Rau Kun-Ming, Chen Jen-Shi, Wu Hung-Bo, Lin Sheng-Fung, Huang Ming-Lih, Tai Cheng-Jeng, Hwang Wen-Li, Lu Yin-Che, Wang Chuan-Cheng, Kuen Hsieh Ruey
Division of Hematology-Oncology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung.
Chang Gung University, College of Medicine.
Jpn J Clin Oncol. 2017 Nov 1;47(11):1060-1065. doi: 10.1093/jjco/hyx124.
We have limited knowledge about cancer patients' pain control satisfaction in outpatient departments in Taiwan and doctors' practice of adjusting analgesics according to their pain status. This survey examined pain management and satisfaction among cancer outpatients with pain and obtained information on their quality of life and treatment management for different pain intensities.
The Short version of the Brief Pain Inventory was used as the outcome questionnaire. Participants comprised 2075 patients with different cancers and disease statuses at 14 oncological outpatient departments, of which 1051 reported pain within the week prior to testing. The impact of pain management on physical and psychological functioning, and satisfaction with doctors were evaluated. Information about doctors' prescriptions was collected. Logistic regression analyses were conducted to evaluate whether the interference scale performed identically in the different analgesic ladders.
Pain was significantly linked to disease status and affected patients' physical and psychiatric functioning. Almost 100% of patients were satisfied with their pain control, but more than 70% of doctors did not change analgesics based on patients' current pain status. The results show that although patients were satisfied with their physicians, treatment of cancer pain was still suboptimal.
Pain assessment and treatment need to be more thorough and management guidelines should be revised to improve pain control in patients with cancer.
我们对台湾门诊癌症患者的疼痛控制满意度以及医生根据患者疼痛状况调整镇痛药的做法了解有限。这项调查研究了癌症疼痛门诊患者的疼痛管理与满意度，并获取了不同疼痛强度下患者的生活质量及治疗管理信息。
采用简明疼痛问卷简版作为结果调查问卷。研究对象包括14个肿瘤门诊科室中患有不同癌症及疾病状态的2075名患者，其中1051名在测试前一周内报告有疼痛。评估疼痛管理对身体和心理功能的影响以及患者对医生的满意度。收集医生处方信息。进行逻辑回归分析以评估干扰量表在不同镇痛阶梯中的表现是否相同。
疼痛与疾病状态显著相关，并影响患者的身体和精神功能。几乎100%的患者对疼痛控制感到满意，但超过70%的医生未根据患者当前的疼痛状况调整镇痛药。结果表明，尽管患者对医生满意，但癌症疼痛治疗仍未达到最佳效果。
疼痛评估和治疗需要更加全面，应修订管理指南以改善癌症患者的疼痛控制。
