Liu Qiang, Gao Lu-Lu, Dai Ya-Liang, Wang Yu, Wang Hai-Xia, Luo Xiang-Jiang, Chai Xiao-Min, Mu Guo-Xia, Liang Xiao-Yan, Zhang Xi, Liu Juan, Yu Jian-Qiang, Li Yu-Xiang
School of Nursing, Ningxia Medical University, Yinchuan, China; School of Basic Medical Sciences, Ningxia Medical University, Yinchuan, China.
School of Nursing, Ningxia Medical University, Yinchuan, China.
Pain Manag Nurs. 2018 Oct;19(5):506-515. doi: 10.1016/j.pmn.2017.11.006. Epub 2018 Mar 2.
Breakthrough pain is an extremely painful symptom that impairs quality of life in cancer patients. It negatively impacts their emotional wellbeing, physical function, and mental health. The aim of this study is to use a qualitative methodology to examine the perception of cancer patients with breakthrough pain in the Northwest of China.
A semi-structured, face-to-face interview was conducted with nine cancer patients who experienced breakthrough pain; and a qualitative content analysis was performed.
Five themes were generated: (1) sufferings from breakthrough cancer pain, (2) hopelessness and helplessness, (3) perception of breakthrough cancer pain and analgesia, (4) strong as a Chinese, and (5) support needed from health care system.
Although certain traditional cultural worldviews increase patients' acceptance of pain, healthcare providers need proper treatment guidelines to improve the quality of cancer patient care in Northwest China. We recommend that healthcare workers and hospital managers place cancer pain management in higher priority. Relevant pain management education programs should be provided to both healthcare providers and patients to improve their knowledge in these area. Healthcare professionals need to establish a mutual communication channel between patients and healthcare workers to meet patients' needs during breakthrough pain episodes in order to improve pain management. Nevertheless, the government and the healthcare system need to recognize the importance and urgency of palliative care services.
爆发性疼痛是一种极为痛苦的症状，会损害癌症患者的生活质量。它对患者的情绪健康、身体功能和心理健康产生负面影响。本研究的目的是运用定性研究方法，调查中国西北地区患有爆发性疼痛的癌症患者的认知情况。
对9名经历过爆发性疼痛的癌症患者进行了半结构化的面对面访谈，并进行了定性内容分析。
得出了五个主题：（1）遭受癌症爆发性疼痛，（2）绝望与无助，（3）对癌症爆发性疼痛及镇痛的认知，（4）身为中国人的坚强，（5）需要医疗保健系统的支持。
尽管某些传统文化观念会提高患者对疼痛的耐受性，但医疗保健提供者需要适当的治疗指南，以提高中国西北地区癌症患者的护理质量。我们建议医护人员和医院管理人员将癌症疼痛管理置于更高优先级。应向医护人员和患者提供相关的疼痛管理教育项目，以提高他们在这方面的知识。医疗保健专业人员需要在患者和医护人员之间建立相互沟通的渠道，以满足患者在爆发性疼痛发作期间的需求，从而改善疼痛管理。然而，政府和医疗保健系统需要认识到姑息治疗服务的重要性和紧迫性。
