Lee E O, Suh S R, Kim J Y
College of Nursing, Seoul National University, Korea.
Nurs Clin North Am. 1995 Dec;30(4):647-57.
Four hundred fifty cancer patients were selected from two public university hospitals and two private university hospitals in a large-sized city (Seoul) as well as a medium-sized city (Taegu) in Korea. Patients were interviewed regarding their experiences with pain during hospitalization and their medical records were reviewed. About 70% of cancer patients had cancer-related pain. Over 50% of the patients with pain had metastases. These findings indicate that Korean patients have relatively advanced cancer status and more severe pain compared with cancer patients hospitalized for treatment in the United States. The mean daily morphine equivalent dose, however, was 55.7 mg, which is lower than practices in the United States. Health professionals seem to rely on their preconceptions about pain and pain management. The results suggest the need for standardization of pain assessment, individualization of pain treatment, and development of educational programs for pain relief measures to improve the care of cancer patients who suffer from pain.
从韩国一个大城市（首尔）和一个中等城市（大邱）的两所公立大学医院和两所私立大学医院选取了450名癌症患者。就他们住院期间的疼痛经历对患者进行了访谈，并查阅了他们的病历。约70%的癌症患者患有与癌症相关的疼痛。超过50%的疼痛患者发生了转移。这些发现表明，与在美国住院治疗的癌症患者相比，韩国患者的癌症病情相对更严重，疼痛也更剧烈。然而，平均每日吗啡当量剂量为55.7毫克，低于美国的做法。卫生专业人员似乎依赖于他们对疼痛和疼痛管理的先入之见。结果表明，需要对疼痛评估进行标准化，对疼痛治疗进行个体化，并制定缓解疼痛措施的教育计划，以改善对疼痛癌症患者的护理。
