Gunnarsdottir Sigridur, Donovan Heidi S, Ward Sandra
School of Nursing, University of Wisconsin-Madison, K6/348, 600 Highland Avenue, Madison, WI 53792-2455, USA.
Nurs Clin North Am. 2003 Sep;38(3):419-34, v. doi: 10.1016/s0029-6465(02)00093-2.
Barriers to optimal cancer pain management exist among clinicians and patients, and within the healthcare system. This article focuses on clinician- and patient-related barriers and the interventions that have been tested to overcome them. Although individual studies have shown promise in improving patient outcomes, overall the studies do not provide clear answers to guide practice. Further research is required to determine what components of educational interventions are necessary to facilitate optimal cancer pain management.
在临床医生、患者以及医疗系统中都存在着实现最佳癌症疼痛管理的障碍。本文重点关注与临床医生和患者相关的障碍以及为克服这些障碍而进行测试的干预措施。尽管个别研究已显示出改善患者治疗效果的前景,但总体而言,这些研究并未提供明确的答案来指导实践。需要进一步研究以确定教育干预措施的哪些组成部分对于促进最佳癌症疼痛管理是必要的。