DOI: 10.21045/2071-5021-2017-58-6-1
1Levchenko OK, 2Berseneva EA, 3Kosolapova NV, 1Galstyan GM, 1Savchenko VG
1 National Research Center for Hematology, Moscow
2 N.A. Semashko National Public Health Research Institute, Moscow
3Russian Economic University named after GV Plekhanov, Moscow
Contacts: Levchenko Olga, e-mail:
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Information about authors:
Levchenko O.K., http://orcid.org/0000-0003-1425-4370
Berseneva E.A., http://orcid.org/0000-0002-9343-9279
Kosolapova N.V., http://orcid.org/0000-0002-3624-0626
Galstyan G.M., http://orcid.org/0000-0001-8818-8949
Savchenko V.G., http://orcid.org/0000-0003-2935-4040
Acknowledgments. The study had no sponsorship.
Conflict of interests. The authors declare no conflict of interest.
Àbstract. Pain is one of the most common reasons for care
seeking. Pain control in the developed countries is a quality indicator
of health care delivery. Along with other diseases, blood disorders
(such as hemophilia, multiple myeloma, Gaucher's disease, porphyria and
others) are accompanied by acute and chronic pain. Treatment of the pain
syndrome in such patients has its own peculiar characteristics and
requires organization of a special service.
The purpose of this study is to analyze possibilities
of designing a pain management system for patients with blood disorders
and a subsequent development of basic concepts of this service.
Methods. To achieve this purpose, available domestic
and foreign sources of literature were analyzed. The literature search
was conducted in the scientific libraries eLIBRARY and PubMed to
identify studies with terms and concepts related to pain, pain control,
organization of pain management for patients with blood disorders in
articles, titles or abstracts - more than 200 sources, 44 out of them
were selected for analysis and synthesis. The other sources were
excluded due to lack or incomplete information necessary for the study
implementation.
Results. Despite the existing many
recommendations on pain management, the world still registers inadequate
and untimely diagnosis and treatment of pain. The main causes of
ineffective pain management are: insufficient knowledge of pain
management recommendations by the medical staff, frequent lack of
appropriate documentation for assessment and treatment of pain in
patient records, insufficient time for identifying pain and its
characteristics due to stress, high intensity of work of physicians.
Discussion. Pain in patients with blood
disorders is common and has peculiar characteristics and requires timely
diagnosis, therapy, monitoring, and prevention. Due to complex
pathogenesis and variety of pain types in hematological diseases, care
should be of an interdisciplinary nature, that is, being provided by
specially organized teams of specialists. Weaknesses and strengths of
pain management organization for patients with blood disorders in
hematology have been identified, proposals for the pain relieve service
have been made.
Conclusions. Organization of pain management
for patients of hematologic profile will result in better availability
and quality of health care and decreased complications opening up the
possibilities of early social rehabilitation of patients and regaining
ability to work.
Keywords: hematology; pain; organization; pain management
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