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Aberrant behavior, opioids and pain
Jirásková, Michaela ; Raudenská, Jaroslava (advisor) ; Neugebauer, Jan (referee)
UNIVERZITA KARLOVA 2. LÉKAŘSKÁ FAKULTA Ústav ošetřovatelství Michaela Jirásková Aberantní chování, opioidy a bolest Bakalářská práce Praha 2023 ABSTRACT Background: Objectives: The aim is to determine the frequency of risk of aberrant behavior based on screening and the actual incidence of aberrant the group of patients with chronic pain without opioid treatment. Methods: 30 patients with chronic non-cancer pain not using opioid analgesics and 30 patients with chronic non-cancer pain using opioid analgesics hospitalized at the Department of Rehabilitation Medicine, 2nd Faculty of Medicine Charles University and Motol University Hospital. Patients were presented with the following tests in paper form: Structured Interview, ORT, ET, COMM, SOAP-R, CADE AID. Respondents signed an informed consent form based on EC approval. The study was approved by the EC. Results: For socio-demographic and clinical variables, we used chi-square testing for statistical significance as appropriate and concluded that there was a statistically significant difference between the opioid analgesic user group and the non-user group. When examining the effect of sociodemographic variables on quality of life in patients with chronic non-cancer pain compared to the effect of sociodemographic variables on the group of patients without...
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Opioid Risk Tool (ORT) in Patients with Chronic Nonmalignant Pain receiving long-term opioid therapy
Maršíková, Veronika ; Raudenská, Jaroslava (advisor) ; Nikodemová, Hana (referee)
Background: This bachelor thesis focuses on the topic of chronic pain in connection with long-term treatment with opioid analgesics and the associated risk of developing addiction and the possibility of screening this risk using the Opioid Risk Tool (ORT) in nursing. Objectives: The aim of the cross-sectional, quantitative study was to validate the ORT questionnaire in the Czech version, to evaluate its individual items by performing a factor analysis and assessing the impact of socio-demographic and clinical variables. Methods: A total of 411 patients on long-term treatment with opioid analgesics met inclusive and exclusive criteria and were included in the study. The patients were administered with an anamnestic questionnaire and the ORT, ET (Emotional Thermometers), COMM (Current Opioid Misuse Measure) and VAS (Visual Analogue Scale) questionnaires. The data were statistically processed using the determination of internal consistency, sensitivity, specificity, negative and positive predictive values, parametric and non-parametric tests, exploratory factor analysis and logistic regression. Results: A medium correlation was found between the ET and ORT questionnaires. Significant differences in selected socio-demographic and clinical variables between the opioid misuse group and the group without...
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The role of the nurse in screening risks of long term opioid use in chronic nonmalignant pain patients
Nováková, Daniela ; Raudenská, Jaroslava (advisor) ; Tomová, Šárka (referee)
Backgroud: The subject of this thesis is screening risks of aberrant behavior and addiction in patients with chronic non-malignant pain who are on long-term opioid therapy. Objectives: The aim is to introduce the Czech Adaptation of the Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) and the Opioid Risk Tool (ORT) and to validate the two questionnaires. To identify the difference between patients in high and low risk of aberrant behavior with respect to socio-demographic, clinical and affective variables regarding SOAPP-R and ORT. To evaluate the clinical utility of the visual analog scale Emotional Thermometers at predicting high and low risk of aberrant behavior regarding SOAPP-R and ORT. Methods: This multicenter study was conducted through an anonymous survey using standardized self-reporting questionnaires, SOAPP-R and ORT. The research sample consisted of 305 patients, recruited from pain clinics, suffering chronic non-malignant pain. Patients had been in treatment for at least three monthes on stable doses of opioid analgesics. Results: As a result of the data analysis, the SOAPP-R identified 40.66 % of patients from the sample as high risk and the ORT 18.36 %. Cut off scores of the Emotional Thermometers that have been identified using the reciever operating...
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The role of the nurse in screening risks of long term opioid use in chronic nonmalignant pain patients
Nováková, Daniela ; Raudenská, Jaroslava (advisor) ; Tomová, Šárka (referee)
Backgroud: The subject of this thesis is screening risks of aberrant behavior and addiction in patients with chronic non-malignant pain who are on long-term opioid therapy. Objectives: The aim is to introduce the Czech Adaptation of the Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) and the Opioid Risk Tool (ORT) and to validate the two questionnaires. To identify the difference between patients in high and low risk of aberrant behavior with respect to socio-demographic, clinical and affective variables regarding SOAPP-R and ORT. To evaluate the clinical utility of the visual analog scale Emotional Thermometers at predicting high and low risk of aberrant behavior regarding SOAPP-R and ORT. Methods: This multicenter study was conducted through an anonymous survey using standardized self-reporting questionnaires, SOAPP-R and ORT. The research sample consisted of 305 patients, recruited from pain clinics, suffering chronic non-malignant pain. Patients had been in treatment for at least three monthes on stable doses of opioid analgesics. Results: As a result of the data analysis, the SOAPP-R identified 40.66 % of patients from the sample as high risk and the ORT 18.36 %. Cut off scores of the Emotional Thermometers that have been identified using the reciever operating...
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