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Pain management and support care for cancer patients on terminal stage

癌症末期患者的疼痛管理和支持护理

基本信息

批准号：
09672393
负责人：
OGASAWARA Chie
金额：
$ 2.18万
依托单位：
Osaka University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1997
资助国家：
日本
起止时间：
1997 至 1999
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-09672393/
关键词：
cancer pain management barrier knowledge attitude nurse terminal 家族ペインマネージメントホスピスサポート

项目摘要

The purpose of this research is to clarify the barriers to pain management for cancer patients in the terminal stage. Once the barriers have been identified we consider effective measures to reduce these barriers.In 1997, we developed a questionnaire based on a references review and a pretest. A survey was conducted with a sample of Osaka University Hospital nurses. We compared the results of this stage with those of the Slone-Kettering Cancer Center in New York, USA. The findings showed the knowledge-base of pain management in our nurses was lower than their counterparts at the Slone-Kettering Cancer Center : specifically insufficient knowledge and unsuitable assessment. Cross-cultural differences were identified in regards to barrier recognition during the stage of this research.In 1998, nursing records at Osaka University Hospital were analyzed to identify areas of distress in cancer patients in the terminal stage. Cancer patients mainly exhibited physical distress with notable diff … More erences between the beginning and end of the terminal stage. In addition, both doctors and nurses were surveyed about barriers to pain management. We found that doctors had a low rate of barrier identification while both doctors and nurses rated low in identifying "unsuetable assessment" as a barrier to pain management in cancer patients in the terminal stage.In 1999, we conducted a survey of the families of cancer patients to determine their expectation of the medical staff. The results showed that families want doctors to administer patient-centered care rather than medical-based research and physical examinations. Families also identified their desire for easily understandable informed-concent, as well as psychological support for cancer patients in the terminal stage. However, the survey showed that families want nurses to be gentle and cheerful with patients while expressing humanistic qualities.It is necessary to present these results to medical staff and address these issues brought by these results. We need to open the discussion in order to change the system of pain management in hospitals through the continuing education of medical staff. Then the results must be used in the training of nursing students so they will be better aware of efficient pain management of cancer patients in the terminal stage. Less

本研究的目的是阐明癌症晚期患者疼痛管理的障碍。一旦确定了障碍，我们就考虑采取有效措施减少这些障碍。1997年，我们在参考文献回顾和预测的基础上开发了一份问卷。对大阪大学医院的护士进行了抽样调查。我们将这一阶段的结果与美国纽约斯隆-凯特林癌症中心的结果进行了比较。研究结果显示，我们的护士对疼痛管理的知识基础低于斯隆-凯特琳癌症中心的同行：特别是知识不足和评估不恰当。在本研究阶段，跨文化差异在障碍认知方面得到了确认。1998年，对大阪大学医院的护理记录进行了分析，以确定癌症晚期患者的痛苦领域。癌症患者主要表现为生理上的痛苦，在终末期开始和结束时差异显著。此外，对医生和护士都进行了关于疼痛管理障碍的调查。我们发现，医生的障碍识别率很低，而医生和护士在识别“不合理的评估”作为癌症晚期患者疼痛管理障碍方面的评分都很低。1999年，我们对癌症患者家属进行了一项调查，以确定他们对医护人员的期望。结果显示，家庭希望医生以病人为中心进行护理，而不是以医学为基础的研究和身体检查。家属们还表示，他们希望得到易于理解的知情内容，以及对晚期癌症患者的心理支持。然而，调查显示，家庭希望护士在表现人文品质的同时，对病人温柔、开朗。有必要将这些结果呈现给医务人员，并解决这些结果带来的问题。为了通过对医护人员的继续教育来改变医院的疼痛管理制度，我们需要展开讨论。这些结果必须用于护理学生的培训，使他们更好地了解癌症晚期患者的有效疼痛管理。少