临床肿瘤学杂志

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广州市基层医院癌痛规范化治疗现状及障碍因素分析

梁继珍,易基群   

  1. 510220 广州 广州市红十字会医院肿瘤科
  • 收稿日期:2015-09-13 修回日期:2015-10-06 出版日期:2016-01-31 发布日期:2016-01-31
  • 通讯作者: 易基群

Investigation and analysis of the current situation of cancer pain treatment in primary hospitals of Guangzhou

LIANG Jizhen, YI Jiqun   

  1. Department of Oncology,Guangzhou Red Cross Hospital, Guangzhou 510220,China
  • Received:2015-09-13 Revised:2015-10-06 Online:2016-01-31 Published:2016-01-31
  • Contact: YI Jiqun

摘要: 目的 探讨广州市基层医院医务人员癌痛诊疗知识水平及癌痛治疗现状,分析可能的阻碍因素,为提高基层医院癌痛管理水平提供依据。方法 举办基层医院癌痛规范化治疗学习班,参会医务人员填写调查表。共收集有效调查表120份,分析表中数据,并进行统计学处理。结果 在癌痛基本诊疗知识方面,基层医院医务工作者平均得分为12.2±3.5,医师、护士、药剂师及管理人员的得分差异无统计学意义(P>0.05);既往参加过癌痛诊疗培训及未参加过培训的医务人员的得分差异亦无统计学意义(P>0.05)。目前广州基层医院癌痛诊疗中最常见的不良用药习惯为有创给药、阿片类药物应用不合理,而癌痛管理知识不足、担心阿片类药物不良反应、药物供应不充分是导致目前基层医院癌痛诊疗不规范的主要因素。结论 提高基层医院医务人员的癌痛诊疗知识水平,加强对患者及家属的宣教,提供足量、齐全的止痛药物,是提高广州基层医院癌痛规范化诊疗的可行途径。

Abstract:

Objective To explore the diagnosis,treatment of cancer pain in primary hospitals of Guangzhou, analyze possible disadvantages,

and provide basis to improve the management of cancer pain. Methods By holding training course of cancer pain standardized treatment of primary hospitals and surveying to all attendees,120 questionnaires were collected and analyzed. Results The mean score in basic knowledge of cancer pain management was 12.2±3.5. There were no significant differences of mean score among doctors,nurses and other medical staff(P>0.05).There was no statistical differences between the mean score of medical staff who participated in cancer pain training course and who did not(P>0.05). The common bad habits of using analgesic drugs were invasive administration and opioids agent inproper use. Barriers to optimal treatment of cancer pain in primary hospitals included insufficient knowledge and education of physicians,concern about side effect of opioids, and shortage of opioids agent. Conclusion Strengthening the training of medical physicians about analgesia,supplying sufficient opioids agent and educating patients is a suitabe way to promote standardized cancer pain management in primary hospitals.

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