我国三甲医院肿瘤内科医护人员对癌痛管理认知现状的调查

Investigation on the cognitive status of cancer pain management among medical staff in medical oncology departments of third-class A hospitals in China

目的调查我国三甲医院肿瘤内科医护人员对癌痛管理的认知现状和对进一步完善管理的需求,为推进癌痛规范化治疗提供依据。方法 2019年3-6月期间,采用公开的在线调查形式,以网络社交软件(微信)为媒介向全国推广,从事或参与过癌痛管理的医师、护士均有资格填写调查问卷,共有1 600名三甲医院的医护人员参与调查。结果医护人员癌痛管理的实践能力表现均一般(医师得分为61.38±17.19,护士得分为69.72±16.08)。癌痛相关知识的认知方面,医师的得分明显高于护士(76.58±13.00 vs68.26±13.11,P<0.01)。医师和护士对药师的整体评价较好(79.07±21.29vs80.99±20.25),需求较高;对先进癌痛管理手段的需求也较高,得分分别为82.10±31.89和85.30±28.91。结论我国三甲医院肿瘤内科医护人员的临床实践能力还有待提高,对癌痛管理相关知识了解也不够深入,建议继续开展癌痛规范化治疗的知识培训,制定相关政策,鼓励临床药师加入癌痛管理团队,建立癌痛多学科诊疗模式,引进先进癌痛管理手段,以加强癌痛管理力度,提高癌症患者的生活质量。

AIM To investigate the cognitive status of cancer pain management among medical staff in the medical oncology departments of the third-class A hospitals in China, so as to provide basis for promoting the standardized treatment of cancer pain. METHODS From March 2019 to June 2019, an open online survey was carried out to the whole country through social networking software(WeChat). Doctors and nurses engaged in or involved in cancer pain management were qualified to fill in the questionnaire. A total of 1 600 medical staff in third-grade A hospitals participated in the survey. RESULTS The average practical ability score of medical staff in the medical oncology departments of the third-class A hospitals was 61.38±17.19(doctors) and 69.72±16.08(nurses) respectively, with average performance. In the cognition of cancer pain related knowledge, the score of doctors was significantly higher than that of nurses(76.58±13.00 vs 68.26±13.11, P < 0.01). The overall evaluation of pharmacists by doctors and nurses was better(79.07±21.29 vs 80.99±20.25), and the demand was higher. The demand for advanced cancer pain management methods was also higher, with scores of doctors 82.10 ± 31.89 and nurses 85.30 ± 28.91, respectively. CONCLUSION The clinical practical ability of medical staff in China still needs to be improved, and the knowledge of cancer pain management is not in-depth enough. Therefore, the knowledge training on standardized treatment of cancer pain should be continued and relevant policies should be formulated. The clinical pharmacists to join in the cancer pain management teams should be encouraged, a multidisciplinary diagnosis and treatment model for cancer pain should be established, and the advanced cancer pain management methods should be introduced. Finally, it can strengthen the cancer pain management and improve the life quality of cancer patients.