社会心理环境因素对癌症患者疼痛行为的影响  

Influence of social psychological environmental factors on pain behaviors of cancer patients

作　　者：陈湛愔[1] 麦卫校[1] 王志海[1] 林海峰[1] 陈逢俭[1] 陈文荣[1] 

机构地区：[1]湛江中心人民医院,广东省湛江市524037

出　　处：《中国组织工程研究与临床康复》2007年第47期9521-9526,共6页Journal of Clinical Rehabilitative Tissue Engineering Research

基　　金：广东省医学科研课题立项资助课题(A2002746)~~

摘　　要：目的:了解湛江地区癌症患者癌痛行为的现况,进一步探讨社会心理环境因素对癌症患者疼痛行为的影响。方法:现场调查工作于2003-06完成。被调查者均为正在湛江中心人民医院接受治疗的住院患者。采用"癌症患者疼痛情况调查表",由主管医生逐一询问并记录填写,最后专人审核;同时应用汉密顿焦虑量表和汉密顿抑郁量表17项以及生活事件量表对所有患者进行情感评估。结果:共完成1197例癌症患者的调查。①无疼痛者152例(12.7%);轻度疼痛者637例(53.3%);中度疼痛者276例(23.01%);重度疼痛者132例(11.0%)。②1197例住院癌症患者中,接受各种类型镇痛治疗者894例(74.86%),中重度疼痛的发生率只有34%,而癌症疼痛患者使用阿片类镇痛药治疗者只有11%。③骨癌、生殖器癌症、脑癌和肝癌等患者癌症疼痛发生率明显较其他类型癌症高,且中重度疼痛发生率更高。④不同的文化背景其疼痛的表现程度差异存在显著性,文化程度与疼痛程度呈正相关(r=0.071,P<0.05);不同的职业其疼痛的表现程度差异存在显著性;家庭收入低者,其疼痛的痛苦体验要重;有负性生活事件者其癌症疼痛程度表现较重;焦虑和抑郁情感障碍越重,其癌症疼痛程度表现亦越重。结论:湛江地区人群的癌症患者疼痛发生率较低,患者的社会文化背景、实施非药物治疗措施、提供情感支持和社会支持对缓解疼痛有一定的影响。AIM： To understand the present situation of pain behavior of the cancer patients in Zhaniiang area, so as to further explore the effect of social psychological environmental factors on the emotion disorder in them. METHODS： The inpatients of Zhanjiang Central People＇s Hospital were investigated in June 2003. The questionnaire of cancer-related ache in cancer patients was adopted. Doctor inquired the patients, wrote down and filled in one by one, and the special people verified finally. At the same time, the Hamilton Anxiety Scale and Hamilton Depression Scale （17 items） and Life Events Scale were used to evaluate the emotion situation of patients. RESULTS： The investigation of 1 197 cancer patients was carried out. ①There were 152 cases with no pain （12.7%）, 637 cases of slight pain （53.3%）, 276 of midrange pain （23.01%） and 132 of serious pain （11.0%）. ②Among the 1 197 inpatients, 894 cases （74.86%） accepted all kinds of pain relief treatment, and the incidence of middle and serious degree cancer-related pain was only 34%, while only 11% of the cancer patients received opium to relieve pain. ③The cancer pain incidence of osteocarcinoma, genitals cancer, brain cancer and liver cancer was significantly higher than other types; moreover, the incidence of middle and serious degree cancer pain was the highest. ④There were differences in the pain manifestation among patients with different educated culture background, and education background was positively correlated with pain degree （r =0.071, P 〈 0.05）. Significant differences were found in pain manifestation among patients with different occupations. The lower the family income, the severer the pain was. The negative life events aggravated the pain of cancer patients. The more serious the anxiety and depression emotional disorder, the heavier the cancer pain degree was. CONCLUSION： The pain incidence in cancer patients of Zhanjiang area is low. Social cultural background, non-medicine therapy, emotional support a

关 键 词：癌症 疼痛行为 情感障碍 调查 

分 类 号：R730[医药卫生—肿瘤]