| Abstract | Procjena i kontrola boli te primjena odgovarajućih opioida ključni su aspekti palijativne skrbi, kako bi se najučinkovitije suzbila bol i podigla kvaliteta života u terminalnom stadiju bolesti.
Ciljevi istraživanja: Analizirati upotrebu opioida kod onkoloških i neonkoloških pacijenata u razdoblju od 2013. do 2023. godine, ispitati povećava li se ukupna primjena opioida, usporediti upotrebu opioidnih naljepaka i Morfinklorida, analizirati spolne razlike u primjeni opioida, istražiti dobnu distribuciju i primjenu lijekova protiv boli
Ispitanici i metode: Ispitivanje je provedeno u Hospiciju „Marija K. Kozulić“ uvidom u dokumentaciju u arhivi. Provedeno je na 2623 ispitanika. Ispitana je primjena opioida i analizirana je razlika u primijeni među spolovima, vrstama oboljenja te analizirane sporedne varijable.
Rezultati: Ukupno je 49,3% muških i 50,7% ženskih ispitanika. Muških onkoloških je 81,5%, a ženskih 75,5%. Većina je onkoloških (78,5%) ispitanika. Najčešća dobna skupina je od 70 do 89 godina (58,6%). Primjena opioidnog naljepka: žene 54,2%, a muškarci 48,9%, dok su onkološki 59,5% i neonkološki 22,5%. Primjena Morfinklorida (2%), onkološki 2,4%, neonkološki 0,5%. Primjena slabih opioida: muški 34,3%, a žene 36,3%, onkološki 38,2% i neonkološki 25,4%. Primjena jakih opioida: muški 52,7%, a žene 57,6%, onkološki 63,4% i neonkološki 25,0%. Slabih i jakih opioida istovremeno: muški 21,0% i žene 24,2%, onkološki 26,1% i neonkološki 10,1%. Bez analgetika: muški 31,8%, žene 27,2%, onkološki 22,3% i neonkološki 55,9%. Primjena neopioida: 11,9% ispitanika.
Zaključak: Postoji trend povećanja primjene opioida s većom preferencijom za jake opioide. Ovo istraživanje može pružiti uvid za adekvatnu analgeziju palijativnim pacijentima. |
| Abstract (english) | Assessment and pain control along with the use of appropriate opioids are key aspects of palliative care used for most effective pain suppression and improvement of the quality of life in the terminal stage of the disease.
Research objectives: To analyze the use of opioids in oncology and non-oncology patients in the period from 2013. to 2023., to examine whether the overall use of opioids is increasing, to compare the use of opioid patches and morphine chloride, to analyze gender differences in the use of opioids, and to investigate age distribution and the use of pain medication.
Participants and methods: The research was conducted in the Hospice "Marija K. Kozulić" by reviewing the archive documentation. 2623 respondents were included in the investigation of the data. The use of opioids was examined with a specific interest in the difference between genders and the types of diseases. Additionally, secondary variables were analyzed.
Results: In total, 49,3% of respondents were male and 50,7% were female 81,5% were male oncologists and 75,5% female oncologists, the majority of respondents (78,5%) are oncologists. The largest age group is from 70 to 89 years (58,6%). Opioid sticker use: women 54,2% and men 48,9%, oncology participants 59,5% and non-oncology participants 22,5%. The application of morphinechloride (2%), oncological participants 2,4% and non-oncological participants 0,5%. The use of weak opioids: men 34,3% and women 36,3%, oncology 38,2% and non-oncology 25,4%. The use of strong opioids: men 52,7% and women 57,6%, oncology 63,4% and non-oncology 25,0%. Weak and strong opioids at the same time: men 21,0% and women 24,2%, oncology 26,1% and non-oncology 10,1%. Without analgesics: men 31,8%, women 27,2%, oncology 22,3% and non-oncology 55,9%. The use of non-opioids: 11,9% of respondents.
Conclusion: There is a trend in increasing opioid use with a greater preference for strong opioids. This research may be able to provide certain insights into adequate analgesia for palliative patients. |
