摘要
目的调查了解基层医院医生对癌因性疼痛(癌痛)的认知状况,并探讨提高基层医院医生癌痛认知度的对策。方法调查时间:2017年1月1日至12月31日;调查对象:200名基层医院在职在岗医生。采用自制的癌痛认知状况调查问卷对基层医院医生进行现场调查,统一发放调查问卷,现场回收,统计基层医院医生对癌痛相关知识的认知情况、对癌痛诊疗措施的态度情况,并比较不同年龄、不同职称、不同学历的医生对癌痛相关知识的认知度。结果200名基层医院医生填写完调查问卷,调查问卷有效回收,有效回收率达到100.0%。在癌痛现状的调查中,癌症患者占比在10.0%~30.0%的为84.5%(169/200)、在40.0%~60.0%的为11.5%(23/200)、在70.0%~100.0%的为4.0%(8/200);癌症患者中重度癌痛比例在10.0%~30.0%的为27.5%(55/200)、在40.0%~60.0%的为24.5%(49/200)、在70.0%~100.0%的为48.0%(96/200);癌痛患者止痛效果满意度在10.0%~30.0%的为19.5%(19/200)、在40.0%~60.0%的为50.0%(100/200)、在70.0%~100.0%的为30.5%(61/200);癌痛主诉可信度在10.0%~30.0%的为3.0%(6/200)、在40.0%~60.0%的为16.0%(32/200)、在70.0%~100.0%的为81.0%(162/200)。在癌痛相关知识认知情况方面,基层医院医生对止痛治疗前是否需要疼痛评估、癌痛评估最可靠方法是否为患者自我评估、评估为重度癌痛患者是否应该及时给予阿片类药物、癌痛患者长期应用阿片类药物出现戒断症状是否为成瘾性、长期止痛治疗是否使用非阿片类药物更加安全、应用阿片类药物后出现不良反应是否应该改用非阿片类药物、是否知晓杜冷丁是目前癌痛止痛治疗中禁忌药物、是否知晓阿片类药物首选口服给药的知晓率分别为95.0%(190/200)、56.5%(113/200)、36.5%(76/200)、41.0%(82/200)、59.0%(118/200)、57.5%(115/200)、57.5%(115/200)、63.0%(126/200)。经比较,不同年龄医生对癌痛相关知识的认知度评分比较,差异均无统计学意义(均
Objective To investigate the acknowledge of cancer pain in doctors from primary hospitals,and to explore the countermeasures improving the doctors'acknowledge.Methods Two hundred on-the-job doctors from primary hospitals were investigated from January 1 to December 31,2017 with the self-made Cancer Pain Acknowledge Questionnaire.The questionnaires were distributed and collected on the spot.The doctors'attitudes to the diagnosis and treatment of cancer pain were analyzed.The acknowledge scores of cancer pain between the doctors of different ages,between those of different working years,between those with different professional titles,and between those with different education degrees were compared.Results All the 200 doctors filled the questionnaire,and all the questionnaires were recovered,with an effective recovery rate of 100.0%.In this investigation,the proportion of the cancer patients was 84.5%(169/200)between 10.0%and 30.0%,11.5%(23/200)between 40.0%and 60.0%,and 4.0%(8/200)between 70.0%and 100.0%;the proportion of moderate and severe cancer pain in the cancer patients was 27.5%(55/200)between 10.0%and 30.0%,24.5%(49/200)between 40.0%and 60.0%,and 48.0%(96/200)between 70.0%and 100.0%;19.5%(39/200)cancer pain patients'satisfaction with the analgesic effect was between 10.0%and 30.0%,50.0%(100/200)between 40.0%and 60.0%,and 30.5%(61/200)between 70.0%and 100.0%;and 3.0%(6/200)patients'credibility of their chief complaint of cancer pain was between 10.0%and 30.0%,16.0%(32/200)between 40.0%and 60.0%,and 81.0%(162/200)between 70.0%and 100.0%.In terms of the acknowledge of cancer pain,the doctors from primary hospitals had a clear understanding of whether pain assessment was required before analgesic treatment,whether self-assessment was the most reliable method for cancer pain assessment,whether opioids should be administered in time for patients assessed as having severe cancer pain,whether the withdrawal symptoms of cancer pain patients after long-term application of opioids were addictive,whether it was safer
作者
黄婉兰
赖沛宝
杨贵生
曾雅燕
陈俊鹏
林春平
Huang Wanlan;Lai Peibao;Yang Guisheng;Zeng Yayan;Chen Junpeng;Lin Chunping(Department of Oncology,Jieyang People's Hospital,Jieyang 522000,China)
出处
《国际医药卫生导报》
2021年第9期1338-1341,共4页
International Medicine and Health Guidance News
基金
揭阳市卫生和计划生育局17号立项项目(No.201880)。
关键词
癌因性疼痛
基层医院
医生
认知
对策
Cancer pain
Primary hospitals
Doctors
Acknowledge
Countermeasures
