Greenwald H P, Bonica J J, Bergner M
Health Services Administration Program, School of Public Administration, University of Southern California, Los Angeles 90089-0041.
Cancer. 1987 Nov 15;60(10):2563-9. doi: 10.1002/1097-0142(19871115)60:10<2563::aid-cncr2820601036>3.0.co;2-l.
Although pain is widely recognized as a major problem in cancer patients, most studies have concentrated on pain among those with advanced or terminal cancer in specialized treatment settings. The study reported here gives a more complete picture of the problem of pain among cancer patients by providing data generalizable to those in early as well as late stages of the disease, and receiving care in the community as well as specialized treatment centers. Having included measures of several distinct features of pain, this study also provides a more complete understanding of the cancer patient's day-to-day pain problem than earlier investigations. The findings presented here indicate that serious pain may occur in all cancer stages, and often represents an ongoing medical problem. The data suggest that many patients may benefit from earlier and more aggressive use of available antipain treatment methods.
尽管疼痛被广泛认为是癌症患者的一个主要问题，但大多数研究都集中在专业治疗环境中晚期或终末期癌症患者的疼痛问题上。本文报告的这项研究通过提供可推广到疾病早期和晚期、在社区以及专业治疗中心接受护理的患者的数据，更全面地呈现了癌症患者的疼痛问题。该研究纳入了疼痛几个不同特征的测量指标，因此比早期调查更全面地了解了癌症患者的日常疼痛问题。这里呈现的研究结果表明，严重疼痛可能发生在癌症的各个阶段，并且常常是一个持续存在的医疗问题。数据表明，许多患者可能会从更早、更积极地使用现有的止痛治疗方法中受益。
