上海市肿瘤患者疼痛及治疗情况—2007年调查结果

Investigation into characteristics and treatment of cancer pain in Shanghai:a questionnaire survey in 2007

目的:调查上海市肿瘤患者癌痛特征及治疗情况。方法:对2007年1月—3月在上海市各级医院治疗的1131例癌痛患者进行癌痛和治疗情况的问卷调查,并对调查结果进行统计分析。结果:患者从发生疼痛至得到治疗的平均时间为4.1个月,60.6%的患者发生疼痛后能在1个月内得到治疗,79.1%的患者认为止痛药是最有效的止痛方法,68.4%的患者治疗疼痛最常就诊的科室为肿瘤疼痛专科。42.4%的患者认为服用止痛药会成瘾,45.9%的患者仅在疼痛时服用止痛药物。81.3%的患者月平均止痛药费用≤400元,71.9%的患者认为目前的止痛药费用基本或者完全可以负担。接受止痛治疗后患者的疼痛程度明显减轻,身体状况明显改善,患者对止痛治疗效果的满意程度与常住地址类型、是否得到及时的药物治疗和药费负担有关。与1999年的调查结果相比较,1次门诊取药量、肿瘤疼痛专科就诊的比率、对止痛药物成瘾性的正确认知比率及按时服用止痛药的比率均明显上升。结论:止痛治疗可有效控制癌痛,患者对止痛治疗较满意,癌痛治疗的宣传教育工作初显成效;但是,患者对止痛药的认知度及获得止痛治疗的便捷性尚需进一步提高,并且需要进一步减轻癌痛患者的医疗负担。

Objective：To investigate the characteristics and treatment of cancer pain in Shanghai city. Methods：Questionnaire survey was performed on 1 131 patients with cancer pain,who received therapy in hospitals at all levels from Jan.to Mar.2007 in Shanghai. The results were statistically analyzed.Results：The average interval from feeling pain to getting treatment was 4.1 months.Sixty point six percent of the patients could get treatment within 1 month when pain came; 79.1% of the patients thought that analgesic pills were the most useful method for curing the pain; 68.4% of the patients choose Department of Pain Treatment as their primary choice; 42.4% of the patients believed that they would be addicted to analgesic pills; 45.9% of the patients took analgesic pills only when they felt pain; 81.3% of the patients spent less than 400 Yuan on analgesic pills each month; 71.9% of the patients thought that they were able to afford the costs of analgesic pills. The pain was alleviated and the patients＇physical conditions were improved after treatment. Most patients were satisfied with the effect of pain treatment. It was related with their residence type,availability of pain treatment,and economic burden. Compared with the results in 1999,the quantity of the prescribed drugs by one time outpatient service was increased; more patients got the help from Department of Pain Treatment; more patients had correct knowledge about the addiction to analgesic pills; and more patients took analgesic pills on time. Conclusion：Analgesic therapy is effective to control the cancer pain and most patients are satisfied with the effects of analgesic pills. Popularization and education of the knowledge of cancer pain achieved preliminary effects,but many patients still have misconceptions about analgesic pills. Pain treatments must be more convenient and accessible. More efforts should be made to lower the medical burden caused by pain treatment.