Does Attendance at a Sickle Cell Educational Conference Improve Clinician Knowledge and Attitude Toward Patients with Sickle Cell Disease?
Does Attendance at a Sickle Cell Educational Conference Improve Clinician Knowledge and Attitude Toward Patients with Sickle Cell Disease?
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DOI：
10.1016/j.pmn.2016.05.001
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发表时间：
2016-06-01
影响因子：
1.7
通讯作者：
Tanabe, Paula
中科院分区：
文献类型：
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作者：
Jenerette, Coretta M.;Brewer, Cheryl A.;Tanabe, Paula
镰状细胞病（SCD）是一种遗传性疾病，与慢性疼痛和急性疼痛事件相关，即血管闭塞危象。SCD患者除了疼痛，还会遭受多种医学并发症的困扰。患者往往被污名化为“寻求药物”，并接受不适当的疼痛管理。本研究的目的是比较临床医生在参加为期2天的SCD会议前（T1）、会议后（T2）和会议后2个月（T3）对SCD患者的知识和态度。采用前瞻性描述性调查设计。作者在T1 （N = 59）、T2 （N = 38）和T3 （N = 30）三个时间点进行调查，评估SCD知识和临床医生对SCD患者的态度。SCD知识采用20项调查来测量，临床医生对SCD患者的态度采用镰状细胞患者一般认知量表来测量，该量表包括四个独立的子量表：积极态度、消极态度、关注行为和红旗行为。作者比较了T1-T2和T1-T3在知识和态度得分上的变化。总体而言，知识得分在T1-T2 （p < 0.0001）和T1-T3 （p = 0.01）之间显著提高（p < 0.0001）。消极态度在三个时间点呈下降趋势（p = .07），但消极态度得分仅在T1-T3有显著下降（Z = -2.16.17, p = .03）。参加SCD教育会议是提高临床医生知识和减少消极态度的有效手段。这些差异在会议后2个月保持不变。(C) 2016年由美国疼痛管理护理学会发布
Sickle cell disease (SCD) is a genetic disease associated with both chronic pain and acute painful events referred to as vaso-occlusive crises. Individuals with SCD suffer from a multitude of medical complications in addition to pain. Patients often are stigmatized as "drug-seeking'' and receive inadequate pain management. The purpose of this study was to compare clinicians' SCD knowledge and attitudes toward patients with SCD before attending a 2-day conference on SCD (T1) with knowledge and attitudes immediately postconference (T2) and 2 months postconference (T3). A prospective, descriptive survey design was used. The authors administered surveys to assess SCD knowledge and clinicians' attitudes toward patients with SCD at three time points: T1 (N = 59), T2 (N = 38), and T3 (N = 30). SCD knowledge was measured using a 20-item survey, and clinicians' attitudes toward patients with SCD were measured with the General Perceptions About Sickle Cell Patients Scale, which included items on four independent subscales: positive attitudes, negative attitudes, concern-raising behaviors, and red-flag behaviors. The authors compared changes in knowledge and attitude scores between T1-T2 and T1-T3. Overall, knowledge scores were significantly improved (p < .001) and significantly increased between T1-T2 (p < .0001) and T1-T3 (p = .01). Negative attitudes trended lower over the three time points (p = .07), but a significant decrease in the negative attitudes score was only noted for T1-T3 (Z = -2.16.17, p = .03). Attendance at an educational SCD conference was an effective means to improve knowledge and decrease negative attitudes among clinicians. These differences were maintained at 2 months postconference. (C) 2016 by the American Society for Pain Management Nursing