调查血友病患者疼痛管理方面的医疗专业人员技能和知识的差距分析 - - 定性研究
Paul McLaughlin1,2, Pratima Chowdary1,2, Catherine Harrison3
1Katharine Dormandy Haemophilia and Thrombosis Centre, Royal Free Hospital, London, UK.
概括
血友病护理的医疗专业人员报告说,由于信任差距和不清楚的责任,疼痛管理不足. 提高知识和定义角色是改善患者疼痛控制的关键.
科学领域:
- 医学研究
- 治疗疼痛
- 血友病护理
背景情况:
- 尽管血友病治疗方面取得了进展, 但患者仍然遭受影响日常生活的痛苦.
- 目前对血友病的临床疼痛治疗是不充分的,实践中存在持续的差距.
- 这种持续存在的疼痛管理缺陷的原因尚不清楚.
研究的目的:
- 探索血友病医疗保健专业人员 (HCP) 关于疼痛管理的做法和经验.
- 了解医务人员在疼痛管理方面的认知能力.
- 确定血友病患者适当治疗疼痛的障碍和促进因素.
主要方法:
- 欧洲血友病护理工作经验≥3年的医疗人员参与了这项研究.
- 数据采集涉及专业重点小组和半结构面试.
- 使用反思性主题分析来分析收集的数据.
主要成果:
- 四个主要主题出现了:多学科团队责任的挑战,疼痛管理的多重时间性,生物医学制定的局限性以及知识和经验对信心的积极影响.
- 缺乏对有效治疗疼痛的信心.
- 个人知识,技能和地理位置的医疗决定因素影响了疼痛管理.
结论:
- 医疗保健专业人员对有效的血友病疼痛管理的信心存在重大差距.
- 在多学科团队中建立明确的责任和理解专业角色至关重要.
- 需要进一步探索,以开发支持在血友病中改善疼痛治疗的机制.
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