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Schmerzen sind ein h\u00e4ufiges Symptom. Goldstandard bei tumorassoziierten chronischen Schmerzen ist die multimodale Therapie. Nonadh\u00e4renz verursacht hohe Kosten und bringt unter Umst\u00e4nden Patient*innen in Gefahr.<\/jats:p>\n                <jats:p>Ziel dieser Studie war es, das Einnahmeverhalten und die subjektive Therapietreue von Patient*innen mit tumorassoziierten chronischen Schmerzen zu untersuchen. Dabei sollte die Perspektive der Patient*innen im Mittelpunkt stehen. Verschiedenen Medikamentengruppen, wie Nicht-Opioid-Analgetika (NOPA), Opioide, Ko-Analgetika und Cannabinoide, aber auch nichtmedikament\u00f6se Verfahren wurden in die Betrachtung eingeschlossen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methode<\/jats:title>\n                <jats:p>Im Rahmen eines qualitativen Forschungsansatzes wurden semistrukturierte Leitfadeninterviews mit 10\u00a0Patient*innen mit chronischen tumorassoziierten Schmerzen durchgef\u00fchrt. Das gesprochene Wort wurde aufgenommen und transkribiert. Die Auswertung erfolgte im Sinne einer fokussierten inhaltlich strukturierenden Interviewanalyse nach Kuckartz und R\u00e4diker.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Es konnten f\u00fcnf Hauptkategorien definiert werden. Die zentrale Kategorie anhand der Forschungsfrage bildete das \u201eAdh\u00e4renzverhalten aus Patient*innensicht\u201c. Den Rahmen der Untersuchung bildete die Kategorie \u201eMedikament\u00f6se Therapie\u201c. Weitere Hauptkategorien waren: \u201eKrankheitsgeschichte\u201c, \u201eVerh\u00e4ltnis zu den Behandelnden\u201c und \u201eEinstellungen und \u00dcberzeugungen\u201c. Insgesamt wurden weitere 77\u00a0Unterkategorien gebildet und interpretiert. Das Adh\u00e4renzverhalten aus Patient*innensicht unterschied sich zwischen den verschiedenen Medikamentengruppen. Ein palliatives Setting beeinflusste Therapieentscheidungen und Therapieadh\u00e4renz. Die angewendeten Medikamentenschemata waren komplex und dynamisch, gerade auch bei mehreren beteiligten Behandelnden. Weiterhin bestand Unklarheit bei der Anwendung von Cannabinoiden. Nichtmedikament\u00f6se Therapien wurden von den Patient*innen marginalisiert. Aus Sicht der befragten Patient*innen waren es weniger die Behandelnden, die Einfluss auf ihr Adh\u00e4renzverhalten nahmen, als vielmehr eigene Erfahrungen, Einstellungen und \u00dcberzeugungen<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Die Untersuchung bezog erg\u00e4nzend zu bisheriger Literatur in einem qualitativen Setting alle Medikamentengruppen und auch nichtmedikament\u00f6se Therapien gleichgestellt mit ein. Aus der bisherigen Forschung bekannte Adh\u00e4renzfaktoren spiegelten sich auch in der subjektiven Wahrnehmung der Gruppe der Patient*innen mit chronifizierten Schmerzen nach Tumorerkrankungen wider. Eine Marginalisierung nichtmedikament\u00f6ser Verfahren k\u00f6nnte damit erkl\u00e4rt werden, dass in der Phase einer Chronifizierung multimodale Therapieans\u00e4tze zu selten konsequent eingesetzt und kontrolliert werden. Medikament\u00f6se und nichtmedikament\u00f6se Therapien sollten daher noch konsequenter auch bei Patient*innen mit tumorassoziierten Schmerzen gleichberechtigt angewendet werden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00482-023-00765-y","type":"journal-article","created":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T07:02:15Z","timestamp":1699858935000},"page":"422-432","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Einflussfaktoren auf das Einnahmeverhalten von Analgetika bei Patient*innen mit chronischen tumorassoziierten Schmerzen","Factors influencing analgesic use patterns in patients with chronic tumor-associated pain."],"prefix":"10.1007","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3173-3214","authenticated-orcid":false,"given":"Marco Richard","family":"Zugaj","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Z\u00fcger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens","family":"Ke\u00dfler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,11,13]]},"reference":[{"key":"765_CR1","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1046\/j.1365-2710.2001.00363.x","volume":"26","author":"E Vermeire","year":"2001","unstructured":"Vermeire\u00a0E, Hearnshaw\u00a0H, Van Royen\u00a0P, Denekens\u00a0J (2001) Patient adherence to treatment: three decades of research. 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