Enquête en ligne canadienne relative aux perspectives du personnel infirmier en oncologie sur les caractéristiques déterminantes de la douleur aiguë liée au cancer et son évaluation
Abstract
Cet article explore la reconnaissance, par les infirmières en oncologie, de la douleur aiguë liée au cancer (DAC), les méthodes qu’elles utilisaient pour l’identifier et l’évaluer et enfin, leur perception du fardeau qu’elle constitue pour les patients. Un questionnaire en ligne a été distribué à 688 infirmières en oncologie de l’ensemble du Canada, et 201 d’entre elles l’ont rempli. Soixante-quatre pour cent des infirmières sondées signalaient que 41-80 % de leurs patients éprouvaient de la DAC, mais beaucoup d’entre elles n’étaient pas sûres des caractéristiques fondamentales du profil d’un épisode de DAC. Quoiqu’une minorité des répondantes (33 %) indiquaient qu’elles n’utilisaient pas de lignes directrices ni d’outils d’évaluation de la douleur afin de faciliter le diagnostic de la DAC, celles qui s’en servaient soutenaient grandement leur utilisation. Les résultats de l’enquête confirment l’effet débilitant de la DAC, mais une formation additionnelle est exigée si l’on veut améliorer la qualité et l’uniformité de l’évaluation de la douleur.
Mots-clés : douleur aiguë liée au cancer, soins infirmiers, gestion de la douleur, Canada
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