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从慢性疼痛诊所获得的经验教训:对医疗服务提供者观点的定性研究

Lessons learned from the chronic pain clinic: a qualitative study of the perspectives of healthcare providers.

作者信息

Pandey Mamata, Paluck Elan, Maierhoffer Shelly, Rude Darlene, Oakes Larry, Marwah Radhika

机构信息

Research Department, Saskatchewan Health Authority, Regina, Saskatchewan, S4S 0A5, Canada.

Chronic pain clinic, 1056 Albert Street, Regina, Saskatchewan, S4R 2P8, Canada.

出版信息

Pain Manag. 2023 Aug;13(8):457-471. doi: 10.2217/pmt-2023-0048. Epub 2023 Aug 31.

Abstract

The chronic pain clinic (CPC) was established to address chronic non-cancer pain and opioid-related harm. Employing community participatory research design First Nation Metis representatives, clinicians and a researcher collectively agreed to document lessons learned from healthcare providers' perspective, 1 year post-clinic-implementation. 17 individual interviews were conducted. Thematic analysis revealed that a multidisciplinary team offered client-centered care, education, counseling and multimodal treatment options. Medication reviews and case management ensured patient safety. Communication and education of community providers enhanced pain management capacity ensuring safe opioid prescribing. Evidence-based best practices were implemented through system-level monitoring. Access to Indigenous healing strategies provided culturally responsive spiritual care upon request. The multidisciplinary and multimodal CPC care model effectively manages chronic non-cancer pain.

摘要

慢性疼痛诊所(CPC)的设立是为了解决慢性非癌性疼痛以及与阿片类药物相关的危害。采用社区参与式研究设计,第一民族梅蒂斯代表、临床医生和一名研究人员共同同意,从医疗服务提供者的角度记录诊所实施一年后的经验教训。进行了17次个人访谈。主题分析表明,多学科团队提供以客户为中心的护理、教育、咨询和多模式治疗选择。药物审查和病例管理确保了患者安全。与社区医疗服务提供者的沟通和教育提高了疼痛管理能力,确保了阿片类药物的安全处方。通过系统层面的监测实施了基于证据的最佳实践。根据要求提供的本土治疗策略提供了具有文化适应性的精神关怀。多学科和多模式的CPC护理模式有效地管理了慢性非癌性疼痛。

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