Kaki Abdullah M
Department of Anesthesia and Critical Care, Faculty of Medicine, King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia.
Saudi Med J. 2011 Jun;32(6):628-32.
To assess the final year medical students' knowledge, beliefs, and attitude toward cancer pain, and the need for a formal pain curriculum in medical schools.
An epidemiological study was conducted from May 2008 to October 2009 at King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia to assess the students' knowledge and attitude toward cancer pain management. A survey in the form of self-conducted questionnaire was distributed among them.
Response rate was 55% (N=325). Fifty-four percent of the respondents believed that <40% of cancer patients suffered from pain. Forty-six percent of them considered cancer pain as untreatable, while 41.6% considered pain as a minor problem, and 58.6% considered the risk of addiction is high with legitimate opioids' prescription. There are 23.1% of students believed that patients are poor judges of their pain, 68% of them limited opioids prescription to patients with poor prognosis, and 77.1% believed that drug tolerance or psychological dependence, rather than advanced stages' cancer is the cause of increasing analgesic doses. The students' knowledge on the causes of cancer pain, pain clinic rule, and pain inclusion in the medical curriculum was poor. The correlation between personal life experience and respondents' attitude toward cancer pain management did not reveal any statistical significant.
The study revealed poor knowledge and negative attitude of medical students' toward cancer pain. A structured teaching pain program is needed to improve the knowledge and attitude of future doctors toward pain.
评估医学专业最后一年学生对癌症疼痛的知识、信念和态度，以及医学院开设正式疼痛课程的必要性。
2008年5月至2009年10月在沙特阿拉伯王国吉达市阿卜杜勒阿齐兹国王大学医院进行了一项流行病学研究，以评估学生对癌症疼痛管理的知识和态度。以自行填写问卷的形式对他们进行了调查。
回复率为55%（N = 325）。54%的受访者认为<40%的癌症患者遭受疼痛。其中46%的人认为癌症疼痛无法治疗，41.6%的人认为疼痛是一个小问题，58.6%的人认为合理开具阿片类药物处方时成瘾风险很高。23.1%的学生认为患者对自己的疼痛判断不准确，68%的人将阿片类药物处方限制在预后不良的患者，77.1%的人认为是药物耐受性或心理依赖而非癌症晚期导致镇痛剂量增加。学生对癌症疼痛原因、疼痛诊所规则以及医学课程中疼痛内容的了解较差。个人生活经历与受访者对癌症疼痛管理的态度之间的相关性未显示出任何统计学意义。
该研究表明医学生对癌症疼痛的知识了解不足且态度消极。需要一个结构化的疼痛教学计划来提高未来医生对疼痛的知识和态度。
