[德国姑息治疗专科门诊的疼痛管理 :一项横断面研究,介绍姑息治疗患者在家庭环境中的疼痛管理现状]。

IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Schmerz Pub Date : 2024-10-01 Epub Date: 2023-02-08 DOI:10.1007/s00482-023-00693-x
Christian Volberg, Julien Corzilius, Julian Maul, Astrid Morin, Martin Gschnell
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引用次数: 0

摘要

背景:在专业门诊姑息治疗团队(德语缩写:SAPV)的帮助下,德国的重症患者和垂危患者可以在家中得到充分的照顾,直至生命的终结;然而,目前还没有统一的标准或指南来对疼痛进行良好的管理:这种方法是公共卫生研究领域的基础研究。目的:该方法是公共卫生研究领域的一项基础研究,旨在介绍各个 SAPV 团队在疼痛管理方面使用的方法(使用不同的专业团体、使用止痛药物、替代医疗等)。由此可以推断出哪些程序可被视为特别有效:这项横断面研究于 2021 年 5 月进行。研究人员通过邮件联系了德国姑息医学协会(DGP)主页上列出的所有德国SAPV团队(n = 307),并邀请他们参与研究。共有 175 个团队(57%)对请求做出了回应,并被纳入评估范围。评估进行了描述性数据分析:结果:德国门诊姑息治疗患者的疼痛管理基于多个组成部分。所有常见的镇痛药物都会使用,但主要处方药是作为非阿片类镇痛药的甲氰咪唑(99.4%)、阿片系列中的吗啡(98.3%)和作为联合镇痛药的普瑞巴林(96.6%)。如果疼痛治疗无效,22.5%的SAPV团队会定期实施姑息镇静以控制症状:这项横断面研究首次概括了德国门诊姑息治疗中的疼痛治疗方案。与国际研究相比,问题在于统一的治疗方案和减少各个姑息治疗小组的可用药物是否能改善对病人的护理。
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[Pain management in German specialized outpatient palliative care : A cross-sectional study to present the current pain management of palliative patients in the home environment].

Background: With the help of specialized outpatient palliative care teams (German abbreviation: SAPV), seriously ill and dying patients in Germany can be adequately cared for in their home environment until the end of their lives; however, there are no uniform standards or guidelines for well-executed pain management right now.

Objective: This approach serves as basic research in the field of public health research. This is intended to present which methods (use of different professional groups, use of pain medications, alternative medical treatment etc.) the individual SAPV teams use for pain management. From this it can be deduced which procedures can be considered particularly effective.

Material and methods: This cross-sectional study was conducted in May 2021. All German SAPV teams (n = 307) listed on the homepage of the German Association for Palliative Medicine (DGP) were contacted by post and invited to participate. A total of 175 teams (57%) responded to the request and were included in the evaluation. A descriptive data analysis was performed.

Results: Pain management in the German outpatient care of palliative patients is based on several components. All common pain medications are used, but primarily metamizole (99.4%) as a non-opioid analgesic, morphine (98.3%) from the opiate series and pregabalin (96.6%) as a co-analgesic are mainly prescribed. If pain therapy fails, 22.5% of the SAPV teams perform palliative sedation for symptom control on a regular basis.

Conclusion: This cross-sectional study is the first of its kind to provide a general overview of the treatment options for pain management in German outpatient palliative care. In comparison with international studies, the question arises as to whether uniform therapy schemes and a reduction in the medication available in the individual SAPV teams could lead to an improvement in patient care.

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来源期刊
Schmerz
Schmerz 医学-临床神经学
CiteScore
2.00
自引率
20.00%
发文量
64
审稿时长
6-12 weeks
期刊介绍: Der Schmerz is an internationally recognized journal and addresses all scientists, practitioners and psychologists, dealing with the treatment of pain patients or working in pain research. The aim of the journal is to enhance the treatment of pain patients in the long run. Review articles provide an overview on selected topics and offer the reader a summary of current findings from all fields of pain research, pain management and pain symptom management. Freely submitted original papers allow the presentation of important clinical studies and serve the scientific exchange. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric ''Continuing Medical Education'' present verified results of scientific research and their integration into daily practice.
期刊最新文献
[Health services research in acute pain medicine : Where do we come from in Germany?] [Surgical treatment of trigeminal pain]. [What is health services research?] [Interdisciplinary multimodal pain therapy: does the dose make a difference? : A comparison from routine clinical care]. [What determines the overall quality of postoperative pain management? A question of perspective].
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