Morphinofobia: the situation among the general population and health care professionals in North-Eastern Portugal
Open Access
- 22 June 2010
- journal article
- Published by Springer Science and Business Media LLC in BMC Palliative Care
- Vol. 9 (1), 15
- https://doi.org/10.1186/1472-684x-9-15
Abstract
Morphinofobia among the general population (GP) and among health care professionals (HP) is not without danger for the patients: it may lead to the inappropriate management of debilitating pain. The aim of our study was to explore among GP and HP the representation and attitudes concerning the use of morphine in health care. A cross-sectional study was done among 412 HP (physicians and nurses) of the 4 hospitals and 10 community health centers of Beira Interior (Portugal)and among 193 persons of the GP randomly selected in public places. Opinions were collected through a translated self-administered questionnaire. A significant difference of opinion exists among GP and HP about the use of morphine. The word morphine first suggests drug to GP (36,2%) and analgesia to HP (32,9%.). The reasons for not using morphine most frequently cited are: for GP morphine use means advanced disease (56%), risk of addiction (50%), legal requirements (49,7%); for HP it means legal risks (56,3%) and adverse side effects of morphine such as somnolence - sedation (30,5%) The socio-demographic situation was correlated with the opinions about the use of morphine. False beliefs about the use of morphine exist among the studied groups. There seems to be a need for developing information campaigns on pain management and the use of morphine targeting. Better training and more information of HP might also be needed.This publication has 48 references indexed in Scilit:
- Healthcare professionals' intentions and behaviours: A systematic review of studies based on social cognitive theoriesImplementation Science, 2008
- Nonmedical Use of Prescription Opioids: Motive and Ubiquity IssuesThe Journal of Pain, 2008
- Successful and Unsuccessful Outcomes with Long-Term Opioid Therapy: A Survey of Physicians' OpinionsJournal of Palliative Medicine, 2006
- Pain Prevalence in Hospitalized Patients in a German University Teaching HospitalJournal of Pain and Symptom Management, 2005
- Predictors of prescription of morphine for severe cancer pain by physicians in KoreaAnnals of Oncology, 2005
- Physicians' Knowledge and Attitudes Toward the Use of Analgesics for Cancer Pain Management: A Survey of Two Medical Centers in TaiwanJournal of Pain and Symptom Management, 2000
- Long-term opioid therapy: Assessment of consequences and risksJournal of Pain and Symptom Management, 1996
- Misconceptions and controversies regarding the use of opioids in cancer painAnti-Cancer Drugs, 1995
- Physician attitudes and beliefs about use of morphine for cancer painJournal of Pain and Symptom Management, 1992
- Multiple-Drug Addiction in New York City in a Selected Population Group: A Statistical ReviewPublic Health Reports (1896-1970), 1966