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Cancer Pain and its Management: A Survey on Interns’ Knowledge, Attitudes and Barriers

机译:癌痛及其管理:关于实习生的知识,态度和障碍的调查

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摘要

Objective We conducted this study to evaluate the knowledge and attitudes of interns regarding cancer pain and its management. Materials and methods This study included 116 interns recently graduated from the Faculty of Medicine, Prince of Songkla University. They provided their demographic characteristics and completed a questionnaire in regards to their knowledge and attitudes about cancer pain and its management. Results Data were obtained from 116 interns. The majority of interns did not hesitate to provide maximal doses of analgesics for patients in severe pain when the prognosis was poor. A significant number favored to prescribe pethidine more than morphine and thought that pethidine caused less harmful effects in long-term use. Most respondents agreed or strongly agreed that they would prescribe opioids carefully to avoid tolerance and addiction. They considered that barriers to effective pain management were inadequate knowledge, inadequate pain assessment and lack of time to attend patients’ requirements. Conclusion The interns demonstrated positive attitudes toward cancer pain and its management, principally on opioid usage. However, a significant number of them had misconceptions in terms of knowledge for prescribing opioids. To provide better cancer pain management, attention must be given to improving the curriculum and integrating it into clinical practice.
机译:目的我们进行了这项研究,以评估实习生对癌症疼痛及其治疗的知识和态度。材料和方法这项研究包括116名最近从宋卡王子大学医学部毕业的实习生。他们提供了自己的人口统计学特征,并就他们对癌症疼痛及其治疗的知识和态度完成了一份调查问卷。结果数据来自116名实习生。当预后较差时,大多数实习生会毫不犹豫地为严重疼痛的患者提供最大剂量的镇痛药。大量的人赞成给哌替啶开处方而不是吗啡,并认为哌替啶在长期使用中对人体的危害较小。大多数受访者同意或强烈同意,他们将谨慎开出阿片类药物以避免耐受和成瘾。他们认为,有效的疼痛管理的障碍是知识不足,疼痛评估不足和缺乏时间来满足患者的要求。结论实习生对癌症疼痛及其治疗表现出积极态度,主要是对阿片类药物的使用。但是,他们中的许多人在处方阿片类药物的知识方面存在误解。为了提供更好的癌症疼痛管理,必须注意改进课程并将其纳入临床实践。

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