Kasasbeh M A M, McCabe C, Payne S
Medical Ward, Connolly Hospital Blanchardstown, Dublin, Ireland.
School of Nursing & Midwifery, Trinity College Dublin, Dublin, Ireland.
Eur J Cancer Care (Engl). 2017 Nov;26(6). doi: 10.1111/ecc.12625. Epub 2016 Dec 27.
Cancer-related pain (CRP) is common and many patients continue to experience pain in spite of advances in pain management modalities. The lack of knowledge, inadequate assessment of CRP and/or organisational factors, such as lack of time due to heavy workload, can be a barrier to effective pain management of healthcare professionals. The purpose was to examine the evidence with regard to the knowledge and attitudes towards practice of healthcare professionals in relation to CRP management. A search of the literature (1999-2015) was conducted searching databases and journals including CINAHL, MEDLINE, PsycINFO, PubMed, Science Direct and Wiley-Blackwell. The initial search revealed a total of 99 articles and following removal of those that did not meet the inclusion criteria, 19 articles were included in the final review. Recognition of the widespread under treatment of CRP has prompted recent corrective efforts in terms of education from healthcare professionals, however, there is a continuing deficit in healthcare professionals' knowledge with regard to CRP management and indicated that healthcare professionals still have negative attitudes that hinder the delivery of quality care to patients suffering from CRP. Further research on how and where education on this topic should be delivered is required.
癌症相关疼痛（CRP）很常见，尽管疼痛管理方式有所进步，但许多患者仍会持续经历疼痛。知识的缺乏、对CRP评估不足和/或组织因素，如工作量大导致时间不足，可能成为医护人员有效管理疼痛的障碍。目的是研究医护人员在CRP管理方面的知识和实践态度的相关证据。检索了1999年至2015年的文献，搜索了包括CINAHL、MEDLINE、PsycINFO、PubMed、Science Direct和Wiley-Blackwell在内的数据库和期刊。初步检索共发现99篇文章，剔除不符合纳入标准的文章后，最终综述纳入19篇文章。认识到CRP普遍治疗不足的情况促使医护人员近期在教育方面做出了纠正努力，然而，医护人员在CRP管理知识方面仍存在持续不足，表明医护人员仍持有消极态度，这阻碍了为患有CRP的患者提供优质护理。需要进一步研究应如何以及在何处开展关于该主题的教育。
