关键词: Allied health professional Cancer Chronic pain Clinician Healthcare professional Nurse Oncology Persistent pain Survivor

Mesh : Humans Cross-Sectional Studies United Kingdom Chronic Pain / therapy Male Female Neoplasms / complications Health Knowledge, Attitudes, Practice Surveys and Questionnaires Adult Middle Aged Health Personnel / psychology Pain Management / methods Attitude of Health Personnel

来  源:   DOI:10.1016/j.ejon.2024.102610

Abstract:
BACKGROUND: Healthcare professionals are vital in preparing people living with and beyond cancer about the risks of chronic pain after cancer treatment. To do so, healthcare professionals need to be knowledgeable and confident about chronic pain after cancer treatment, yet little is known about their understanding or confidence of this common long-term and late side effect of cancer treatment.
OBJECTIVE: To identify healthcare professionals\' knowledge and understanding of chronic pain after cancer treatment and consider how confident they are to inform, listen and signpost people living with and beyond cancer to appropriate information and support.
METHODS: A cross sectional online survey was distributed to healthcare professionals in the UK via cancer and primary care networks, cancer alliances and social media. The survey consisted of four domains: 1) knowledge and understanding, 2) information and support, 3) confidence and 4) barriers. Quantitative data were analysed with descriptive statistics and free text comments were analysed using qualitative content analysis.
RESULTS: Healthcare professionals reported limited knowledge and understanding of chronic pain after cancer treatment. Healthcare professionals lacked confidence to talk to people about chronic pain after cancer treatment and viewed their lack of knowledge as a barrier. Additional barriers included \'Limited service provision\', \'Conflict between services\', \'Not my role\' and \'Challenges in diagnosing chronic pain in cancer survivors\'.
CONCLUSIONS: Chronic pain after cancer can be a significant issue for those living with and beyond cancer, yet healthcare professionals report limited knowledge of it or understanding of the impact. More education is needed to increase healthcare professionals\' knowledge and confidence in chronic pain after cancer treatment.
摘要:
背景:医疗保健专业人员在使癌症患者和癌症患者了解癌症治疗后慢性疼痛的风险方面至关重要。要做到这一点,医疗保健专业人员需要对癌症治疗后的慢性疼痛有知识和信心,然而,他们对癌症治疗这种常见的长期和晚期副作用的理解或信心却知之甚少。
目的:确定医疗保健专业人员对癌症治疗后慢性疼痛的知识和理解,并考虑他们有多自信,倾听并指示患有癌症和癌症以外的人们获得适当的信息和支持。
方法:通过癌症和初级保健网络向英国的医疗保健专业人员分发了一项横断面在线调查,癌症联盟和社交媒体。调查包括四个领域:1)知识和理解,2)信息和支持,3)信心和4)障碍。使用描述性统计分析对定量数据进行分析,使用定性内容分析对自由文本评论进行分析。
结果:医疗保健专业人员报告了对癌症治疗后慢性疼痛的知识和理解有限。医疗保健专业人员缺乏信心与人们谈论癌症治疗后的慢性疼痛,并将他们缺乏知识视为障碍。其他障碍包括“有限的服务提供”,\'服务之间的冲突\',\'不是我的角色\'和\'诊断癌症幸存者慢性疼痛的挑战\'。
结论:癌症后的慢性疼痛可能是癌症患者的一个重要问题,然而,医疗保健专业人员报告说,它的知识有限或了解的影响。需要更多的教育来增加医疗保健专业人员对癌症治疗后慢性疼痛的知识和信心。
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