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评估患者满意度及疼痛强度,以此作为癌症相关疼痛管理的结果。

Assessing patients' satisfaction and intensity of pain as outcomes in the management of cancer-related pain.

作者信息

Panteli Vassiliki, Patistea Evangelia

机构信息

Agii Anargiri Oncology Hospital, 5 Papagrigoriadoy Street, 143 42, New Philadelphia, Athens, Greece.

出版信息

Eur J Oncol Nurs. 2007 Dec;11(5):424-33. doi: 10.1016/j.ejon.2007.09.002. Epub 2007 Nov 28.

Abstract

This study evaluated clinical outcomes in the management of cancer pain in terms of pain severity, pain relief and satisfaction with pain management. It was conducted in a large oncology hospital in Athens, Greece and utilized the American Pain Society's Patient Outcome Questionnaire. Information was also collected about the quality of interpersonal relationships with nurses through qualitative comments. A convenience sample of 70 hospitalized adult patients constituted the study population. Despite the high levels of pain observed indicating ineffective treatment, the subjects reported to be "satisfied" or "very satisfied" with the management of their pain and the general care given. Several significant differences and relationships were found between the variables examined. Nurses had developed therapeutic relationships and effective communication with the patients. Further, qualitative comments made by 17 patients provided rich data of rational and humanistic aspects of nursing. Medical and nursing curricula and clinical training in Greece should put more emphasis on pain management. Also, efforts should be channeled so that the management of pain receives a more organised and formal attention in clinical settings. The establishment of pain clinics in Hellenic oncology facilities is a clinical priority.

摘要

本研究从疼痛严重程度、疼痛缓解情况以及对疼痛管理的满意度等方面评估了癌症疼痛管理的临床结果。该研究在希腊雅典的一家大型肿瘤医院进行,采用了美国疼痛协会的患者结果调查问卷。还通过定性评论收集了有关与护士人际关系质量的信息。70名住院成年患者的便利样本构成了研究人群。尽管观察到的高水平疼痛表明治疗无效,但受试者报告对其疼痛管理和所提供的总体护理“满意”或“非常满意”。在所检查的变量之间发现了几个显著差异和关系。护士与患者建立了治疗关系并进行了有效的沟通。此外,17名患者的定性评论提供了丰富的护理理性和人文方面的数据。希腊的医学和护理课程以及临床培训应更加重视疼痛管理。此外,应做出努力,以便在临床环境中对疼痛管理给予更有组织和正式的关注。在希腊肿瘤设施中设立疼痛诊所是一项临床优先事项。

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