The cancer pain practice index: a measure of evidence-based practice adherence for cancer pain management in older adults in hospice care.
The cancer pain practice index: a measure of evidence-based practice adherence for cancer pain management in older adults in hospice care.
复制标题
癌症疼痛实践指数：衡量临终关怀中老年人癌症疼痛管理循证实践依从性的指标。
DOI：
10.1016/j.jpainsymman.2009.09.027
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发表时间：
2010
影响因子：
4.7
通讯作者：
Reyes,Jimmy
中科院分区：
文献类型：
--
作者：
Fine,Perry;Herr,Keela;Titler,Marita;Sanders,Sara;Cavanaugh,Joe;Swegle,John;Forcucci,Chris;Tang,Xiongwen;Lane,Kari;Reyes,Jimmy
多年来，已经出现了各种涉及疼痛评估和管理的临床实践指南，这些指南至少在某种程度上适用于老年癌症患者。尽管如此，在医疗保险认证的临终关怀计划中，缺乏对疼痛管理实践指南遵守情况的系统评估或方法学上合理的研究。作为一项涉及临终关怀项目中老年癌症患者的更大规模的将研究转化为实践的疼痛改善研究的一部分，我们认识到需要创建一种有效且可靠的工具，可以促进对临终关怀医疗记录的严格评估，以帮助护士和医生遵守疼痛管理指南，从而为比较和质量改进目的创建综合评分。我们报告了创建该工具（名为癌症疼痛实践指数）的过程及其使用指南。
Various clinical practice guidelines addressing pain assessment and management have been available for several years that pertain, at least to some extent, to older patients with cancer. Nonetheless, systematic evaluations or methodologically sound studies of adherence to pain management practice guidelines within Medicare-certified hospice programs are lacking. As part of a larger translating-research-into-practice pain improvement study involving older patients with cancer in hospice programs, we recognized the need to create a valid and reliable tool that can facilitate critical evaluation of hospice medical records for nurse and physician adherence to pain management guidelines to create a consolidated score for comparative and quality improvement purposes. We report the process used to create this tool, named the Cancer Pain Practice Index, and a guide to its use.