Lin C C, Ward S E
Research Group, School of Nursing, University of Wisconsin, Madison 53792-2455.
Cancer Nurs. 1995 Feb;18(1):16-22.
The reluctance of patients with cancer to report pain and to use analgesics hinders the management of their pain. In the United States, this reluctance is related to the patient's misconceptions regarding addiction and tolerance to analgesics and the desire to be a "good patient" who does not complain. Reports in the literature suggest that patients in Taiwan may have these same concerns and misconceptions. This study was designed to explore (a) the concerns of patients in Taiwan about reporting pain and using analgesics and (b) the relationship between these concerns and the adequacy of analgesics used by the patients. Sixty-three patients with cancer completed the Barriers Questionnaire-Taiwan (BTQ) form, a self-report instrument that measures the extent to which patients have eight specific concerns about reporting pain and using analgesics. The responses indicated that patients who were less educated were more likely to have concerns and that patients in general were most worried about tolerance. Patients who were inadequately medicated, as determined by an index of "adequate pain management" constructed for the study, had significantly higher levels of concerns. Open communication between health professionals and patients and educational programs about pain and about the concerns measured in this study could help overcome these concerns and misconceptions and improve pain management.
癌症患者不愿报告疼痛及使用镇痛药阻碍了对其疼痛的管理。在美国，这种不情愿与患者对镇痛药成瘾和耐受性的误解以及成为不抱怨的“好患者”的愿望有关。文献报道表明台湾患者可能也有这些相同的担忧和误解。本研究旨在探讨：（a）台湾患者对报告疼痛及使用镇痛药的担忧；（b）这些担忧与患者所使用镇痛药的充分性之间的关系。63名癌症患者完成了台湾障碍问卷（BTQ）表格，这是一种自我报告工具，用于测量患者对报告疼痛及使用镇痛药的八个特定担忧的程度。回答表明受教育程度较低的患者更有可能有担忧，且患者总体上最担心耐受性。根据为该研究构建的“充分疼痛管理”指数确定为用药不足的患者，其担忧程度明显更高。医护人员与患者之间的开放沟通以及关于疼痛和本研究中所测量担忧的教育项目，有助于克服这些担忧和误解并改善疼痛管理。
