Lin Johnson, Hsieh Ruey-Kuen, Chen Jen-Shi, Lee Kuan-Der, Rau Kun-Ming, Shao Yu-Yun, Sung Yung-Chuan, Yeh Su-Peng, Chang Cheng-Shyong, Liu Ta-Chih, Wu Ming-Fang, Lee Ming-Yang, Yu Ming-Sun, Yen Chia-Jui, Lai Pang-Yu, Hwang Wen-Li, Chiou Tzeon-Jye
Department of Internal Medicine, Mackay Memorial Hospital, Taipei City, Taiwan.
Department of Internal Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan City, Taiwan.
Asia Pac J Clin Oncol. 2020 Apr;16(2):e91-e98. doi: 10.1111/ajco.13095. Epub 2018 Oct 17.
To evaluate the prevalence of pain in cancer outpatients in Taiwan and to investigate the impact of pain on quality of life (QoL) and patient satisfaction. Results were compared to those of a similarly designed study conducted in 2008 to identify trends.
Adult patients with cancer treated as outpatients in hospitals throughout Taiwan were recruited. Pain intensity and the extent to which pain interfered with QoL were self-reported using a modified version of the Brief Pain Inventory. Patients also indicated their level of satisfaction with their physician, as well as with their pain control.
A total of 2652 patients were enrolled from 16 sites. Of these, 1167 (44.0%) patients reported experiencing pain during the previous week. Prevalence and severity of pain were highest in patients with progressive disease. A higher pain severity score was significantly associated with greater interference in both physical and psychological functions. Overall, 86.0% of all participants expressed satisfaction with their physician and 84.8% were satisfied with their pain control; satisfaction rates were associated with pain severity. Compared with the findings from the 2008 study, pain prevalence was notably lower and patient satisfaction was significantly greater in the current study.
Prevalence and severity of pain were associated with disease stage. Pain interference on QoL correlated significantly with pain severity. Treatment of pain in cancer patients in Taiwan seems to have improved from 2008 to 2014, possibly attributable to new cancer pain treatment guidelines and the wider availability of novel analgesic therapies.
评估台湾癌症门诊患者的疼痛患病率，并调查疼痛对生活质量（QoL）和患者满意度的影响。将结果与2008年进行的一项设计类似的研究结果进行比较，以确定趋势。
招募在台湾各地医院接受门诊治疗的成年癌症患者。使用简明疼痛问卷的修订版，由患者自行报告疼痛强度以及疼痛对生活质量的干扰程度。患者还需表明他们对医生以及疼痛控制的满意度。
共从16个地点招募了2652名患者。其中，1167名（44.0%）患者报告在过去一周内经历过疼痛。进展期疾病患者的疼痛患病率和严重程度最高。较高的疼痛严重程度评分与对身体和心理功能的更大干扰显著相关。总体而言所有参与者中有86.0%对医生表示满意，84.8%对疼痛控制表示满意；满意度与疼痛严重程度相关。与2008年研究结果相比，本研究中的疼痛患病率显著降低，患者满意度显著提高。
疼痛的患病率和严重程度与疾病阶段相关。疼痛对生活质量的干扰与疼痛严重程度显著相关。从2008年到2014年，台湾癌症患者的疼痛治疗似乎有所改善，这可能归因于新的癌症疼痛治疗指南以及新型镇痛疗法的更广泛应用。
