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癌症患者疼痛的定性分析——心理和临床方面

Qualitative analysis of pain in cancer patients - psychological and clinical aspects.

作者信息

Kulpa Marta, Ciuba Agata, Kosowicz Mariola, Flaga-Łuczkiewicz Magdalena, Ziętalewicz Urszula, Stypuła-Ciuba Beata

机构信息

Department of Psychology and Medical Communication, Medical University of Warsaw, Warsaw, Poland.

Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.

出版信息

Arch Med Sci. 2022 Oct 3;21(3):868-876. doi: 10.5114/aoms/153924. eCollection 2025.

Abstract

INTRODUCTION

Cancer pain is a serious medical problem affecting about 75% of patients. As the disease progresses, the percentage of those suffering from pain increases. On the whole, cancer pain is one of the most common symptoms accompanying the disease and the symptom that patients fear the most. Pain, and even the awareness that it may occur, affects a person's mood and modifies their health behavior, and may lead to changes in the treatment process. The perception of pain in cancer patients is sometimes so great and long-lasting that it disorganizes the patient's life, making it impossible for them to function even on a basic level and degenerating the patient's psyche.

MATERIAL AND METHODS

The study was carried out on 661 patients of the Pain Treatment Clinic in the years 2016-2019. The survey was conducted using standardized tools - Melzack's qualitative pain questionnaire and an 11-point numerical rating scale (NRS).

RESULTS

Moderate and severe pain intensity was reported by 90% of interviewed patients, who required immediate modification of the current treatment and implementation of additional adjuvant drugs. Almost 50% of them reported constant pain with varying severity.

CONCLUSIONS

Pain is not only a medical problem, but also a clinical, psychological, and socio-economic issue. Its multidimensional nature affects patients' functioning and quality of life. Therefore, it has to be properly diagnosed and treated like a disease itself.

摘要

引言

癌症疼痛是一个严重的医学问题,影响着约75%的患者。随着疾病进展,遭受疼痛的患者比例会增加。总体而言,癌症疼痛是伴随该疾病最常见的症状之一,也是患者最恐惧的症状。疼痛,甚至仅是意识到疼痛可能发生,都会影响一个人的情绪并改变其健康行为,还可能导致治疗过程发生变化。癌症患者对疼痛的感知有时非常强烈且持久,以至于扰乱患者的生活,使其甚至无法在基本层面上正常生活,并使患者的心理退化。

材料与方法

该研究于2016年至2019年在疼痛治疗诊所的661名患者中进行。调查使用标准化工具——梅尔扎克定性疼痛问卷和11点数字评分量表(NRS)。

结果

90%的受访患者报告有中度和重度疼痛强度,他们需要立即调整当前治疗并使用额外的辅助药物。其中近50%的患者报告疼痛持续且严重程度各异。

结论

疼痛不仅是一个医学问题,也是一个临床、心理和社会经济问题。其多维度性质会影响患者的功能和生活质量。因此,必须像对待疾病本身一样对其进行正确诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/713b/12305520/8a60f707a089/AMS-21-3-153924-g001.jpg

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