Taverner Tarnia
Assistant Professor, UBC School of Nursing, Vancouver, Canada.
Int J Palliat Nurs. 2015 Aug;21(8):380-4. doi: 10.12968/ijpn.2015.21.8.380.
The aim of this paper is to provide an overview of the management of neuropathic pain associated with cancer and to provide helpful clinical advice for nurses working with patients who may have neuropathic pain. While cancer pain is a mixed-mechanism pain, this article will focus only on neuropathic pain management. The impact of neuropathic pain on patients' quality of life is great and while many patients recover from their cancer, a significant number continue to suffer from a neuropathic pain syndrome. Management of neuropathic pain is significantly different from management of nociceptive pain with respect to pharmacological and non-pharmacological strategies. Neuropathic pain is complex, and as such requires complex management using pharmacological as well as non-pharmacological approaches. Specific drugs for neuropathic pain may be effective for some patients, but not all; therefore, ongoing and comprehensive assessment and management are required. Furthermore, these patients may require trials of several drugs before they find one that works for them. It is important for nurses to understand neuropathic pain, its manifestation, impact on quality of life and management when nursing patients with neuropathic pain associated with cancer.
本文旨在概述癌症相关性神经病理性疼痛的管理，并为护理可能患有神经病理性疼痛患者的护士提供实用的临床建议。虽然癌症疼痛是一种混合机制疼痛，但本文将仅聚焦于神经病理性疼痛的管理。神经病理性疼痛对患者生活质量的影响很大，尽管许多患者从癌症中康复，但仍有相当一部分人继续遭受神经病理性疼痛综合征的折磨。在药物和非药物策略方面，神经病理性疼痛的管理与伤害性疼痛的管理有显著不同。神经病理性疼痛很复杂，因此需要使用药物和非药物方法进行综合管理。治疗神经病理性疼痛的特定药物可能对某些患者有效，但并非对所有患者都有效；因此，需要进行持续且全面的评估和管理。此外，这些患者可能需要尝试几种药物才能找到适合自己的药物。对于护理患有癌症相关性神经病理性疼痛患者的护士来说，了解神经病理性疼痛、其表现、对生活质量的影响以及管理方法非常重要。
