癌症患者对疼痛和止痛认知状况的调查

Investigation on pain and relieving pain recognition of patients with cancer

目的调查癌症患者对疼痛和止痛的认知状况，探讨改善对癌症患者疼痛的管理的方法。方法采用自行设计的调查问卷对我院就诊的60例癌症患者进行调查。结果认为有多痛自己最清楚的患者占85．0％，认为应该避免向医生说疼痛的患者占13．33％，认为应该尽量忍耐疼痛的患者占61．66％，不愿意接受“超前镇痛”的患者占51．67％。希望能够完全缓解疼痛的患者占23．22％，认为止痛药易成瘾的患者占38．33％，认为止痛药会引起很多不良反应的患者占73．34％。结论癌症患者对自己是疼痛主角的意识很强，报告自己疼痛的主动性及自己有免除疼痛权利的意识均很弱，对止痛药的认识还不足；医护人员应该相信并尊重癌症患者的主观感受，需要医疗卫生系统、医护人员及患者与其家属三方来共同管理临床疼痛。

Objective To investigate recognition of pain and relieving pain of patients with cancer, explore improvement methods of pain management of patients with cancer. Methods 60 patients were investigated by self - designed questionnaire. Results There were 85.0% patients knowing about the most clearly the pain, 13. 33% patients thinking that patients should avoid tell their doctors, 61.66% thinking that patients should try to endure pain, 51.67% patients unwilling to accept preemptive analgesia. There were 23.22% patients hoping to completely relieve pain, 38.33% patients thinking pain reliever easy to habituation, 73.34% patients thinking pain reliever could cause many adverse reactions. Conclusions Consciousness of patients be the leading role of pain is strong. Consciousness of activity of reporting their pain and patients owning the right of remitting pain are weak, recognition of pain reliever is insufficient. Medical staff should believe and respect cancer patients subiective feeling. Medical health system, medical staff and patients and their family manage clinical pain together.