Pohl Gudrun, Marosi Christine, Dieckmann Karin, Goldner Gregor, Elandt Katarzyna, Hassler Marco, Schemper Michael, Strasser-Weippl Kathrin, Nauck Friedemann, Gaertner Jan, Watzke Herbert
Department of Internal Medicine, Hospital Krems, Krems, Austria.
Wien Med Wochenschr. 2012 Jan;162(1-2):18-28. doi: 10.1007/s10354-011-0046-z.
Dyspnea is common in advanced cancer patients with opioids as first line treatment.
To evaluate the level of knowledge about diagnosis and treatment of dyspnea in palliative care patients among 4th year students.
A case report was distributed to the students describing acute dyspnea in a lung cancer patient. Students were asked to rank their diagnosis and treatment options by importance.
633 medical students in their 4th year attended a seminar about palliative care. Of these, 423 (77%) completed the case report. The most frequent diagnostic option was measuring patient's oxygen saturation (n = 388), followed by auscultation (n = 339). As treatment options, students chose the delivery of oxygen (n = 393) as most important. The application of opioids was suggested by a total of 138 students.
Although students did not have practical skills in treating advanced cancer patients with acute dyspnea, 32.6% would suggest an opioid as treatment option.
呼吸困难在晚期癌症患者中很常见，阿片类药物是一线治疗药物。
评估四年级医学生对姑息治疗患者呼吸困难诊断和治疗的了解程度。
向学生发放一份病例报告，描述一名肺癌患者的急性呼吸困难情况。要求学生按重要性对其诊断和治疗方案进行排序。
633名四年级医学生参加了一次关于姑息治疗的研讨会。其中，423名（77%）完成了病例报告。最常见的诊断方法是测量患者的血氧饱和度（n = 388），其次是听诊（n = 339）。作为治疗方案，学生们选择提供氧气（n = 393）作为最重要的措施。共有138名学生建议使用阿片类药物。
尽管学生们在治疗晚期癌症急性呼吸困难患者方面没有实践技能，但32.6%的学生建议将阿片类药物作为治疗选择。
