中国中重度癌痛住院患者的非疼痛症状患病率及严重程度
Nonpain Symptom Prevalence and Intensity of Inpatients With Moderate to Severe Cancer Pain in China.
作者信息
Shao Yue-Juan, Ji Kai, Hao Jian-Lei, Cheng Xian-Jiang, Guan Bing-Qing, Liu Wei-Shuai, Wang Kun
机构信息
Department of Pain Relief, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center of Cancer, and Tianjin Key Laboratory of Cancer Prevention and Therapy, Tianjin, PR China.
Department of Pain Relief, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center of Cancer, and Tianjin Key Laboratory of Cancer Prevention and Therapy, Tianjin, PR China
出版信息
Am J Hosp Palliat Care. 2016 Jun;33(5):448-55. doi: 10.1177/1049909114565109. Epub 2014 Dec 29.
OBJECTIVES
To identify prevalence and severity of nonpain symptoms and to clarify possible influences on each nonpain symptom.
METHODS
The study used a descriptive survey design. Chinese version of the Edmonton Symptom Assessment System was used. Patients' demographic and pain characteristics were collected.
RESULTS
The most common symptoms reported were loss of appetite (94.3%) followed by insomnia (93.3%), and tiredness (91.6%). Prevalence rates of nonpain symptom were all above 70% except "thinking clearly." Prevalence and severity of nonpain symptoms varied by gender, age, primary cancer, and pain characteristics, especially intensity, number of breakthrough pain episodes per day, and number of pain sites.
CONCLUSIONS
Most inpatients with cancer pain experienced concurrent nonpain symptoms. Comprehensive symptom assessment and intervention managing multiple symptoms are essential for these inpatients.
目的
确定非疼痛症状的患病率和严重程度，并阐明对每种非疼痛症状可能的影响因素。
方法
本研究采用描述性调查设计。使用了中文版的埃德蒙顿症状评估系统。收集了患者的人口统计学和疼痛特征。
结果
报告的最常见症状是食欲不振（94.3%），其次是失眠（93.3%）和疲劳（91.6%）。除“思维清晰”外，非疼痛症状的患病率均高于70%。非疼痛症状的患病率和严重程度因性别、年龄、原发性癌症和疼痛特征而异，尤其是疼痛强度、每天爆发性疼痛发作次数和疼痛部位数量。
结论
大多数癌症疼痛住院患者同时经历非疼痛症状。对这些住院患者进行综合症状评估和多症状干预管理至关重要。
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