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Cancer patients' experiences of care related to pain management before and after palliative care referral

机译:癌症患者在姑息治疗转诊前后与疼痛处理相关的护理经验

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摘要

Pain is the main problem for patients with cancer referred to palliative care (PC). Pain management in PC requires a multidimensional approach. A questionnaire was used to determine cancer patients' experiences of care related to pain management, before and after being referred to PC, and to also discover possible correlations between pain control and other aspects of care. Seventy-five consecutive patients from two PC teams were included in the study. The patients had experienced a statistically significant (P < 0.01) improvement in care after being referred to PC, despite the fact that pain control had not been optimized. Patients' description of 'pain control' after being referred to PC had a statistically significant correlation with their 'feeling of security' and 'continuity of care' throughout the same period. The conclusion is that care provided in PC is vital to successful pain management. Pain control depends not only on analgesics but also on many other aspects of care provided by the nurse. Continuity of care and the opportunity to talk increases the patients' feeling of security, which is also of utmost importance to successful pain management.
机译:疼痛是被称为姑息治疗(PC)的癌症患者的主要问题。 PC中的疼痛管理需要多维方法。问卷被用来确定癌症患者在转诊至PC之前和之后与疼痛管理相关的护理经验,并发现疼痛控制与其他护理方面的可能关联。来自两个PC小组的75位连续患者被纳入研究。尽管疼痛控制尚未得到优化,但转诊至PC后,患者的护理统计学上有显着改善(P <0.01)。病人在转诊至PC后对“疼痛控制”的描述与他们在同一时期的“安全感”和“护理连续性”具有统计学显着的相关性。结论是,在PC中提供的护理对于成功进行疼痛管理至关重要。控制疼痛不仅取决于止痛药,还取决于护士提供的许多其他方面的护理。持续的护理和交谈的机会增加了患者的安全感,这对于成功地控制疼痛也至关重要。

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