Wang Cheng-Hsu, Lee Shiu-Yu C
National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
Chang Gung Memorial Hospital, Clinic of Internal Medicine, Division of Hematology-Oncology, Department of Internal Medicine, Keelung, Taiwan.
Acta Anaesthesiol Taiwan. 2015 Jun;53(2):58-61. doi: 10.1016/j.aat.2015.05.005. Epub 2015 Jun 7.
Pain is a burdensome symptom that can commonly exist chronically along the cancer trajectory. Uncontrolled pain will impact on cancer patients' quality of life, even further negatively affect cancer survivors' employment. Based on systemic reviews of studies for past 10 years, the paper reported that although there is enormous advancement on the knowledge of cancer pain and pain management, studies still documented undertreatment of cancer pain globally. Additionally, pain distress a significant portion of cancer survivors. The pain in cancer survivors distinct from the pain related with cancer, instead emphasize on pain related with cancer treatment, such as neuropathic pain, muscular syndrome. Evidence-based pain management with common pain problems in cancer survivors is lacking. Further studies are needed to understand the pain in cancer survivors and to develop effective strategies in helping cancer survivors to manage their pain.
疼痛是一种负担沉重的症状,在癌症病程中通常会长期存在。未得到控制的疼痛会影响癌症患者的生活质量,甚至会对癌症幸存者的就业产生进一步的负面影响。基于对过去10年研究的系统评价,该论文报告称,尽管在癌症疼痛及疼痛管理知识方面有了巨大进展,但研究仍表明全球范围内癌症疼痛的治疗不足。此外,疼痛困扰着很大一部分癌症幸存者。癌症幸存者的疼痛与癌症相关疼痛不同,而是更强调与癌症治疗相关的疼痛,如神经性疼痛、肌肉综合征。目前缺乏针对癌症幸存者常见疼痛问题的循证疼痛管理方法。需要进一步开展研究,以了解癌症幸存者的疼痛情况,并制定有效的策略来帮助癌症幸存者管理疼痛。