Inadequate management of cancer related pain has resulted primarily from attitudinal barriers and a lack of knowledge about clinical assessment, the administration of analgesics, and therapeutic interventions.
Fifty health-care providers (13 physicians, 21 nurses, and 16 pharmacists), working as a team, participated in a Role Model Program that presented principles of cancer pain management.
A questionnaire that evaluated the fund of knowledge and attitudes regarding cancer pain management was administered prior to the 1-day workshop, at the end of the workshop, and at 4 and 12 months follow-up.
The workshop consisted of lectures and discussion groups ; in the discussion groups, concepts were clarified, cases presented, and barriers to optimal cancer pain management identified.
Significant improvements in attitudes (P<0.01), knowledge (P<0.01), and total scores (P<0.002) were observed when the preworkshop responses were compared with those obtained immediately after instruction.
Scores on the questionnaire were the same or slightly better at both 4 and 12 months in follow-up, demonstrating no loss in acquired knowledge or attitude.
Comparison of the postworkshop scores with those at 12 months follow-up were significantly better in attitude (P<0.03), and in total score (P<0.01) ; improvements in knowledge also approached significance (P<0.06).
These represented continuing improvements because significant differences in the atti...
Mots-clés Pascal : Tumeur maligne, Stade avancé, Douleur, Analgésique narcotique, Traitement, Cognition, Pharmacien, Médecin, Infirmier, Education, Homme
Mots-clés Pascal anglais : Malignant tumor, Advanced stage, Pain, Narcotic analgesic, Treatment, Cognition, Chemist, Physician, Nurse, Education, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0212862
Code Inist : 002B30A09. Création : 199608.