息医学医生使用数值评分表来评估晚期癌症患者疼痛的经验:一种定性研究
Lisa Martinsson1,2, Margareta Brännström3, Per Fransson4
1Diagnostics and Intervention, Oncology, Umeå University, Umeå, Sweden lisa.martinsson@umu.se.
BMJ open
|January 7, 2026
概括
息护理医生发现使用数值评分表 (NRS) 进行癌症疼痛评估复杂. 解释NRS评级对团队构成挑战,特别是在认知障碍患者中.
科学领域:
- 抚慰性医学是一种缓解性医学.
- 在瘤学瘤学.
- 疼痛管理 疼痛管理
背景情况:
- 数值评分表 (NRS) 是一种广泛使用的疼痛评估工具.
- 癌症患者在专门的息治疗中经常经历复杂的疼痛条件.
研究的目的:
- 描述息医学医生使用NRS对癌症患者进行疼痛评估的经验.
- 探索与NRS疼痛评估相关的挑战和复杂性.
主要方法:
- 使用反射主题分析进行定性研究.
- 与14名息医学医生进行的半结构面试.
- 在专门的息护理机构进行的采访.
主要成果:
- 出现了四个主要主题:"努力创造共同的理解"",满足个人需求"",解读和管理评级"和"组织结构的重要性".
- 医生在解释NRS评级时遇到挑战,突出了从共享理解到组织问题的过程.
- 该研究揭示了在实践中使用看似简单的NRS工具的复杂性.
结论:
- 虽然NRS是常见的,但它对息治疗团队,特别是癌症患者提出了重大解释挑战.
- 卫生保健教育和息护理培训应解决疼痛评估的复杂性,特别是对于认知障碍患者.
- 未来的研究应该专注于开发可靠的疼痛评估方法,用于认知障碍癌症患者.
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