癌症疼痛状况及其治疗情况调查

目的 探讨肿瘤专科医院患者对癌症疼痛知识认知程度和医务人员对癌症疼痛治疗的态度，以及患者回归社区医院后，社区医务人员对癌症疼痛治疗的认识，药品提供的方便程度。方法 采用自行设计的《疼痛调查问卷》，从2009年3月9日—4月9日对130名湖北省肿瘤医院内科住院患者进行问卷调查, 并对回收的120份调查表进行分析。结果 接受调查的肿瘤患者伴有疼痛的占43.3%。调查者接受的止痛治疗方式有药物止痛（59.6%）、理疗（26.9%）和放化疗（13.5%）。规律用药的只占34.6%。通过止痛治疗缓解程度达70%以上的占38.5%，25%的患者缓解程度不足50%。86.5%的调查者认为社区医院不能提供满意治疗。结论 癌症疼痛的止痛治疗尚不能达到控制疼痛的目标，应加强社区医院医务人员关于癌症疼痛规范化治疗的认识，推广WHO三阶梯止痛治疗原则可以使基层医院、社区医院癌症疼痛治疗效果得到改善。

Survey of Cancer Pain and Its Treatment

Abstract:Objective To explore understanding for cancer pain that patients held and the attitude towards the cancer pain treatment that medical staff had in cancer hospitals,as well as community medical staffs attitude towards cancer pain.To analyze convenient drugs supports to patients, when cancer patients return to community hospitals.Methods One hundred and twenty cancer patients in Hubei Cancer Hospital were inquired using a self designed "Pain Questionnaire" from the March 9, 2009 to April 9, 2009.Questionnaires were collected and analyzed.Results The investigation showed that prevalence of cancer pain is as high as 43.3%, especially in advanced cancer.Patients received drug treatment were 59.6%, physical therapy were 26.9% and chemoradiotherapy13.5%.Patients agents were administrated regularly, however, only accounted for 34.6% in all patients treated with drugs.38.5% of cases receiving therapy obtained more than 70% pain relief.Noticeably, 25% of patients have less than 50% degree of remission.86.5% of all cases believed that community hospitals were unable to provide satisfactory treatment.Conclusion The present treatment of cancer pain can not reach the goal of comprehensively controlling pain, so knowledges of standardized treatment of cancer pain that community hospital medical staff hold should be improved.Moreover, cancer pain treatment in basic and community hospitals will be more efficacious through application of the principles of WHO three step analgesic ladder.