Résumé
Contexte
L’opiophobie de certains professionnels de santé n’est pas anodine: elle peut entraîner une prise en charge inappropriée des patients présentant des douleurs invalidantes.
Objectifs
Cette étude avait pour objectifs de comparer l’opiophobie entre médecins et infirmières d’une part; et d’autre part de décrire les représentations que ces professionnels de santé ont de la morphine et leur attitude face à sa prescription et à son utilisation ainsi que les raisons évoquées.
Méthode
Enquête par questionnaire autoadministré auprès des médecins et infirmières des hôpitaux et centres médicosociaux à Beira Interior au Portugal.
Résultats
Le mot morphine évoque en premier lieu l’analgésie (médecins 32 % et infirmières 27 %) et en deuxième lieu le cancer (médecins 12 % et infirmières 27 %). L’attitude en ce qui concerne le recours à la morphine diffère entre médecins et infirmières, notamment en fonction de l’expérience professionnelle. Les raisons les plus fréquemment évoquées de non-administration de la morphine chez le patient algique sont les difficultés légales d’usage (médecins 79 % et infirmières 84 %), le risque de dépression respiratoire (médecins 70 % et infirmières 68 %) et le risque de dépendance (médecins 50 % et infirmières 69 %).
Conclusion
L’existence de fausses croyances quant à la prescription et l’utilisation de la morphine dans notre collectif. Une différence significative existe pour plusieurs fausses croyances relatives à la prescription et à l’utilisation de la morphine entre infirmières et médecins. Ces résultats suggèrent que l’on forme mieux les professionnels de santé dans la gestion de la douleur.
Abstract
Context
Opiophobia in health care professionals is not without danger for patients: it may lead to the inappropriate management of debilitating pain.
Objectives
To describe and compare how nurses and physicians perceive morphine, and their attitudes to prescribing and administering it.
Methods
A cross-sectional study of physicians and nurses in Beira Interior (Portugal), through a self-administered questionnaire.
Results
The word morphine firstly recalls analgesia (physicians 32% and nurses 27%); secondly it is associated with the word “cancer” (physicians 12% and nurses 27%). Attitudes towards the use of morphine show significant variations among physicians and nurses, depending on their professional experience. The reasons for not administrating morphine most frequently cited are: legal problems (physicians 79% and nurses 84%), the risk of respiratory depression (physicians 70% and nurses 68%) and the risk of dependency (physicians 50% and nurses 69%).
Conclusion
There are significantly differing attitudes and beliefs concerning the prescription and use of morphine amongst nurses and physicians. Opiophobia exists in both nurses and physicians. Better training of health professionals with regard to the prescription and use of morphine is required.
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En mémoire du Pr Charles-Henri Rapin, décédé le 10 juillet 2008 à Sion
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Verloo, H., Mpinga Kabengele, E., Ferreira, M. et al. Opiophobie: état des lieux auprès des soignants à Beira Interior au Portugal. Douleur analg 22, 186–195 (2009). https://doi.org/10.1007/s11724-009-0134-7
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DOI: https://doi.org/10.1007/s11724-009-0134-7