Sickle cell-related pain: Perceptions of medical practitioners

被引:154
作者
Shapiro, BS
Benjamin, LJ
Payne, R
Heidrich, G
机构
[1] UNIV PENN, SCH MED, DEPT PEDIAT, PHILADELPHIA, PA 19104 USA
[2] UNIV HOSP, ALBERT EINSTEIN COLL MED, MONTEFIORE MED CTR, BRONX, NY USA
[3] MD ANDERSON CANC CTR, SECT PAIN & SYMPTOM MANAGEMENT, DEPT NEUROONCOL, HOUSTON, TX USA
[4] GLOBAL PHARMA SERV, MADISON, WI USA
关键词
sickle cell disease; pain; crisis; painful episodes; beliefs; perceptions;
D O I
10.1016/S0885-3924(97)00019-5
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Pain is the most common problem encountered ny patients with sickle cell disease (SCD). We report the results of a survey sent to hematologists and emergency department (ED) physicians regarding their perceptions and practices concerning pain and its management. Hematologists and ED physicians differed considerably in their perceptions about the natural history of the pain, and about the percentage of patients who are addicted to analgesics. Fifty-three percent of the ED physicians and 23% of the hematologists thought that more than 20% of patients are addicted. These beliefs and perceptions about SCD-related pain and the prevalence of addition must be addressed if clinical care is to be changed substantively.
引用
收藏
页码:168 / 174
页数:7
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