Yang Yun-Peng, Ma Yu-Xiang, Huang Yan, Zhao Yuan-Yuan, Xu Fei, Tian Ying, Zou Ben-Yan, Gao Rui-Zhen, Zhang Li
State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Department of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong 510060, P. R. China.
Chin J Cancer. 2014 Jul;33(7):323-9. doi: 10.5732/cjc.014.10031. Epub 2014 May 26.
To improve cancer pain management, the Medical Oncology Department of Sun Yat-sen University Cancer Center (SYSUCC) launched the Good Pain Management (GPM) Ward Program, which has been recognized by the Chinese Ministry of Health and promoted throughout the nation. This retrospective case-control study was designed to evaluate the effectiveness of the program. Patients diagnosed with malignant solid tumors with bone metastasis were eligible. Patients who were admitted 6 months before the initiation of the GPM program were used as the control group, and patients admitted 6 months after the initiation of the program were used as the GPM group. The pain-reporting rate and pain management index (PMI) were calculated. The pain levels before and after pain management were compared. A total of 475 patients (244 in the control group and 231 in the GPM group) were analyzed. The pain-reporting rate of the GPM group was significantly higher than that of the control group (62.8% vs. 37.7%, P < 0.001). The PMI of the GPM group was significantly higher than that of the control group (0.083 vs. -0.261, P < 0.001). Therefore, the GPM Ward Program improved the pain management of cancer patients and provided experience for improving cancer pain management in the future.
为改善癌症疼痛管理，中山大学肿瘤防治中心医学肿瘤科启动了良好疼痛管理（GPM）病房项目，该项目已获中国卫生部认可并在全国推广。本回顾性病例对照研究旨在评估该项目的有效性。确诊为伴有骨转移的恶性实体瘤患者符合条件。在GPM项目启动前6个月入院的患者作为对照组，在项目启动后6个月入院的患者作为GPM组。计算疼痛报告率和疼痛管理指数（PMI）。比较疼痛管理前后的疼痛水平。共分析了475例患者（对照组244例，GPM组231例）。GPM组的疼痛报告率显著高于对照组（62.8%对37.7%，P<0.001）。GPM组的PMI显著高于对照组（0.083对-0.261，P<0.001）。因此，GPM病房项目改善了癌症患者的疼痛管理，并为未来改善癌症疼痛管理提供了经验。
