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鞘内导管:在澳大利亚珀斯实现过滤器使用和敷料的一致性。

Intrathecal catheters: developing consistency in filter use and dressings in Perth, Australia.

作者信息

Cousins Kerry, Duggan Geoff, Panizza Natalie, Tinnelly Karen, Vojkovic Susie, White Kate

机构信息

Silver Chain Hospice Care Service, 6 Sundercombe Street, Osborne Park, WA 6017, Australia.

出版信息

Int J Palliat Nurs. 2003 Jul;9(7):308-14. doi: 10.12968/ijpn.2003.9.7.11515.

Abstract

The use of opioids presents practitioners with many challenges, such as the variation in responses and side effects seen with traditional methods of administration. This has prompted an increase in the consideration of the intrathecal route for the management of patients with refractory cancer pain. Although this has increased the therapeutic options available to patients, it has also led to more complicated pain management strategies. In Perth, Western Australia, it was identified that clinical variations, especially in the programming of the pump maintenance of the filters and associated dressings, occurred between service providers, causing confusion and anxiety for patients, families and practitioners. This article discusses a review of nursing management of patients receiving intrathecal analgesia and the collaboration of all services in the development of evidence-based policy.

摘要

阿片类药物的使用给从业者带来了诸多挑战,例如传统给药方法中所见的反应和副作用的差异。这促使人们更多地考虑采用鞘内途径来管理难治性癌痛患者。尽管这增加了患者可获得的治疗选择,但也导致了更复杂的疼痛管理策略。在西澳大利亚州的珀斯,人们发现服务提供者之间存在临床差异,尤其是在泵维护过滤器及相关敷料的设置方面,这给患者、家属和从业者带来了困惑与焦虑。本文讨论了对接受鞘内镇痛患者的护理管理回顾以及所有服务部门在制定循证政策方面的协作。

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