Choi Youn Seon, Kim Su Hyun, Kim Jun Suk, Lee Juneyoung, Kang Jin Hyoung, Kim Sam Yong, Kim Si Young, Kim Chul Soo, Song Hong Suk, Lim Ho Yeong, Yim Chang Yeol, Chung Ik Joo, Cho Goon Jae, Lee Myung Ah, Park Jeanno, Yeom Chang Hwan
Department of Family Medicine (Y.S.C., S.H.K.), Internal Medicine (J.S.K.), College of Medicine, Korea University, Seoul, Republic of Korea.
J Pain Symptom Manage. 2006 Jun;31(6):553-62. doi: 10.1016/j.jpainsymman.2005.10.008.
Appropriate pain assessment is very important for managing cancer pain. This study was designed to evaluate the utility of the Korean Cancer Pain Assessment Tool (KCPAT) by assessing changes in the management of cancer pain. The changes in pain intensity, the pattern of drug prescriptions, and the patients' satisfaction with pain control were analyzed after using the KCPAT. The results indicated that pain medicine prescriptions were changed in 194 (51.5%) cases after using the KCPAT, and 69.5% of these changes were affected by the KCPAT. After using the KCPAT, pain intensity as assessed by the Visual Analogue Scale (VAS, 0-10cm) decreased (4.31+/-2.35 vs. 3.60+/-2.45, P<0.0001), and the presence of associated symptoms and psychosocial items was significantly reduced. The patients' satisfaction with pain control was improved. Forty-four physicians (89.8%) thought that the KCPAT was useful. The KCPAT improved patients' satisfaction with pain control and was a useful tool for evaluating and managing cancer pain.
恰当的疼痛评估对于癌症疼痛管理非常重要。本研究旨在通过评估癌症疼痛管理的变化来评价韩国癌症疼痛评估工具（KCPAT）的效用。在使用KCPAT后，分析了疼痛强度的变化、药物处方模式以及患者对疼痛控制的满意度。结果表明，使用KCPAT后，194例（51.5%）患者的止痛药物处方发生了改变，其中69.5%的改变受KCPAT影响。使用KCPAT后，视觉模拟量表（VAS，0 - 10厘米）评估的疼痛强度降低（4.31±2.35对3.60±2.45，P<0.0001），相关症状和心理社会项目的出现显著减少。患者对疼痛控制的满意度得到提高。44名医生（89.8%）认为KCPAT有用。KCPAT提高了患者对疼痛控制的满意度，是评估和管理癌症疼痛的有用工具。
