中国全科医学2017，Vol.20Issue(10)：1262-1266,5.DOI:10.3969/j.issn.1007-9572.2017.10.024
肿瘤外科医生对癌痛治疗和吗啡临床应用的认知调查
Cognition of Cancer Pain Treatment and Clinical Application of Morphine of Oncology Surgeons
岳林 1谢淑敏 2刘家浩 3吴美静 4张雷1
作者信息
- 1. 300060 天津市,天津医科大学肿瘤医院 国家肿瘤临床医学研究中心 天津市 "肿瘤防治"重点实验室 天津市恶性肿瘤临床医学研究中心
- 2. 410008 湖南省长沙市,中南大学湘雅医院
- 3. 410013 湖南省长沙市,中南大学湘雅医学院
- 4. 300070 天津市,天津医科大学
- 折叠
摘要
Abstract
Objective To study the cognition of cancer pain treatment and clinical application of morphine of oncology surgeons,and explore the negative factors that restrict the clinical application of morphine. Methods Considering that Tianjin Medical University Cancer Institute and Hospital is China′s large - scale tumor hospital,this study selected 85 oncology surgeons from Tianjin Medical University Cancer Institute and Hospital in January 2014 to do a questionnaire survey. Besides general data of the questionnaire,the contents of the questionnaire were divided into three parts:(1)the comprehensive degree of the " three- step analgesic guideline of cancer" of WHO,drug - use habits and cognition of the addiction of analgesic drugs;(2)basic knowledge of cancer pain treatment and clinical application of morphine; (3)factors that affect the clinical application of morphine and their impacts. A total of 85 questionnaires were sent out and 72 valid questionnaires were got. The effective response rate was 84. 7% . Results 59. 7% (43 / 72)of the tumor surgeons were clear about the " three - step analgesic guideline of cancer" of WHO. In the treatment of severe cancer pain,28. 9% (33 / 72)of the tumor surgeons preferred morphine controlled -release tablets,while 22. 8% (26 / 72)preferred pethidine. 58. 3% (42 / 72)of the tumor surgeons believed that pethidine had the strongest addiction,34. 7% (25 / 72)argued that morphine injection had the strongest addiction. The overall correct answer rate of basic knowledge of cancer pain treatment and clinical application of morphine was 59. 2% (341 / 576),and the scoring rate of the purpose of applying morphine was 36. 1% (468 / 1296). There was no significant difference in the scores of basic knowledge about cancer pain treatment and clinical application of morphine among tumor surgeons of different titles (P > 0. 05), while there was significant difference in the scores of basic knowledge about cancer pain treatment and clinical application of morphine among tumor surgeons receiving relevant training or not (P < 0. 05). 38. 9% (28 / 72)of the tumor surgeons thought that " whether the medical staff receiving professional training of analgesic treatment or not" had great effects on the clinical application of morphine,and the scores of the effects of " whether the medical staff accepting professional training of analgesic treatment"," concerns about drug addiction"," worrying about adverse drug reactions" and " the use restrictions of morphine of medical and health management department authorities" were 3. 1,2. 9,2. 9,and 2. 9 respectively. Conclusion Oncology surgeons are lack of cognition in the treatment of cancer pain and clinical application of morphine,and thus it is in great need to carry out professional training to improve the treatment of cancer pain and medical morphine status.关键词
肿瘤外科医生/癌痛治疗/吗啡Key words
Oncology surgeons/Cancer pain management/Morphine分类
医药卫生引用本文复制引用
岳林,谢淑敏,刘家浩,吴美静,张雷..肿瘤外科医生对癌痛治疗和吗啡临床应用的认知调查[J].中国全科医学,2017,20(10):1262-1266,5.
