社團法人臺灣臨床藥學會

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【原著】非癌症慢性頑固性疼痛病人長期使用成癮性麻醉藥品追蹤介入機制之建置與醫療品質之成效評估
Building a Tracing and Intervening Mechanism and Estimation the Medical Quality in Chronic Non-Cancer Pain Patients that Long-Term Used Addictive Narcotic Drugs
非癌症慢性頑固性疼痛、成癮性麻醉藥品、藥物濫用、管制藥品管理委員會、管制藥品管理局、chronic non-cancer pain, addictive narcotic drugs, drug abuse, committee of controlled drug, National Bureau of Controlled Drugs
郭震群Chen-Chun Kuo*1 、胡馨月Hsin-Yueh Hu1 、呂英豪Ying-Hao Lu1,2
1高雄醫學大學附設中和紀念醫院 藥劑部 、2高雄醫學大學 藥學院 藥學系
目的:(1)針對使用成癮性麻醉藥品達長期定義的非癌症慢性頑固性疼痛病人(以下簡稱該類病人),藉由醫師、藥師與院內管制藥品管理委員會,並配合管制藥品管理局建立一套完整且嚴密的「追蹤介入機制」。(2)評估此機制是否可以改善醫療品質。
方法:本研究為回朔性研究分析,初步篩選連續使用超過7天成癮性麻醉藥品的非癌症病人,然後依據「追蹤介入機制流程圖」實際執行,再將資料進行統計分析。
結果:經過4年追蹤,各年度繼續用藥比例分別為9.19%、10.20%、24.95%與28.43%;經管制藥品管理局複核並准予使用比例分別為100%、100%、92.86%與100%。
結論:本研究成功地建置「追蹤介入機制」列管該類病人,避免成癮性麻醉藥品的濫用,達到改善醫療品質的目標。

Purpose: The aims of this study were to set up a mechanism for chronic non-cancer pain (CNCP) patients to long-term use addictive narcotic drugs and to evaluate the medical quality.
Material and Methods: This study was implemented according the flowchart of “tracing and intervening mechanism”.
Results: Around 4 years, the proportions that CNCP patients continued using narcotic drugs were 9.19%, 10.20%, 24.95% and 28.43% respectively. The year tendency showed this requirement is increasing. The proportions that National Bureau of Controlled Drugs approved were respectively 100%, 100%, 92.86%, 100%. This result showed that our hospital severely reviewed and screened out these patients.
Conclusion: The results showed the “tracing and intervening mechanism” has avoided the narcotic drugs abuse and improved the medical quality.
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