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"我应该使用什么脚本? ":"慢性原发性疼痛的定性研究

Niamh Blythe¹, Carmel Hughes², Nigel D Hart³

¹School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK.

|July 25, 2024

概括

一般医生面临的挑战是诊断和管理慢性原发性疼痛 (CPP). 英国的指导方针提供了一个框架,但实际应用需要改善获得非药物治疗和多学科支持的机会.

科学领域:

疼痛医学医学疼痛医学
一般实践一般实践
医疗保健政策医疗保健政策

背景情况:

国际疾病分类,第11次修订 (ICD-11) 现在包括慢性初级疼痛 (CPP) 作为一个独特的诊断.
CPP侧重于没有可识别的潜在原因的痛苦的经历.
英国对CPP的指导标志着其作为独立条件的认可,但GP对其实施的观点未得到充分探索.

研究的目的:

调查全科医生 (GP) 对慢性初级疼痛 (CPP) 患者管理的看法.
确定全科医生在照顾CPP患者时所面临的挑战.
评估全科医生对英国CPP指南的认识和实际应用情况.

主要方法:

在英国的初级保健机构进行了一项定性采访研究.
通过从英格兰,北爱尔兰,威尔士和苏格兰的有目的和雪球采样,招募了15名全科医生.
半结构面试使用反射主题分析进行了分析.

主要成果:

诊断CPP的困难 ("有问题的开始").
管理CPP的挑战,包括导航可用服务 ("管理挑战的映射").
医生意识和接受英国慢性疼痛指导方针,并确定了加强非药物管理 (NPM) 的需求,二级护理准入,停止处方支持和多学科团队投入.

结论:

诊断和管理慢性原发性疼痛 (CPP) 对医疗保健提供者来说是相当复杂的.
虽然目前的指导方针提供了有价值的结构,但将其转化为有效的日常实践面临实际障碍.
改善获得非药物干预和综合护理的机会对于优化CPP管理至关重要.

关键词:

慢性疼痛是一种慢性疼痛.慢性原发性疼痛慢性原发性疼痛一般的医生一般的医生医疗保健指南医疗保健指南定性研究是指质量研究.

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