印度一家三级癌症护理中心整合姑息医学和疼痛专科服务的初步经验。

IF 0.9 Q3 ANESTHESIOLOGY Journal of Pain & Palliative Care Pharmacotherapy Pub Date : 2024-06-01 Epub Date: 2024-04-01 DOI:10.1080/15360288.2024.2320379
Anuja Damani, Arunangshu Ghoshal, Raghu Thota, Parmanand N Jain
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引用次数: 0

摘要

疼痛管理是姑息关怀的一个重要方面。某些令人痛苦的疼痛可以通过介入止痛方法得到明显缓解,这就需要疼痛专家的专业知识。我们的观点是将这两个方面结合起来,建立一种共生关系,从而提高病人的治疗效果。我们在一家合作诊所内开展了一项前瞻性评估,将疼痛管理和姑息医学结合起来。对匿名患者信息进行了仔细研究,以了解这种融合的优势,并找出解决任何固有缺陷的策略。此外,还对一个案例进行了说明性研究,突出了系统层面的合作动力。在 2020 年 11 月至 2021 年 6 月期间,共有 43 名患者在该合作诊所接受了诊治。每位患者都接受了全面的疼痛治疗方案,其中最常进行的手术是肋间神经阻滞,占 9.30% 的病例。为了在姑息治疗中有效缓解疼痛,癌症疼痛专家的联合会诊是一项必要的措施。这种方法有望优化疼痛控制,提高姑息治疗的质量。
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Initial Experiences With Integration of Palliative Medicine and Specialist Pain Services in a Tertiary Cancer Care Center in India.

Pain management constitutes a pivotal aspect of palliative care. Certain instances of distressing pain are significantly relieved through interventional pain methodologies, demanding the expertise of pain specialists. Our perspective revolves around the integration of these 2 facets, envisaging a symbiotic relationship that could enhance patient outcomes. A prospective assessment was carried out within a collaborative clinic, uniting the realms of pain management and palliative medicine. Anonymized patient information was scrutinized to grasp the advantages of this amalgamation and identify strategies to address any inherent deficiencies. Furthermore, an illustrative case study was delineated, spotlighting the collaborative dynamics at a systemic level. During the period spanning from November 2020 to June 2021, a total of 43 patients received consultations at this collaborative clinic. Each patient was exposed to a comprehensive pain management regimen, with the most frequently conducted procedure being an intercostal nerve block, which was administered in 9.30% of cases. For the provision of effective pain relief within the palliative care context, the confluence of joint consultations from cancer pain specialists emerges as a requisite measure. This approach carries the promise of optimizing pain control and augmenting the quality of palliative care.

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来源期刊
CiteScore
1.60
自引率
9.10%
发文量
40
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