恶性肿瘤患者疼痛现状调查研究

The investigation on current situation of patients with cancer-related pain

目的了解"癌性疼痛规范化治疗示范病房"创建活动开展后院内的癌性疼痛控制情况,为进一步开展院内癌性疼痛管理提供参考依据。方法采用基本资料调查表和简明疼痛问卷对诊断为恶性肿瘤并伴有癌性疼痛的患者进行调查。共发放问卷110份,有效问卷98份,有效率为89.1%。结果所有参与调查的癌性疼痛患者中面对疼痛有47.9%的患者选择尽量忍受疼痛;在过去24小时内75.5%的患者疼痛得到了较好的控制,但仍有37.8%的患者目前正处于中、重度疼痛中,42.9%的患者24小时的平均疼痛处于中、重度疼痛范围,过去24小时仍有64.3%的患者出现过中、重度爆发性疼痛,有25.5%的患者最轻微的疼痛处于中度疼痛范围。疼痛对患者日常工作、睡眠、日常生活及情绪的影响程度较高。结论需要加强癌性疼痛患者健康宣教,进一步深化癌性疼痛规范化管理。

Objective In order to provided a reference for pain management of patients in hospital,we investigated the control of cancer pain of inpatients after the activity of the establish of good pain management. Method Patients with cancer-ralated pian was investegated by basic information questionnaire and brief pain inventory. Totally 110 subjects finished the evaluation,98 valid questionnaire, the effective rate was 89. 1%. Result In the face of pain 47. 9% of the patient choose to endure pain as far as possible. In the last 24 hours 75. 5% of patients get pain controled, but there are still 37. 8% of the patients are in middle and severe pain, within the past 24 hours,42. 9% of patients the average pain was in the middle and severe pain, 64. 3% of patients was in the middle and severe pain, 25. 5% of patients the slightest pain was in a moderate pain. The influence of cancer pain on patients’ daily work, sleep, daily life and emotional degree is higher. Conclusion Health education of patients with cancer-related pain and pain standardized management should be strengthen.