德国住院的疼痛管理:一个横截面研究
Christian Volberg1,2, Henning Schmidt-Semisch3, Julian Maul4
1Department of Anesthesia and Intensive Care, University Hospital Giessen and Marburg, Philipps University of Marburg, Marburg, Germany. christian.volberg@med.uni-marburg.de.
BMC palliative care
|January 3, 2024
概括
德国的临床医院使用各种各样的止痛药,包括甲米醇,水墨和普雷加巴林,以及补充疗法. 标准化疼痛管理协议并不常见,引发了关于减少疼痛的必要性和潜在益处的辩论.
科学领域:
- 息治疗和疼痛管理
- 医疗保健服务研究 医疗保健服务研究
背景情况:
- 疼痛是息治疗中普遍和复杂的问题,需要除药物治疗之外的多种治疗方法.
- 关于德国临终关怀机构内的疼痛管理实践的信息有限.
研究的目的:
- 进行全国性调查,以了解德国住院使用的疼痛管理策略的现状.
- 确定用于终身护理疼痛控制的药理和非药理干预措施的范围.
主要方法:
- 2020年6月,一项匿名的横截面调查分发给德国所有259个临终关怀中心.
- 响应率为57%,其中148家临终医院参与了调查.
主要成果:
- 用于治疗各种各样的止痛药,其中甲米是最常见的非阿片类止痛药,水母是最常见的阿片类药物,而普雷加巴林是常见的联合止痛药.
- 口服缓释配方通常被处方,而标准化治疗方案很少见.
- 芳香和音乐疗法等补充疗法是常见的,当其他选择失败时,息镇静被广泛使用.
结论:
- 该调查突出了德国医院疼痛管理选择的广泛范围.
- 与国际文献的比较提出了关于如此多种药物的必要性的问题,并表明标准化治疗方案的潜在好处.
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