晚期肿瘤病人疼痛控制状况及其生活质量的研究

目的了解晚期肿瘤病人的疼痛控制状况及其生活质量状况。方法采用一般资料及疾病相关情况、疼痛相关情况、疼痛强度量表、疼痛治疗指数、疼痛信念及简明健康状况调查表对北京市5所三级甲等医院的202例住院晚期肿瘤疼痛病人进行调查。结果 202例晚期肿瘤病人中,应用止痛药治疗189例(93.56%),按时用药133例(65.84%),对止痛效果表示满意165例(81.68%),对于疼痛相关知识了解的仅20例(9.90%),疼痛治疗不足48例(23.76%),疼痛强度评分为(4.66±2.25)分,疼痛信念总均分为(2.41±0.98)分,生活质量各维度得分低于国内常模。疼痛控制组病人的生理机能、躯体疼痛、精神健康3个维度得分均高于疼痛未控制组(P<0.01或P<0.05)。结论晚期肿瘤病人疼痛控制状况不佳,生活质量较差,而疼痛控制有助于改善晚期肿瘤病人的生活质量。

Research on pain control and quality of life in advanced cancer patients

Objective To understand the status of pain control and quality of life in advanced cancer patients. Methods General information,the related conditions of disease and pain, Numerical Rating Scale （NRS） , Pain Management Index （PMI） , American Pain Society Patients Outcome Questionnaire -Modi- fied （ APS - POQ） and SF - 36 were used to investigate 202 advanced cancer inpatients in five 3A - level hospitals in Beijing. Results Among 202 advanced cancer inpatients, 189 eases （93.56%） used analgesic, 133 eases （65.84%） took medicine on time, 165 cases （81.68 % ） were satisfied with the analgesic effects. However, only 20 cases （9.90%） knew some pain related knowledge. The NRS score of advanced cancer patients was （ 4.66±2.25 ）, the pain belief score was （2.41 ± 0.98 ）. The patients＂ 8 dimension scores of SF - 36 were lower than the norms. The pain controlled group had higher scores than pain uncon trolled group in dimension of physical functioning, body pain and mental health （ P 〈 0.01 or P 〈 0.05 ）. Conclusion The pain control status in advanced canc-er patients is not very good, and they have poor quality of life. Pain control can help to improve the quality of life in advanced cancer patients.