Mallah Haneen, Mousa Raghda, Fadl Nisreen Bani, Musmar Samar, Ball Somedeb, Nugent Kenneth
Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Department of Internal Medicine, An-Najah National University, Nablus, Palestine.
Indian J Palliat Care. 2019 Oct-Dec;25(4):494-500. doi: 10.4103/IJPC.IJPC_39_19.
Chronic pain is common in terminally ill patients with cancer and affects their quality of life. In this study, we wanted to evaluate pain severity and the adequacy of prescribed analgesics in terminally ill patients with cancer in North Palestine.
We conducted a cross-sectional descriptive study in North Palestine on 77 terminally ill patients with cancer. Pain experience was evaluated with Brief Pain Inventory-Short Form (BPI-SF). Pain management index (PMI) was calculated to determine the adequacy of interventions. The relationships between adequacy of pain management and socioeconomic and clinical factors were analyzed by the covariance method. Statistical analyses were performed using Statistical Package for the Social Sciences (SPSS version 15.0 [SPSS Inc., Chicago, USA]).
Fifty-nine patients (76.6%) reported moderate-to-severe pain. According to the PMI, only 64.9% of the patients received adequate pain management. Thirty-five patients (45%) wanted additional treatment or an increase in the dose of pain medications. Although men and women reported similar pain severities, women were more likely to be inadequately treated ( = 0.027). Pain severity was significantly less in patients who received health-care services at least once in the last month before the interview, compared to those without recent access to health care ( = 0.024).
There is substantial inadequacy in pain management in patients with cancer. The BPI-SF should be routinely used to evaluate pain severity, and analgesics should be prescribed equitably without discrimination with regard to gender and socioeconomic status of patients.
慢性疼痛在晚期癌症患者中很常见，会影响他们的生活质量。在本研究中，我们希望评估巴勒斯坦北部晚期癌症患者的疼痛严重程度以及所开镇痛药的充足性。
我们在巴勒斯坦北部对77名晚期癌症患者进行了一项横断面描述性研究。使用简明疼痛问卷简表（BPI-SF）评估疼痛体验。计算疼痛管理指数（PMI）以确定干预措施的充足性。采用协方差方法分析疼痛管理充足性与社会经济和临床因素之间的关系。使用社会科学统计软件包（SPSS 15.0版[美国芝加哥SPSS公司]）进行统计分析。
59名患者（76.6%）报告有中度至重度疼痛。根据PMI，只有64.9%的患者得到了充分的疼痛管理。35名患者（45%）希望获得额外治疗或增加止痛药剂量。尽管男性和女性报告的疼痛严重程度相似，但女性接受不充分治疗的可能性更大（P = 0.027）。与最近未获得医疗服务的患者相比，在访谈前最后一个月至少接受过一次医疗服务的患者疼痛严重程度明显较低（P = 0.024）。
癌症患者的疼痛管理存在严重不足。应常规使用BPI-SF评估疼痛严重程度，并且应公平地开出处方镇痛药，而不考虑患者的性别和社会经济地位。
