Cleeland C S, Cleeland L M, Dar R, Rinehardt L C
Cancer. 1986 Aug 1;58(3):796-800. doi: 10.1002/1097-0142(19860801)58:3<796::aid-cncr2820580331>3.0.co;2-#.
It has been asserted that pain due to cancer is not adequately managed, and that physician attitudes may contribute to poor management. Based on responses to questionnaire items assessing attitudes that have been identified as affecting the quality of pain management, two groups of physicians were identified using cluster analysis on selected questionnaire items, and the responses of the two clusters to questions concerning their approach toward pain management were compared. With reference to reported practice, Cluster I physicians (N = 19) were willing to prescribe more potent analgesics and to do so earlier in the course of the disease as compared to Cluster II (N = 72). Cluster I members reported using more modalities of pain therapy, and more often saw scheduled analgesics as appropriate for the management of cancer pain. Groups did not differ in composition of medical specialty, nor in number of cancer patients cared for. More "liberal" attitudes toward pain management were associated with younger age and with more experience in specialized oncology units.
有人断言，癌症引起的疼痛没有得到充分管理，医生的态度可能导致管理不善。基于对评估已确定影响疼痛管理质量的态度的问卷项目的回答，通过对选定问卷项目进行聚类分析，确定了两组医生，并比较了这两个聚类对有关其疼痛管理方法问题的回答。与报告的做法相比，第一组医生（N = 19）比第二组医生（N = 72）更愿意开更强效的镇痛药，并且在疾病过程中更早开出处方。第一组成员报告使用更多的疼痛治疗方式，并且更经常认为定时镇痛药适用于癌症疼痛的管理。两组在医学专业组成上没有差异，在所护理的癌症患者数量上也没有差异。对疼痛管理更“开明”的态度与更年轻的年龄以及在专门肿瘤科室的更多经验有关。
