دانلود مقاله ISI انگلیسی شماره 72605
ترجمه فارسی عنوان مقاله

مدیریت درد چند رشته ای بر اساس یک سیستم پشتیبانی تصمیم گیری بالینی کامپیوتری در بیماران با درد سرطان

عنوان انگلیسی
Multidisciplinary pain management based on a computerized clinical decision support system in cancer pain patients
کد مقاله سال انتشار تعداد صفحات مقاله انگلیسی
72605 2009 9 صفحه PDF
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : PAIN®, Volume 147, Issues 1–3, 15 December 2009, Pages 20–28

ترجمه کلمات کلیدی
درد؛ اندازه گیری درد، داروسازان؛ سیستم های پشتیبانی تصمیم؛ بالینی؛ کلینیک درد، تیم درمانی؛ سرطان
کلمات کلیدی انگلیسی
Analgesia; Pain measurement; Pharmacists; Decision support systems; Clinical; Pain clinics; Patient care team; Neoplasms
پیش نمایش مقاله
پیش نمایش مقاله  مدیریت درد چند رشته ای بر اساس یک سیستم پشتیبانی تصمیم گیری بالینی کامپیوتری در بیماران با درد سرطان

چکیده انگلیسی

A prospective controlled intervention cohort study in cancer pain patients (n = 50 per group) admitted to radiation oncology wards (62 beds, 3 wards) was conducted in a 1621-bed university hospital. We investigated the effect of an intervention consisting of daily pain assessment using the numeric visual analog scale (NVAS) and pain therapy counseling to clinicians based on a computerized clinical decision support system (CDSS) to correct deviations from pain therapy guidelines. Effects on guideline adherence (primary outcome), pain relief (NVAS) at rest and during physical activity (both groups: cross-sectional assessment on day 5; intervention group: every day assessment), co-analgesic prescription, and acceptance rates of recommendations (secondary outcomes) were assessed. The number of patients with at least one deviation from guidelines at discharge was decreased by the intervention from 37 (74%) in controls to 7 (14%, p < 0.001). In the intervention group, pain (NVAS) decreased during hospital stay at rest from 3.0 (Δ0.5 (Q75% − Q25%) = 3.0) on admission to 1.5 (Δ0.5 = 1.0) at discharge (p < 0.01) and during physical activity from 7.0 (Δ0.5 = 4.0) on admission to 2.5 (Δ0.5 = 3.8) at discharge (p < 0.001). At discharge, the number of patients treated with co-analgesics increased from 23 (46%) in controls to 33 (66%) in the intervention group (p = 0.04). From 279 recommendations issued in the intervention 85% were fully accepted by the physicians. Deviations from well-established guidelines are frequent in pain therapy. A multidisciplinary pain management increased adherence to pain management guidelines.