Palliative Care's Role Managing Cancer Pain During the Opioid Crisis: A Qualitative Study of Patients, Caregivers, and Clinicians.
Palliative Care's Role Managing Cancer Pain During the Opioid Crisis: A Qualitative Study of Patients, Caregivers, and Clinicians.
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姑息治疗在阿片类药物危机期间管理癌症疼痛的角色：对患者，看护人和临床医生的定性研究。
DOI：
10.1016/j.jpainsymman.2020.06.039
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发表时间：
2020-12
影响因子：
4.7
通讯作者：
Keirns CC
中科院分区：
文献类型：
--
作者：
Brooks JV;Poague C;Formagini T;Roberts AW;Sinclair CT;Keirns CC
癌症患者因疾病和治疗而面临症状，疼痛是常见而复杂的。阿片类药物危机可能会使患者和临床医生在癌症治疗中管理疼痛的经历复杂化。在我们对门诊癌症中心姑息治疗（PC）的认知和经验的研究中，我们检查了整个癌症治疗过程中围绕症状管理的沟通，疼痛及其管理显得尤为突出。本文的目的是描述，从患者，护理人员和肿瘤卫生保健专业人员的角度，PC在导航阿片类药物危机中疼痛管理的复杂动态中的作用。一个定性的描述性研究与接地理论组成部分，旨在调查经验和感知专家PC和症状管理，包括疼痛。访谈录音并转录，重点编码从所有三个角度确定与疼痛和疼痛管理相关的主题。约44名患者、护理人员和非pc医疗保健专业人员完成了访谈。癌症患者及其护理人员对疼痛管理有很多担忧，尤其关注阿片类药物的使用和耻辱。对于患者来说，PC改善了疼痛管理，并有助于消除适当疼痛管理的污名。肿瘤临床医生报告说，与PC合作促进了复杂的疼痛管理，并为患者提供了关于阿片类药物推荐的道德支持。在阿片类药物危机中，PC为患者和其他肿瘤专业人员提供了独特的支持，以最佳方式应对癌症护理中疼痛管理的复杂性。
Patients with cancer face symptoms because of disease and treatment, and pain is common and complex. The opioid crisis may complicate patients’ and clinicians’ experiences of managing pain in cancer care. In our study of perceptions and experiences with palliative care (PC) at an outpatient cancer center, we examined communication around symptom management throughout cancer care, and pain and its management emerged as particularly salient. The objective of this article is to describe, from the perspectives of patients, caregivers, and oncology health care professionals, the role of PC in navigating the complicated dynamics of pain management amidst the opioid crisis. A qualitative descriptive study with grounded theory components was designed to investigate experiences with and perceptions of specialist PC and symptom management, including pain. Interviews were audiorecorded and transcribed, and focused coding identified themes related to pain and pain management from all three perspectives. About 44 patients, caregivers, and non-PC health care professionals completed interviews. Patients with cancer and their caregivers had many concerns about pain management and were specifically concerned about opioid use and stigma. For patients, PC improved pain management and helped to destigmatize appropriate pain management. Oncology clinicians reported that partnering with PC facilitated complex pain management and also provided moral support around difficult opioid recommendations for patients. PC offers the potential to uniquely support both patients and other oncology professionals in optimally navigating the complexity around pain management for cancer care in the midst of the opioid crisis.
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影响因子：
4.7
作者：
Bender, Jacqueline L.;Hohenadel, Joanne;Jadad, Alejandro R.
通讯作者：
Jadad, Alejandro R.
影响因子：
1.3
作者：
Korhan, Esra Akin;Yildirim, Yasemin;Uslu, Ruchan
通讯作者：
Uslu, Ruchan
影响因子：
4.7
作者：
Klint, Asa;Bondesson, Elisabeth;Schelin, Maria E. C.
通讯作者：
Schelin, Maria E. C.
影响因子：
45.3
作者：
Ferrell, Betty R.;Temel, Jennifer S.;Smith, Thomas J.
通讯作者：
Smith, Thomas J.
DOI：
10.1200/edbk_100020
发表时间：
2019-01-01
期刊：
American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting
影响因子：
--
作者：
Dalal, Shalini;Bruera, Eduardo
通讯作者：
Bruera, Eduardo