García-Foncillas Jesús, Antón-Torres Antonio, Caballero-Martínez Fernando, Campos Francisco J, Feyjoo Margarita, de Liaño Alfonso Gómez, Monge Diana, Camps Carlos
Servicio de Oncología Médica, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.
Fundación ECO, Madrid, Spain.
J Patient Exp. 2020 Dec;7(6):1417-1424. doi: 10.1177/2374373520978872. Epub 2021 Jan 3.
Pain in cancer is often underdiagnosed and undertreated. Breakthrough pain, in particular, severely impacts the quality of life of patients. In this study, we evaluated management and care of pain in Spain from the patient perspective by assessing the experience of 275 patients who had suffered breakthrough pain. Although most patients had suffered moderate-to-severe pain in the last 24 hours, pain relief was achieved in the majority of cases. The body areas with a higher pain intensity was felt varied based on primary cancer. Adherence to treatment was subpar, and patients were moderately concerned about addiction to treatment and adverse events. Doctors did not assess pain in every visit and there is room for improvement in its classification. Education strategies directed toward patients and health care personnel are needed to improve pain assessment, follow-up, and compliance. These could guide shared decision-making and improve communication about cancer pain to improve its care.
癌症疼痛往往诊断不足且治疗不充分。尤其是爆发性疼痛，严重影响患者的生活质量。在本研究中，我们通过评估275例曾经历过爆发性疼痛的患者的体验，从患者角度评估了西班牙的疼痛管理与护理情况。尽管大多数患者在过去24小时内经历了中度至重度疼痛，但大多数情况下疼痛得到了缓解。根据原发性癌症的不同，疼痛强度较高的身体部位也有所不同。治疗依从性欠佳，患者对治疗成瘾和不良事件存在中度担忧。医生并非每次就诊时都评估疼痛，疼痛分类方面仍有改进空间。需要针对患者和医护人员的教育策略来改善疼痛评估、随访及依从性。这些策略可指导共同决策，并改善关于癌症疼痛的沟通，以提高其护理水平。
