提供者对布普伦诺芬处方治疗癌症相关疼痛的障碍
Katarina E AuBuchon1, KerriAnn M Boanca2, Nikhitha Muthineni1
1Department of Oncology (K.E.A., N.M., M.A.E.), Georgetown University, Washington, District of Columbia.
Journal of pain and symptom management
|February 17, 2025
概括
瘤学和息护理提供者知道布普伦诺芬对癌症疼痛有效,但由于知识差距和耻辱感,他们很少开处方. 需要教育和合作来改善它的使用.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 疼痛管理 疼痛管理
- 药理学 药理学是指药理学的学科.
背景情况:
- 全激素阿片类药物是癌症疼痛的标准,但部分激素阿片类药物如布普伦诺芬提供了更好的安全性.
- 在瘤学和息护理提供者中,对治疗癌症疼痛的布普伦诺芬的处方模式和看法尚不清楚.
研究的目的:
- 评估瘤学和息护理提供者对布普伦诺芬治疗癌症相关疼痛的认识,感知和处方模式.
- 为了确定阻碍布普伦诺芬在癌症疼痛管理中的使用障碍.
主要方法:
- 42名瘤和息护理提供者通过网络完成了一项调查.
- 该调查评估了阿片类药物处方习惯,对布普伦诺芬的认识,以及对其使用的障碍.
- 统计测试 (t 测试,奇方,相关性) 比较了提供者群体,并检查了障碍和处方意图之间的关系.
主要成果:
- 大多数医疗服务提供者 (81%) 知道布普伦诺芬,80%的人认为它有效治疗癌症疼痛,但很少有人开处方 (瘤学0%,息5%).
- 瘤医疗提供者指出缺乏处方知识,而息治疗提供者则指出阿片类药物污名和患者获取问题.
- 与其他阿片类药物相比,对布普伦诺芬的处方意图与其有效性和有利的副作用概况的信念相关.
结论:
- 在瘤学团队中,关于使用布普伦诺芬治疗癌症疼痛的知识存在重大差距.
- 建议针对瘤学提供者进行教育干预.
- 瘤学和息护理团队之间的加强合作可以帮助减少耻辱感,并改善患者关于布普伦诺芬的沟通.
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