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疼痛管理需求评估:对一家大型学术综合癌症中心放射治疗师的调查

Pain Management Needs Assessment: A Survey of Radiation Therapists at a Large Academic Comprehensive Cancer Centre.

作者信息

Di Prospero Lisa, Thavarajah Nemica, Chen Emily, Jon Florencia, Chow Edward, Holden Lori

机构信息

Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Canada; Department of Radiation Oncology, University of Toronto, Canada.

Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Canada.

出版信息

J Med Imaging Radiat Sci. 2012 Dec;43(4):214-220.e2. doi: 10.1016/j.jmir.2012.06.003. Epub 2012 Aug 27.

Abstract

OBJECTIVE

To determine the knowledge of pain management among the radiation therapists (RTs) at the Odette Cancer Centre (OCC) to aid in the development of a formalized education strategy.

METHODS

A needs assessment survey comprising eight topics pertaining to pain management was distributed to 130 RTs at the OCC. Survey topics were ranked using a 4-point Likert scale based on preference for further education, familiarity with the topic, and relevance to practice.

RESULTS

RTs rated topics pertaining to the undertreatment, pathophysiology, assessment, diagnosis, and treatment of pain as the most relevant topics requiring further education. RTs were most unfamiliar with topics concerning opioids and addiction, but did not find a need for further education. They also felt that breakthrough cancer pain was the most significant topic for further education.

CONCLUSION

Implementation of an educational intervention for RTs to more effectively and efficiently address pain management for their patient population is needed. Topics of most clinical relevance include: undertreatment of pain, pathophysiology of pain, assessment and diagnosis of acute and chronic pain as well as its treatment.

摘要

目的

确定奥德特癌症中心(OCC)放射治疗师(RTs)对疼痛管理的了解程度,以协助制定正式的教育策略。

方法

向OCC的130名RTs发放了一份包含八个与疼痛管理相关主题的需求评估调查问卷。根据对继续教育的偏好、对主题的熟悉程度以及与实践的相关性,使用4点李克特量表对调查主题进行排名。

结果

RTs将与疼痛治疗不足、病理生理学、评估、诊断和治疗相关的主题评为最需要继续教育的相关主题。RTs对与阿片类药物和成瘾相关的主题最不熟悉,但认为无需继续教育。他们还认为突破性癌痛是最需要继续教育的重要主题。

结论

需要对RTs实施教育干预,以便更有效且高效地解决其患者群体的疼痛管理问题。最具临床相关性的主题包括:疼痛治疗不足、疼痛病理生理学、急慢性疼痛的评估与诊断及其治疗。

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