effects, advice from their family and healthcare providers, fears of becoming "hooked," and a general dislike of taking medications. Conclusions: Patient modifications to medication regimens are often labeled as patient nonadherence; however, participants in this study considered their actions to be adaptive. This conceptual distinction has practical implications for healthcare providers. These findings emphasize the importance of having TKA patients develop their pain management regimen in conjunction with healthcare providers so that regimens can be tailored to individual needs.
机译：目的：大多数全膝关节置换术（TKA）接受者会在手术后感到疼痛。为患者提供了治疗疼痛的药物，但是出院后很少有关于使用止痛药的信息。这项研究调查了最近的TKA接受者的镇痛药使用情况。设计和参与者：采用定性描述方法总结了14位参与者的经验。在招募期间使用了有目的的抽样方法。每个参与者进行了一次半结构化访谈。访谈一直持续到理论上达到饱和为止。结果：大多数参与者使用的药物少于处方药，并在需要更新之前停止服用处方镇痛药。参与者根据疼痛，不良反应，家庭和医疗保健提供者的建议，担心被“钩住”以及普遍不喜欢用药来调整使用方法。结论：患者对药物治疗方案的修改通常被标记为患者不依从;但是，本研究的参与者认为他们的行为具有适应性。这种概念上的区别对医疗保健提供者具有实际意义。这些发现强调了让TKA患者与医疗保健提供者一起制定他们的疼痛管理方案的重要性，以便可以根据个人需求量身定制方案。

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