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癌症疼痛管理中的障碍。

Barriers in cancer pain management.

作者信息

Fazeny B, Muhm M, Hauser I, Wenzel C, Mares P, Berzlanovich A, Hagmeister H, Marosi C

机构信息

Department of Internal Medicine I/Oncology, University of Vienna, Austria.

出版信息

Wien Klin Wochenschr. 2000 Nov 24;112(22):978-81.

PMID:11142136
Abstract

Inadequate pain management of cancer patients remains a striking problem despite impressive scientific progress in the knowledge of the pathophysiology, pathogenesis and therapy of pain. Our paper focuses on three topics: 1. physician-related barriers, 2. patient-related barriers, and 3. society- and tradition-related barriers as well as government regulations. It is imperative to overcome these barriers, especially since legal regulations for pain management were embodied into statutory regulations in Austria two years ago.

摘要

尽管在疼痛的病理生理学、发病机制及治疗方面的知识取得了显著的科学进展,但癌症患者疼痛管理不足仍是一个突出问题。我们的论文聚焦于三个主题:1. 与医生相关的障碍;2. 与患者相关的障碍;3. 与社会和传统相关的障碍以及政府法规。克服这些障碍势在必行,特别是因为两年前奥地利已将疼痛管理的法律法规纳入了法定条例。

相似文献

1
Barriers in cancer pain management.癌症疼痛管理中的障碍。
Wien Klin Wochenschr. 2000 Nov 24;112(22):978-81.
2
The barriers to adequate pain management with opioid analgesics.使用阿片类镇痛药进行充分疼痛管理的障碍。
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Physicians' attitudes toward pain and the use of opioid analgesics: results of a survey from the Texas Cancer Pain Initiative.医生对疼痛及阿片类镇痛药使用的态度:得克萨斯州癌症疼痛倡议调查结果
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Overcoming barriers to pain relief in the Caribbean.克服加勒比地区缓解疼痛的障碍。
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Pharmacologic management of cancer pain.癌症疼痛的药物治疗
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[What is guaranteed in pain therapy of cancer patients?].[癌症患者疼痛治疗中能保证什么?]
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Protocol for a phase III pragmatic stepped wedge cluster randomised controlled trial comparing the effectiveness and cost-effectiveness of screening and guidelines with, versus without, implementation strategies for improving pain in adults with cancer attending outpatient oncology and palliative care services: the Stop Cancer PAIN trial.一项 III 期实用阶梯式随机对照集群临床试验方案,旨在比较在改善接受肿瘤门诊和姑息治疗服务的成年癌症患者疼痛方面,使用与不使用实施策略的筛查和指南的有效性和成本效益:停止癌症疼痛试验。
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Niger Med J. 2014 Mar;55(2):106-10. doi: 10.4103/0300-1652.129635.
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Australian survey of current practice and guideline use in adult cancer pain assessment and management: perspectives of palliative care physicians.澳大利亚成人癌痛评估和管理中现行实践及指南使用的调查:姑息治疗医师的观点。
J Palliat Med. 2013 Nov;16(11):1403-9. doi: 10.1089/jpm.2013.0245. Epub 2013 Oct 29.
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Randomized clinical trial of an intensive nursing-based pain education program for cancer outpatients suffering from pain.随机对照临床试验:基于强化护理的癌症门诊疼痛患者疼痛教育方案
Support Care Cancer. 2009 Aug;17(8):1089-99. doi: 10.1007/s00520-008-0564-4. Epub 2008 Dec 23.