西班牙儿科慢性疼痛管理:一项基于网络的调查研究。

The management of pediatric chronic pain in Spain: a web-based survey study.

机构信息

Unit for the Study and Treatment of Pain-ALGOS, Chair in Pediatric Pain URV-FG, Research Center in Behavior Assessment and Measurement, Department of Psychology, Universitat Rovira i Virgili, Tarragona, Spain.

Institut d'Investigació Sanitària Pere Virgili, Reus, Spain.

出版信息

Curr Med Res Opin. 2021 Feb;37(2):303-310. doi: 10.1080/03007995.2020.1854208. Epub 2020 Dec 7.

Abstract

OBJECTIVE

To improve understanding of current practices in the treatment of children and adolescents with chronic pain in Spain.

METHODS

A web-based survey was conducted with a representative sample of healthcare professionals (i.e. general practitioners [GP] and pediatricians [P]) in Spain. The survey included 23 questions on the pain education and training they had been given, and on organizational issues and current practices in the assessment and management of children and adolescents with chronic pain in their current work.

RESULTS

The survey was completed by 191 professionals (75 GP and 116 P) with wide experience (mean number of years = 21; SD = 8) in the management of children and adolescents with chronic pain. Half of the participants reported that they had not been given any specific education or training on pediatric chronic pain management during their studies, and 80% acknowledged important gaps in their training. Although the majority assessed pain when attending children with chronic pain (80%), and almost all (96%) believed that protocols to guide the management of chronic pain in young people were necessary, only a third reported that they usually use a specific protocol. Less than 25% were part of a multidisciplinary team addressing the needs of children and adolescents with chronic pain.

CONCLUSIONS

This survey has identified considerable limitations in the management of children and adolescents with chronic pain in Spain. This information can now be used by policy makers to improve the care given to children and adolescents suffering from chronic pain and their families.

摘要

目的

增进对西班牙治疗儿童和青少年慢性疼痛的现行实践的了解。

方法

对西班牙的医疗保健专业人员(即全科医生[GP]和儿科医生[P])进行了一项基于网络的调查。该调查包括 23 个问题,涉及他们接受的疼痛教育和培训,以及在当前工作中评估和管理儿童和青少年慢性疼痛的组织问题和现行做法。

结果

191 名专业人员(75 名 GP 和 116 名 P)完成了这项调查,他们在管理儿童和青少年慢性疼痛方面经验丰富(平均年限为 21 年;标准差=8)。一半的参与者报告说,在学习期间,他们没有接受过任何关于儿科慢性疼痛管理的专门教育或培训,80%的人承认培训存在重要差距。尽管大多数人在为患有慢性疼痛的儿童就诊时评估疼痛(80%),几乎所有人(96%)都认为需要为年轻人管理慢性疼痛制定指导方案,但只有三分之一的人报告说他们通常会使用特定的方案。不到 25%的人是解决儿童和青少年慢性疼痛需求的多学科团队的一部分。

结论

这项调查发现,西班牙在管理儿童和青少年慢性疼痛方面存在很大的局限性。现在,决策者可以利用这些信息来改善对患有慢性疼痛的儿童及其家庭的护理。

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