癌性疼痛患者应用吗啡的影响因素及分析

Analysis of influencing factors of morphine use in patients with cancer pain

目的探讨癌性疼痛患者使用吗啡的影响因素,为临床护士实施护理措施提供帮助。方法 2010年4月1日—2010年10月31日对收住上海中医药大学附属普陀医院肿瘤科未服用吗啡的癌性疼痛患者87例进行调查,内容包括一般情况和影响吗啡应用的因素。结果影响吗啡应用的主要因素:63.2%患者担心吗啡成瘾性;60.9%患者担心吗啡耐药性、剂量会增加;57.4%患者担心吗啡的不良反应难以忍受;44.8%患者认为疼痛一定会有,无法治疗,只能忍受;34.5%患者认为病情还未发展到需服用吗啡的程度;28.7%患者担心过早使用吗啡,今后疼痛加重则无法控制疼痛;21.8%患者担心吗啡价格昂贵、负担不起等。结论根据影响患者吗啡应用的主要因素,制订适合患者需求的健康教育,提高癌性疼痛患者正确应用吗啡的认知状态,有助于癌症患者正确使用吗啡,减少不良反应的发生,提高癌症患者的生活质量。

Objective To study the influencing factors of morphine use in patients with cancer pain,and help nurse staff take proper nursing care.Methods A total of 87 patients with cancer pain who did not receive morphine in our hospital were investigated from April to October 2010.The general information and influencing factors of morphine use were analyzed.Results The influencing factors of morphine use were listed as follows： 63.2% of the patients worried about morphine addiction;60.9% worried about the increase in morphine tolerance and dose;57.4% worried about intolerable side effects of morphine;44.8% believed that the pain could not be cured and the only thing to do was suffering;34.5% thought that their disease had not yet developed to the extent requiring morphine;28.7% worried that early use of morphine might result in difficulty in control pain in the future;21.8% worried that they could not afford morphine for the high price.Conclusion The proper health education should be given to the patients with cancer pain according to the main influencing factors of morphine use.It will improve the patients′ correct recognization and use of morhine,reduce the side effects,and improve their life quality.