Ripamonti Carla, Valle Alessandro, Peruselli Carlo, Pessi Maria Adelaide, Prandi Cesarina
Dipartmentale Cure Supporto al paziente oncologico. Fondazione IRCCS. Istituto Nazionale Tumori di Milano.
Assist Inferm Ric. 2011 Apr-Jun;30(2):95-9. doi: 10.1702/845.9395.
Project "Hospital without pain": analysis of the Italian situation before the law 38. Background. Some years ago, the project "Pain free Hospital" started in Italy to improve standards of pain management. Recently, Italian government passed a new law, which sets patient's right to receive palliative care and pain therapy. Aim. To evaluate pain prevalence in Italian hospitals before the new Italian law, analyzing the articles published within the project "Pain free Hospital". Methods. We did a Medline research using the following key words: pain; "Pain free Hospital"; cancer patients; Italian; Italy, from 1995 to 2010, and contacted all Italian centers of pain therapy. Results. Six articles met inclusion criteria. Pain prevalence was unexpectedly high in all the studies examined, albeit with wide differences among hospitals (37,7%-91%). Discussion. Our research shows that pain is not adequately controlled in Italian hospitals, probably for many reasons (wards organization, difficulty in prescribing opioids, etc.) but, above all, due to "opiophobia". The new Italian law should guarantee better analgesic treatments for all patients with persistent pain, both oncological and non oncological.
“无痛医院”项目：意大利第38号法律颁布前的情况分析。背景。几年前，意大利启动了“无痛医院”项目，以提高疼痛管理水平。最近，意大利政府通过了一项新法律，规定了患者接受姑息治疗和疼痛治疗的权利。目的。通过分析“无痛医院”项目中发表的文章，评估意大利新法律颁布前意大利医院的疼痛发生率。方法。我们使用以下关键词在Medline上进行了检索：疼痛；“无痛医院”；癌症患者；意大利人；意大利，检索时间为1995年至2010年，并联系了意大利所有的疼痛治疗中心。结果。有6篇文章符合纳入标准。在所检查的所有研究中，疼痛发生率出乎意料地高，尽管各医院之间存在很大差异（37.7%-91%）。讨论。我们的研究表明，意大利医院的疼痛没有得到充分控制，可能有很多原因（病房组织、开具阿片类药物困难等），但最重要的是由于“阿片恐惧症”。意大利新法律应确保为所有患有持续性疼痛的患者，包括肿瘤患者和非肿瘤患者，提供更好的镇痛治疗。
