Cohen Emma, Botti Mari, Hanna Barbara, Leach Sarah, Boyd Sam, Robbins Jennifer
Alfred/Deakin Nursing Research Centre, School of Nursing, Deakin University, Burwood, Victoria, Australia.
Cancer Nurs. 2008 Mar-Apr;31(2):E1-8. doi: 10.1097/01.NCC.0000305693.67131.7d.
Cancer pain is estimated to occur in 30% to 70% of patients with early-stage cancer and 60% to 95% with advanced cancer. Current research shows that cancer pain continues to be undertreated despite the availability of analgesics and established guidelines to maximize their effectiveness. The purpose of this study was to describe oncology patients' pain experience during an episode of hospitalization with particular emphasis on exploring the relationship between oncology patients' beliefs about pain and the treatment they received. Consecutive patients (n = 126) were interviewed 48 hours after admission to an urban and a regional hospital in Australia; 47.6% of patients had experienced moderate to severe pain in the previous 24 hours but had only received 40.4% of available analgesic. Patients held varying beliefs about pain and pain treatments in particular, 41% held strong beliefs about the potential for addiction to narcotics. Patients who held this belief reported higher current pain, worst pain intensity, and higher average pain intensity in the previous 24 hours. Effective pain management in the inpatient oncology setting continues to be an important clinical issue, and patients do not receive all available pain treatment. There may be an important association between patients' beliefs about pain and pain management and the pain management they receive.
据估计，30%至70%的早期癌症患者以及60%至95%的晚期癌症患者会出现癌痛。目前的研究表明，尽管有镇痛药以及旨在最大化其疗效的既定指南，但癌痛仍未得到充分治疗。本研究的目的是描述肿瘤患者在住院期间的疼痛经历，特别着重于探究肿瘤患者对疼痛的看法与他们所接受治疗之间的关系。对澳大利亚一家城市医院和一家地区医院连续收治的患者（n = 126）在入院48小时后进行了访谈；47.6%的患者在之前24小时内经历了中度至重度疼痛，但仅接受了40.4%可用的镇痛药。患者对疼痛及疼痛治疗持有不同的看法，特别是41%的患者坚信使用麻醉药品会有成瘾的可能性。持有这种看法的患者报告称当前疼痛程度更高、最严重疼痛强度更大，且在之前24小时内平均疼痛强度也更高。肿瘤住院患者的有效疼痛管理仍然是一个重要的临床问题，而且患者并未接受所有可用的疼痛治疗。患者对疼痛及疼痛管理的看法与他们所接受的疼痛管理之间可能存在重要关联。
