慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)管理中的障碍:医疗从业人员的观点。

IF 1.5 Q4 CLINICAL NEUROLOGY
Scandinavian Journal of Pain Pub Date : 2023-05-16 Print Date: 2023-07-26 DOI:10.1515/sjpain-2022-0160
Arthur Sone-Wai Li, Aquina Lim Yim Wong, Mandy Matthewson, Leesa Van Niekerk, Michael Garry
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引用次数: 0

摘要

目的:慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)是一种复杂的疾病,给确诊者带来了沉重的负担。评估和管理令人困惑,结果往往不尽人意。现有的研究仅关注患者对疼痛体验的看法,但要了解影响有效疼痛管理的障碍却证据不足。本研究采用探索性方法,从从业人员的角度研究了这些障碍:本研究对 12 名具有男性慢性盆腔疼痛治疗经验的各学科从业人员进行了半结构式访谈。从业人员表达了他们在支持男性 CP/CPPS 患者方面的观点和经验,以及他们在为患者提供治疗时遇到的障碍。在 NVivo 软件的支持下,采用反思性主题分析法对数据进行了分析:结果:确定了五个广泛且相互关联的主题:(1) 从何入手,(2) 资源不足,(3) 确定优先次序,(4) 培训和自信实践,(5) 寻求帮助的限制因素:从业人员重视使用生物心理社会方法进行多模式管理;然而,实际挑战阻碍了从业人员在临床实践中选择和应用这种方法。研究结果还发现了患有 CP/CPPS 的男性所面临的一些独特挑战,这与之前从患者角度出发的证据是一致的。我们迫切需要完善术语、开发特定资源并增加心理社会治疗方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Barriers in chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) management: perspectives from health practitioners.

Objectives: Chronic prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) is a complex condition which causes a significant burden on the diagnosed individuals. Assessment and management are perplexing, often resulting in unsatisfactory outcomes. Existing research has only focused on patients' perspectives of pain experiences, but scant evidence is available to understand the barriers that undermine effective pain management. Using an exploratory approach, this study examined these barriers from practitioners' perspectives.

Methods: Twelve semi-structured interviews were conducted with practitioners across disciplines who have experience in chronic pelvic pain management in males. Practitioners expressed their views and experiences in supporting men with CP/CPPS and what barriers they perceived when providing treatment for patients. Data were analysed using reflexive thematic analysis supported by NVivo software.

Results: Five broad and interrelated themes were identified: (1) Where to Start, (2) Insufficient Resources, (3) Prioritisation, (4) Training and Confident Practice and (5) Constraints in Help-Seeking.

Conclusions: Practitioners value multimodal management using a biopsychosocial approach; however, practical challenges prevent practitioners from choosing and applying this approach in clinical practice. The findings also identified some unique challenges faced by men with CP/CPPS consistent with previous evidence from patient perspective. Refining terminology, developing specific resources, and increasing psychosocial treatment options are urgently needed.

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来源期刊
Scandinavian Journal of Pain
Scandinavian Journal of Pain CLINICAL NEUROLOGY-
CiteScore
3.30
自引率
6.20%
发文量
73
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