四川省癌痛随访现状调查与分析

Cancer pain follow-up investigation and analysis in Sichuan province

目的：调查四川省癌痛随访现状，为更好地落实随访工作、规范癌痛治疗提供参考依据。方法选择2014年3—6月参与四川省癌痛规范化治疗示范病房现场评审的55家医院为研究对象，依据四川省癌痛规范化示范病房现场评审标准，对随访制度的建立、住院患者随访及门诊随访情况进行调查分析。结果55家医院均制定了随访制度，随访落实得分等级分布低于随访制度的建立，且差异有统计学意义（Z ＝－2．095，P ＝0．036）；仅2家医院开展门诊随访。结论四川省癌痛随访落实仍需不断优化，应在癌痛随访人员配置、随访评估、记录、门诊癌痛随访等方面加强实践和研究探索，促进癌痛随访工作的顺利开展。

Objective The cancer pain follow-up in Sichuan province was investigated for implementing a better follow-up and providing a standardized reference of the cancer pain treatment.Methods Fifty-five hospitals which participated in the live evaluated model wards of the cancer pain standardized treatment in Sichuan province from March 201 4 to June 201 4 were selected.According to the live evaluated standard of model wards of the cancer pain standardized treatment in Sichuan province,the follow-up establishment,the in-patient follow-up and the out-patients follow-up were investigated and analyzed.Results The follow-up system was developed in the 55 hospitals.The rank of the follow-up implementation score was significantly lower than the follow-up establishment score（Z =-2.095,P =0.036）.There were only two hospitals which carried out the out-patient follow-up.Conclusions The implementation of the cancer pain follow-up in Sichuan province needs further improvement.It is necessary to take more practice and make more investigations for follow-up personnel allocation,follow-up evaluation,recording,out-patient cancer pain follow-up,which promotes the performance of the cancer pain follow-up.