在部骨折患者的慢性术后疼痛的一般实践管理:一种定性研究
Wenshu Cao1, Jizhong Ye1, Yini Yan1
1Tianlin Community Health Center of Xuhui District, Shanghai, China.
Frontiers in medicine
|January 30, 2024
概括
上海的全科医生面临的挑战是,在部骨折后管理慢性术后疼痛 (CPSP). 改善沟通,获得专家的机会和坚持是改善患者结果的关键.
科学领域:
- 老年医学 老年医学
- 疼痛管理 疼痛管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 骨折在老年人中很普遍,经常导致慢性术后疼痛 (CPSP).
- 在医院到社区过渡期间有效管理CPSP至关重要,但研究不足.
- 本研究探讨了全科医生 (GP) 关于在中国上海关骨折后患者中管理CPSP的观点.
研究的目的:
- 调查全科医生 (GPs) 关于治疗骨骨折后老年患者的慢性术后疼痛 (CPSP) 的观点.
- 确定全科医生在为这些患者提供护理时所面临的挑战和障碍.
- 为改善社区环境中CPSP管理的战略提供信息.
主要方法:
- 采用了一种描述性的定性研究设计.
- 与上海的志愿医生进行了半结构化采访.
- 这项研究是通过先前对CPSP关节骨折后的全科医院护理的区域调查进行的.
主要成果:
- 一般医生在CPSP管理方面的护理优先事项各不相同.
- 挑战包括在咨询期间选择适当的药理疗法和时间限制.
- 一般医生强调需要更好的医院出院沟通,对疼痛专家和相关卫生服务的访问有限,以及患者遵守问题的需求.
结论:
- 患者,提供者和系统层面的因素显著影响GP对CPSP骨折后骨折的管理.
- 加强跨学科沟通和基于证据的CPSP指南的教育是解决GP知识差距的必要.
- 减少医疗保健接入障碍对于促进基于指南的CPSP护理至关重要.
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