在马来西亚的医生中,癌症疼痛管理的知识,感知和障碍
Ting-Yi Kweh1, Chian-Hui Yeoh1, Huan-Keat Chan2
1Palliative Care Unit, Department of Medicine, Hospital Sultanah Bahiyah, Kedah, Malaysia.
The Malaysian journal of medical sciences : MJMS
|July 10, 2023
概括
马来西亚医生表现出不一致的知识和负面看法,关于吗啡用于晚期癌症疼痛管理. 缺乏充分的培训机会被认为是有效控制疼痛的重要障碍.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医学教育 医学教育
背景情况:
- 先进的癌症疼痛是普遍存在的,并且往往没有得到充分的治疗.
- 吗啡是癌症疼痛的关键止痛药,但它的使用面临挑战.
- 了解医生的知识和看法是改善癌症疼痛管理的关键.
研究的目的:
- 评估马来西亚医生关于在癌症疼痛中使用吗啡的知识,感知和障碍.
- 识别可能阻碍有效疼痛管理的培训和理解差距.
主要方法:
- 对各个学科的医生进行了39项利克尔特比例问卷调查.
- 数据是在2020年11月至12月期间在马来西亚一家普通医院收集的.
- 统计测试 (皮尔森的千平方,费舍尔的精确) 用于分析关联.
主要成果:
- 很少有医生接受过正式的息护理培训 (7.2%).
- 虽然对世卫组织止痛药阶梯的认识很高 (73.5%),但对吗啡成潜力的误解 (34.0%) 和对呼吸系统抑郁的恐惧 (57.9%) 是常见的.
- 初级医生和高级临床医生在知识和认知上存在显著差异,许多人表示培训不足.
结论:
- 在马来西亚的医生中,关于吗啡使用的知识和负面看法存在重大不一致.
- 障碍物,如对成的恐惧,呼吸系统抑郁和有限的访问,阻碍了最佳的癌症疼痛管理.
- 在息治疗和癌症疼痛管理方面加强培训对医疗保健提供者至关重要.
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