Pignon Thierry, Fernandez Lucette, Ayasso Sylvie, Durand Marie-Agnés, Badinand Delphine, Cowen Didier
Faculté de Médecine, Université de la Méditerranée, Marseille, France.
Int J Radiat Oncol Biol Phys. 2004 Nov 15;60(4):1204-10. doi: 10.1016/j.ijrobp.2004.04.040.
A cross-sectional study was performed to evaluate the prevalence of pain in our radiotherapy (RT) department. The impact of RT practice on pain and pain management were analyzed.
Of 126 patients, 93 (73.8%) completed the questionnaire proposed in this survey. It was designed to assess the proportion of patients experiencing pain in the department, the impact of RT practice on pain, and patients' estimate of the quality of management of their pain by the medical staff. Pain intensity and patient satisfaction were assessed using an 11-point numeric rating scale.
Of the 93 patients, 66 experienced pain during RT, 13 of whom were totally relieved by analgesic treatment. The mean pain intensity was 3.9 (SD 2.3). A total of 26 patients had a numeric rating >/=4, indicating that their pain was not sufficiently treated. The objective length of waiting time for a session, transportation, and mobilization for session positioning worsened the pain of a substantial proportion of patients. A total of 56% of patients had a favorable opinion about pain management in our department. A high percentage (72.2%) of patients found that the time spent by the medical staff for pain management was inadequate, and 54.5% believed that the psychological support they received was insufficient. Personnel in the RT department remained the primary source of information regarding pain control. However, 17.5% of patients did not report their pain or talked about it to non-health care professionals.
The prevalence of pain was high in the department. The specific practice of RT worsened pain and nearly one-half of patients were not satisfied with its management. The necessity for medical staff to be more available was highlighted by patients.
开展一项横断面研究以评估我院放疗科疼痛的发生率，并分析放疗操作对疼痛及疼痛管理的影响。
126例患者中，93例（73.8%）完成了本调查所提出的问卷。该问卷旨在评估科室中经历疼痛的患者比例、放疗操作对疼痛的影响以及患者对医务人员疼痛管理质量的估计。采用11分数字评定量表评估疼痛强度和患者满意度。
93例患者中，66例在放疗期间经历疼痛，其中13例经镇痛治疗后完全缓解。平均疼痛强度为3.9（标准差2.3）。共有26例患者数字评分≥4，表明其疼痛未得到充分治疗。每次治疗的客观等待时间、交通以及治疗定位时的移动使相当一部分患者的疼痛加剧。共有56%的患者对我科的疼痛管理持肯定意见。高比例（72.2%）的患者认为医务人员用于疼痛管理的时间不足，54.5%的患者认为他们得到的心理支持不够。放疗科工作人员仍是疼痛控制信息的主要来源。然而，17.5%的患者未报告其疼痛或与非医护专业人员谈论过疼痛。
该科室疼痛发生率较高。放疗的具体操作使疼痛加剧，近一半的患者对其管理不满意。患者强调了医务人员更易提供服务的必要性。
