刘勇①, 刘菲②, 卞方①, 曹成松①, 于洋①. 癌痛规范化诊疗评估体系的初步应用*[J]. 中国肿瘤临床, 2015, 42(12): 590-593. DOI: 10.3969/j.issn.1000-8179.20141853
引用本文: 刘勇①, 刘菲②, 卞方①, 曹成松①, 于洋①. 癌痛规范化诊疗评估体系的初步应用*[J]. 中国肿瘤临床, 2015, 42(12): 590-593. DOI: 10.3969/j.issn.1000-8179.20141853
Yong LIU1, Fei LIU2, Fang BIAN1, Chengsong CAO1, Yang YU1. Preliminary application of an assessment system for cancer pain management[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2015, 42(12): 590-593. DOI: 10.3969/j.issn.1000-8179.20141853
Citation: Yong LIU1, Fei LIU2, Fang BIAN1, Chengsong CAO1, Yang YU1. Preliminary application of an assessment system for cancer pain management[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2015, 42(12): 590-593. DOI: 10.3969/j.issn.1000-8179.20141853

癌痛规范化诊疗评估体系的初步应用*

Preliminary application of an assessment system for cancer pain management

  • 摘要: 目的:对已建立的癌痛规范化诊疗评估体系进行初步临床应用,探索癌痛诊疗工作的不足之处。方法:分析从徐州市中心医院等三家医院肿瘤科采集的41份医生问卷、43份护士问卷、50份患者问卷和12份科室问卷,找出临床癌痛诊疗工作的主要不足;对此三家医院肿瘤专科和与肿瘤相关的非肿瘤专科进行评估,采用秩和检验分析两者关于癌痛诊疗工作的差异。结果:医生、护士、科室的平均评分分别为85.41± 5.93、88.46± 5.09、83.75± 3.11分,而患者平均评分仅68.67± 7.14分;其中患者止痛有效性与安全性评分换算为百分制后为81.69± 7.71分,但关于止痛观念改变的评分换算后仅为55.78± 11.37分。肿瘤专科平均得分82.22± 2.03分,非肿瘤专科平均得分39.27± 3.58分,经秩和检验WilcoxonW 值为120.0,P < 0.01。结论:患者止痛治疗的观念教育仍需进一步加强;与肿瘤相关的非肿瘤专科在癌痛诊疗方面有较大欠缺,迫切需要进一步加强继续教育。

     

    Abstract: Objective:To make a preliminary application of the assessment system for cancer pain management and find insuffi -ciency in the clinical practice of cancer pain diagnosis and treatment. Methods:Data from41doctor questionnaires, 43nurse question -naires, 50patient questionnaires, and 12ward questionnaires from the tumor departments of 3 hospitals were analyzed, and the insuffi-ciency in cancer pain management was determined. The wards in the tumor and non- tumor departments related to oncology were as -sessed using rank test, and differences between the 2 wards were investigated.Results:The average scores of doctor, nurse, and wards were 85.41± 5.93, 88.46± 5.09and 83.75± 3.11 , respectively, whereas patient score was 68.67± 7.14. To further analyze the patient subsys-tem by converting into a hundred-mark system, the effectiveness and safety scores for the pain management was 81.69± 7.71. However, patients' opinion score on pain treatment was only 55.78± 11 .37. The score of tumor departments was 82.22± 2.03, whereas related non-tumor departments had a score of 39.27± 3.58. Wilcoxon W value was at 120.0 with P<0.01after rank test. Conclusion:Education on patients' opinion on cancer pain management should be promoted in the tumor wards, and continuous education on cancer pain diagno-sis and treatment is needed in the non-tumor departments relative to oncology.

     

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