Devulder J
Universitair Ziekenhuis Gent, België.
Acta Clin Belg. 1999 Dec;54(6):346-50. doi: 10.1080/17843286.1999.11754258.
In Belgium palliative hospices, palliative support teams in hospitals and palliative home care are well-developed. The author gave a lecture about pain treatment in palliative care and inquired after the knowledge and attitudes of 28 nurses and 45 physicians. A questionnaire containing questions about morphine and cancer pain treatment was completed by the attendees before and after the session. In the initial questionnaire the care-providers' attitudes towards palliative care and symptom control were included also. The Wilcoxon test revealed a significant difference in knowledge between the physicians and nurses before the session (p = 0.007). Afterwards knowledge had improved in both groups (p = 0.007) but a difference still remained (p = 0.007). This study reveals that continued education is mandatory. An oral presentation seems not ideal; interactive training with practical exercises might be more appropriate.
在比利时，姑息关怀临终关怀机构、医院的姑息支持团队以及姑息家庭护理都发展良好。作者举办了一场关于姑息治疗中疼痛处理的讲座，并询问了28名护士和45名医生的相关知识和态度。与会者在讲座前后填写了一份包含有关吗啡和癌症疼痛治疗问题的问卷。初始问卷中还纳入了护理人员对姑息治疗和症状控制的态度。威尔科克森检验显示，讲座前医生和护士在知识方面存在显著差异（p = 0.007）。之后两组的知识水平都有所提高（p = 0.007），但差异仍然存在（p = 0.007）。这项研究表明持续教育是必不可少的。口头报告似乎并不理想；进行带有实际操作练习的互动培训可能更为合适。
