Division of Hematology-Oncology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
CA Cancer J Clin. 2011 May-Jun;61(3):157-82. doi: 10.3322/caac.20112. Epub 2011 May 4.
The experience of pain in cancer is widely accepted as a major threat to quality of life, and the relief of pain has emerged as a priority in oncology care. Pain is associated with both the disease as well as treatment, and management is essential from the onset of early disease through long-term survivorship or end-of-life care. Effective relief of pain is contingent upon a comprehensive assessment to identify physical, psychological, social, and spiritual aspects and as a foundation for multidisciplinary interventions. Fortunately, advances in pain treatment and in the field of palliative care have provided effective treatments encompassing pharmacological, cognitive-behavioral, and other approaches. The field of palliative care has emphasized that attention to symptoms such as pain is integral to quality cancer care.
癌症患者的疼痛体验被广泛认为是对生活质量的重大威胁，缓解疼痛已成为肿瘤治疗的首要任务。疼痛既与疾病本身有关，也与治疗有关，从疾病早期到长期生存或临终关怀，管理都是必不可少的。有效缓解疼痛取决于全面评估以确定身体、心理、社会和精神方面，并作为多学科干预的基础。幸运的是，疼痛治疗和姑息治疗领域的进步为包括药物治疗、认知行为治疗和其他方法在内的有效治疗提供了依据。姑息治疗领域强调，关注疼痛等症状是癌症优质护理的重要组成部分。
