Palat Gayatri, Algotsson Charlotte, Rayala Spandana, Gebre-Medhin Maria, Brun Eva, Segerlantz Mikael
Department of Medical Oncology, MNJ Institute of Oncology and Regional Cancer Centre, Hyderabad, Telangana, India.
Department of Palliative Access (PAX) Program, MNJ Institute of Oncology and Regional Cancer Centre, Hyderabad, Telangana, India.
Indian J Palliat Care. 2021 Jul-Sep;27(3):382-404. doi: 10.25259/IJPC_383_20. Epub 2021 Nov 19.
This study aimed to describe the clinical experience of the health-care professionals (HCPs) responsible for the introduction of methadone, for the treatment of complex cancer pain, at a low-resource hospital in India in a patient-group, burdened by illiteracy, and low socio-economic status.
Ten HCPs: Four medical doctors, four nurses, one pharmacist, and one hospital administrator were interviewed. The interviews are examined using a qualitative conventional content analysis.
The interviews showed a confidence amongst the HCPs, responsible for the safe introduction of methadone in a stressful and low-resource surrounding, to patients with cancer pain and the different aspects of methadone, as initiation, titration, and maintenance of treatment.
Introduction of methadone for cancer pain management is safe and feasible although low resources in a challenging hospital setting and care environment.
本研究旨在描述在印度一家资源匮乏的医院中，负责引入美沙酮以治疗复杂癌症疼痛的医护人员（HCPs）的临床经验，该患者群体受文盲和社会经济地位低下的困扰。
采访了10名医护人员：4名医生、4名护士、1名药剂师和1名医院管理人员。采用定性常规内容分析法对访谈进行分析。
访谈显示，负责在压力大且资源匮乏的环境中安全地为癌症疼痛患者引入美沙酮的医护人员，对美沙酮治疗的启动、滴定和维持等不同方面充满信心。
尽管在具有挑战性的医院环境和护理环境中资源匮乏，但引入美沙酮用于癌症疼痛管理是安全可行的。
