レスキュー薬の管理方法の違いが及ぼすオピオイドの服用状況への影響

抄録

The influence of the opioid oral rescue dose (RD) management method on opioids usage was investigated using electronic medical records in patients receiving opioid treatment from December 2014 to May 2015.

Thirty-one inpatients who received a continual opioid basal dose and RD were divided into two groups based on differences in the management methods of RD, self-management patients (SMPs) and nurse-management patients (NMPs). There was no significant difference regarding the rate of RD users, total use counts, or titration of the opioid dose between the groups of 15 SMPs and 16 NMPs. Moreover, there was no significant difference in these categories between the groups of 12 SMPs and nine NMPs in 21 patients who had received RD after hospitalization. NMPs showed a significant difference in the total use counts of RD between day time (9:00 am-9:00 pm) and night time (9:00 pm-9:00 am), whereas SMPs showed no significant difference. Furthermore, there was no significant difference in the rate of RD users between day time and night time B (1:00 am-5:00 am) in SMPs. However, the user rate in the day time was lower than that in the night time B in NMPs. NMPs might have to hesitate before pushing the nurse-call button for RD during the night time B.