Fazeny B, Muhm M, Hauser I, Wenzel C, Mares P, Berzlanovich A, Hagmeister H, Marosi C
Department of Internal Medicine I/Oncology, University of Vienna, Austria.
Wien Klin Wochenschr. 2000 Nov 24;112(22):978-81.
Inadequate pain management of cancer patients remains a striking problem despite impressive scientific progress in the knowledge of the pathophysiology, pathogenesis and therapy of pain. Our paper focuses on three topics: 1. physician-related barriers, 2. patient-related barriers, and 3. society- and tradition-related barriers as well as government regulations. It is imperative to overcome these barriers, especially since legal regulations for pain management were embodied into statutory regulations in Austria two years ago.
尽管在疼痛的病理生理学、发病机制及治疗方面的知识取得了显著的科学进展,但癌症患者疼痛管理不足仍是一个突出问题。我们的论文聚焦于三个主题:1. 与医生相关的障碍;2. 与患者相关的障碍;3. 与社会和传统相关的障碍以及政府法规。克服这些障碍势在必行,特别是因为两年前奥地利已将疼痛管理的法律法规纳入了法定条例。