疼痛管理及其在伊朗癌症患者的挑战:混合方法研究研究
Maryam Esmaeili1, Maryam Rassouli2,3, Maryam Karami4
1Department of Intensive Care and Management, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
BMJ open
|November 30, 2025
概括
在伊朗,有效的癌症疼痛管理面临着重大挑战. 障碍包括低估,对治疗的抵抗,以及缺乏协作,需要全面的系统改革.
科学领域:
- 在瘤学瘤学.
- 疼痛管理 疼痛管理
- 医疗保健系统研究 医疗保健系统研究
背景情况:
- 有效的疼痛管理对于癌症患者的生活质量至关重要.
- 伊朗在提供最佳癌症疼痛护理方面面临着独特的挑战.
研究的目的:
- 识别和解释在伊朗有效的癌症疼痛管理的多方面的挑战.
- 从医疗保健提供者和利益相关者的角度探索障碍.
主要方法:
- 融合混合方法研究整合定量和定性数据.
- 定量阶段:对320名医疗保健提供者进行了关于知识,态度和感知障碍的调查.
- 定性阶段:与10个利益相关者 (患者,护理人员,决策者,临床医生) 进行半结构面试.
主要成果:
- 超过65%的提供者没有定期评估疼痛;只有29.1%的人认为药物治疗是有效的.
- 在专业,患者和组织领域 (身体,心理,社会,精神) 确定了13个障碍.
- 观察到一致的低估,法律/文化抵抗以及缺乏跨学科合作的模式.
结论:
- 多层次的障碍系统阻碍了伊朗的癌症疼痛管理.
- 挑战的根源在于多个维度的专业,患者和组织因素.
- 整体改革整合结构,文化和临床解决方案是改善疼痛管理和协调所必需的.
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