Liang Shu-Yuan, Li Chin-Ching, Wu Shu-Fang, Wang Tsae-Jyy, Tsay Shiow-Luan
School of Nursing, National Taipei University of Nursing and Health Science, Taipei, Taiwan.
Pain Manag Nurs. 2011 Dec;12(4):197-205. doi: 10.1016/j.pmn.2010.10.034. Epub 2011 Jan 28.
The purpose of this study was to report the prevalence and impact of pain among Taiwanese oncology outpatients who had experienced moderate pain. Ninety-two cancer outpatients in two teaching hospitals in the Taipei area of Taiwan were enrolled in a descriptive cross-sectional study. Outpatients aged ≥18 years who had been prescribed opioid analgesics for cancer-related pain completed the Brief Pain Inventory-Chinese questionnaire. Results of this study highlighted an important issue: undertreatment of cancer pain in the Taiwanese outpatients. Patients in this study reported that in the preceding 24 hours they had experienced a mean worst pain of 6.91 (SD 2.06, range 0-10). The average pain intensity in the preceding 24 hours was 5.21 (SD 1.69, range 0-10). Around 50% of the patients had pain most of the time and 25% of the patients had pain all of the time. In the preceding 24 hours the average pain relief experienced was 62.6% (SD 22.2%, range 0%-100%). Only 10.9% of patients experienced good pain relief (defined as 90%-100% of pain relief in the past 24 hours), whereas 45.7% experienced poor pain relief (defined as 0%-60% of pain relief in the past 24 hours). The mean pain interference with the patients' daily activities was 5.69 (SD 2.33, range 0-10). The findings of this study indicate the need for better programmatic efforts to improve relief of cancer pain in Taiwanese outpatients.
本研究旨在报告台湾地区经历中度疼痛的肿瘤门诊患者中疼痛的患病率及影响。台湾台北地区两家教学医院的92名癌症门诊患者参与了一项描述性横断面研究。年龄≥18岁、因癌症相关疼痛而开具阿片类镇痛药的门诊患者完成了简明疼痛问卷中文版。本研究结果突出了一个重要问题：台湾门诊患者癌症疼痛治疗不足。本研究中的患者报告称，在之前的24小时内，他们经历的最严重疼痛平均为6.91（标准差2.06，范围0 - 10）。之前24小时的平均疼痛强度为5.21（标准差1.69，范围0 - 10）。约50%的患者大部分时间都有疼痛，25%的患者一直有疼痛。在之前的24小时内，平均疼痛缓解率为62.6%（标准差22.2%，范围0% - 100%）。只有10.9%的患者疼痛得到良好缓解（定义为过去24小时内疼痛缓解90% - 100%），而45.7%的患者疼痛缓解不佳（定义为过去24小时内疼痛缓解0% - 60%）。疼痛对患者日常活动造成干扰的平均值为5.69（标准差2.33，范围0 - 10）。本研究结果表明，需要做出更好的系统性努力来改善台湾门诊患者的癌症疼痛缓解情况。
