Tseng Tsui-Hwa, Lin Chia-Chin
Graduate Institute of Nursing, Chung Shan Medical University, Taipei, Taiwan, R.O.C.
Hu Li Za Zhi. 2008 Apr;55(2):16-21.
The incidence of pain in patients with cancer is high. Pain is also one of the most feared and burdensome symptoms in cancer patients. Unrelieved pain has the negative effects of reducing daily functionality and quality of life. The main indicators of degree of pain and evaluators of how to handle that pain are markers of cancer pain. Complete records are the starting point for pain management. Improvements in pain management require an understanding of the views of patients, staff, health care providers and health care systems about pain assessment and reassessment, and about pain management. As regards the problem of pain education to improve cancer pain assessment and management, opioids are the main drugs for cancer pain management. When nurses care for cancer patients they need to know how to handle their side effects in order to ensure that cancer patients experience the maximum possible pain relief and comfort.
癌症患者疼痛的发生率很高。疼痛也是癌症患者最恐惧和最沉重的症状之一。未缓解的疼痛会产生负面影响,降低日常功能和生活质量。疼痛程度的主要指标以及如何处理疼痛的评估指标是癌症疼痛的标志。完整的记录是疼痛管理的起点。改善疼痛管理需要了解患者、工作人员、医疗保健提供者和医疗保健系统对疼痛评估与重新评估以及疼痛管理的看法。关于改善癌症疼痛评估和管理的疼痛教育问题,阿片类药物是癌症疼痛管理的主要药物。护士在护理癌症患者时需要知道如何处理其副作用,以确保癌症患者尽可能地缓解疼痛并感到舒适。