老年肿瘤疼痛患者口服止痛治疗依从性的调查分析  

Analysis of the compliance of oral analgesic treatment in elderly patients with cancer pain

作　　者：胡翠林[1] 周小燕[1] 陈茜[1] 

机构地区：[1]四川大学华西医院老年科,四川成都610041

出　　处：《实用医院临床杂志》2013年第1期84-87,共4页Practical Journal of Clinical Medicine

摘　　要：目的了解老年肿瘤疼痛患者口服止痛治疗的依从情况,为有效止痛给药护理提供依据。方法采用问卷对口服止痛治疗的老年肿瘤疼痛患者依从性及相关情况进行调查。结果 52例(50.5%)老年肿瘤疼痛患者口服止痛治疗依从性差,影响其依从的原因90.4%为"担心药物的不良反应";不同年龄、医药报销、个人月收入和疼痛程度的患者依从性差异有统计学意义(P<0.05)。结论老年肿瘤疼痛患者口服止痛治疗依从性差,特别是小于75岁老年人、自费及部分报销的患者、低收入者、疼痛程度轻的患者依从性差,应该给予更多的关注与干预,提高其口服止痛治疗依从性。Objective To observe the compliance of oral analgesic treatment in elderly patients with cancer pain and provide basis for effective painkiller care. Methods Questionnaires were used to investigate the compliance and related situation of oral analgesic treatment. Results There were 52 cases having poor compliance of oral analgesic treatment, in which 47 cases （ 90. 4% ） were caused by fear of adverse drug reaction. There were significant differences in the compliance among patients with different situations of age, medical insurance, personal monthly income and degree of pain （P 〈 0. 05 ）. Conclusion The compliance of oral analgesic treat- ment was poor, especially in patients less than 75 years old,without medical insurance or with poor medical insurance,low-income and with mild degree of pain. More attention and intervention should be provided to improve the compliance of oral analgesic treatment in elderly patients with cancer pain.

关 键 词：老年人 肿瘤 疼痛 口服治疗 依从性 

分 类 号：R441.1[医药卫生—诊断学] R246.5[医药卫生—临床医学]