Bergeron Dave A, Bourgault Patricia, Gallagher Frances
Pain Res Manag. 2015 Mar-Apr;20(2):101-6. doi: 10.1155/2015/501616.
Thousands of people treated in primary care are currently experiencing chronic pain (CP), for which management is often inadequate. In Quebec, nurses in family medicine groups (FMGs) play a key role in the management of chronic health problems.
The present study aimed to describe the activities performed by FMG nurses in relation to CP management and to describe barriers to those activities.
A descriptive correlational cross-sectional postal survey was used. The accessible population includes FMG nurses on the Ordre des infirmières et infirmiers du Québec list. All nurses on the list who provided consent to be contacted at home for research purposes were contacted. A self-administered postal questionnaire (Pain Management Activities Questionnaire) was completed by 53 FMG nurses.
Three activities most often performed by nurses were to establish a therapeutic relationship with the client; discuss the effectiveness of therapeutic measures with the physician; and conduct personalized teaching for the patient. The average number of individuals seen by interviewed nurses that they believe suffer from CP was 2.68 per week. The lack of knowledge of possible interventions in pain management (71.7%) and the nonavailability of information on pain management (52.8%) are the main barriers perceived by FMG nurses.
FMG nurses are currently performing few activities in CP management. The nonrecognition of CP may explain this situation.
目前，在初级保健机构接受治疗的数千人正在经历慢性疼痛（CP），而对其管理往往不足。在魁北克，家庭医学团队（FMG）中的护士在慢性健康问题的管理中发挥着关键作用。
本研究旨在描述FMG护士在CP管理方面开展的活动，并描述这些活动所面临的障碍。
采用描述性相关性横断面邮政调查。可及人群包括魁北克护士协会名单上的FMG护士。联系了名单上所有同意为研究目的在家中接受联系的护士。53名FMG护士完成了一份自填式邮政问卷（疼痛管理活动问卷）。
护士最常开展的三项活动是与患者建立治疗关系；与医生讨论治疗措施的有效性；以及为患者进行个性化教学。接受访谈的护士认为每周患有CP的平均人数为2.68人。FMG护士认为疼痛管理中可能干预措施的知识缺乏（71.7%）和疼痛管理信息不可获取（52.8%）是主要障碍。
FMG护士目前在CP管理方面开展的活动较少。对CP的认识不足可能解释了这种情况。
