Pain medicine

Experiences and perspectives of adults on using opioids for pain management in the postoperative period: A scoping review

Eur J AnaesthesiolPublished Systematic scoping review of qualitative studies

Authors' conclusion

It is desirable to understand the complexity of adults' experiences of pain management especially with opioid use and to support adults in achieving their pain management goals by implementing an individualised approach, effective communication and patient-clinician relationships.

Study context

Population
Adults using opioids for postoperative pain management10 studies
Outcome
Adults' experiences of opioid use in postoperative pain management
Methodological detailsinductive content analysis, Theoretical Domains Framework (TDF)
  • Inductive content analysis
  • Theoretical Domains Framework (TDF)

Main finding

As reported in the abstract

  • Recurring concerns: opioid dependence, adverse effects, stigmatisation, gender roles, trust and shared decision-making between clinicians and patients
  • TDF analysis: perceptions and experiences of opioids driven by 8 domains (Knowledge, Emotion, Beliefs about consequences, Beliefs about capabilities, Self-confidence, Environmental Context and Resources, Social influences, Decision Processes/Goals)
  • Diverse pain management goals: proactive and positive goals (e.g. individualised pain management care) and avoidance goals (e.g. addiction, opioid-related side effects)
  • 9 qualitative studies, 1 mixed methods; mainly Europe and North America

Original publication

Experiences and perspectives of adults on using opioids for pain management in the postoperative period: A scoping review. Eur J Anaesthesiol. Published 16 May 2024. doi:10.1097/eja.0000000000002002

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