Abstract：
OBJECTIVE: This study aims to examine the complex nature of opioid use disorder (OUD) in chronic noncancer pain (CNCP) by exploring its antecedents, attributes, consequences, and interrelated concepts.
METHODS: A systematic literature review was conducted to gather relevant studies published between 2015 and 2022, utilizing the CINAHL, MEDLINE, PsycINFO, and PubMed databases.
METHODS: The selected databases provided a comprehensive range of articles related to OUD in CNCP, ensuring a comprehensive topic analysis.
METHODS: Twenty-two articles meeting the inclusion criteria were included in the analysis. These articles were critically reviewed and analyzed to identify key themes and concepts related to OUD in CNCP.
RESULTS: The findings of this study shed light on the multifaceted aspects of OUD in CNCP, including its antecedents, such as goals of physical function improvement, prescription of opioids for CNCP, social influences, and mental health dynamics. The attributes of OUD in CNCP were identified as chronic pain, noncancer pain, opioid use, misuse, and abuse. OUD\'s consequences in CNCP include impaired functioning, increased health risks, psychological distress, social challenges, and economic burden.
CONCLUSIONS: Understanding the complexity of OUD in CNCP is crucial for improving patient outcomes. Collaborative efforts among healthcare systems, regulatory bodies, and professional organizations are needed to develop policies promoting safe and effective pain management while mitigating risks associated with opioid use in CNCP.
CONCLUSIONS: Implementing policy recommendations derived from this study enhances care and outcomes for individuals with CNCP. By addressing complex issues of OUD in CNCP and adopting evidence-based practices, healthcare providers can optimize pain management and promote well-being in CNCP patients.
METHODS: A systematic literature review was conducted to gather relevant studies published between 2015 and 2022, utilizing the CINAHL, MEDLINE, PsycINFO, and PubMed databases.
METHODS: The selected databases provided a comprehensive range of articles related to OUD in CNCP, ensuring a comprehensive topic analysis.
METHODS: Twenty-two articles meeting the inclusion criteria were included in the analysis. These articles were critically reviewed and analyzed to identify key themes and concepts related to OUD in CNCP.
RESULTS: The findings of this study shed light on the multifaceted aspects of OUD in CNCP, including its antecedents, such as goals of physical function improvement, prescription of opioids for CNCP, social influences, and mental health dynamics. The attributes of OUD in CNCP were identified as chronic pain, noncancer pain, opioid use, misuse, and abuse. OUD\'s consequences in CNCP include impaired functioning, increased health risks, psychological distress, social challenges, and economic burden.
CONCLUSIONS: Understanding the complexity of OUD in CNCP is crucial for improving patient outcomes. Collaborative efforts among healthcare systems, regulatory bodies, and professional organizations are needed to develop policies promoting safe and effective pain management while mitigating risks associated with opioid use in CNCP.
CONCLUSIONS: Implementing policy recommendations derived from this study enhances care and outcomes for individuals with CNCP. By addressing complex issues of OUD in CNCP and adopting evidence-based practices, healthcare providers can optimize pain management and promote well-being in CNCP patients.
摘要：
目的：本研究旨在探讨慢性非癌性疼痛（CNCP）中阿片类药物使用障碍（OUD）的复杂性，属性，后果,和相互关联的概念。
方法：进行了系统的文献综述，以收集2015年至2022年之间发表的相关研究，利用CINAHL，MEDLINE,PsycINFO,和PubMed数据库。
方法：选定的数据库提供了与CNCP中的OUD相关的全面文章，确保全面的主题分析。
方法：将符合纳入标准的22篇文献纳入分析。对这些文章进行了严格的审查和分析，以确定与CNCP中OUD相关的关键主题和概念。
结果：这项研究的结果揭示了OUD在CNCP中的多方面，包括它的前身，比如身体机能改善的目标，CNCP的阿片类药物处方，社会影响,和心理健康动态。在CNCP中OUD的属性被确定为慢性疼痛，非癌症疼痛，阿片类药物的使用，误用，和虐待。OUD在CNCP中的后果包括功能受损，健康风险增加，心理困扰,社会挑战,和经济负担。
结论：了解CNCP中OUD的复杂性对于改善患者预后至关重要。医疗保健系统之间的合作努力，监管机构，需要和专业组织制定政策，促进安全有效的疼痛管理，同时减轻与CNCP使用阿片类药物相关的风险。
结论：实施本研究得出的政策建议可增强CNCP患者的护理和预后。通过解决CNCP中OUD的复杂问题并采用循证实践，医疗保健提供者可以优化疼痛管理，促进CNCP患者的健康。
方法：进行了系统的文献综述，以收集2015年至2022年之间发表的相关研究，利用CINAHL，MEDLINE,PsycINFO,和PubMed数据库。
方法：选定的数据库提供了与CNCP中的OUD相关的全面文章，确保全面的主题分析。
方法：将符合纳入标准的22篇文献纳入分析。对这些文章进行了严格的审查和分析，以确定与CNCP中OUD相关的关键主题和概念。
结果：这项研究的结果揭示了OUD在CNCP中的多方面，包括它的前身，比如身体机能改善的目标，CNCP的阿片类药物处方，社会影响,和心理健康动态。在CNCP中OUD的属性被确定为慢性疼痛，非癌症疼痛，阿片类药物的使用，误用，和虐待。OUD在CNCP中的后果包括功能受损，健康风险增加，心理困扰,社会挑战,和经济负担。
结论：了解CNCP中OUD的复杂性对于改善患者预后至关重要。医疗保健系统之间的合作努力，监管机构，需要和专业组织制定政策，促进安全有效的疼痛管理，同时减轻与CNCP使用阿片类药物相关的风险。
结论：实施本研究得出的政策建议可增强CNCP患者的护理和预后。通过解决CNCP中OUD的复杂问题并采用循证实践，医疗保健提供者可以优化疼痛管理，促进CNCP患者的健康。
