Schreiber Judith A
University of Louisville, School of Nursing, 555 S. Floyd St., Room 4057, Louisville, KY, 40592, USA,
Curr Pain Headache Rep. 2014;18(8):440. doi: 10.1007/s11916-014-0440-5.
Cancer pain management is a major element of successful cancer survivorship. Regardless of where someone is along the cancer experience, from a newly diagnosed patient to long-term survivor, pain is a potential treatment-related effect that can have a significant impact on a survivor's life. Quality pain management for cancer survivors is complicated by the fact that cancer-related pain can be due to the tumor, surgery, radiation, and/or chemotherapy. Additionally, the pain experience is related to many psychosocial/spiritual factors. Despite almost 40 years of attention devoted to improving cancer pain management, many cancer survivors are less than optimally treated, often owing to survivor and healthcare provider knowledge barriers. This article reviews some of the latest research related to cancer pain management treatment options, measurement/assessment, and interventions. Progress has been made in understanding new aspects of the pain experience, but more work is yet to be done.
癌症疼痛管理是成功实现癌症患者生存的一个主要因素。无论一个人处于癌症病程的哪个阶段,从新确诊的患者到长期幸存者,疼痛都是一种可能与治疗相关的效应,会对幸存者的生活产生重大影响。癌症幸存者的高质量疼痛管理因以下事实而变得复杂:与癌症相关的疼痛可能由肿瘤、手术、放疗和/或化疗引起。此外,疼痛体验还与许多社会心理/精神因素有关。尽管在改善癌症疼痛管理方面已投入了近40年的关注,但许多癌症幸存者仍未得到最佳治疗,这往往是由于幸存者和医疗服务提供者存在知识障碍。本文回顾了一些与癌症疼痛管理治疗方案、测量/评估及干预措施相关的最新研究。在理解疼痛体验的新方面已经取得了进展,但仍有更多工作有待完成。