癌痛规范化诊疗评估体系的初步应用  

Preliminary application of an assessment system for cancer pain management

作　　者：刘勇[1] 刘菲 卞方[1] 曹成松[1] 于洋[1] 

机构地区：[1]徐州市中心医院肿瘤内科,江苏省徐州市221000 [2]北海舰队门诊部

出　　处：《中国肿瘤临床》2015年第12期590-593,共4页Chinese Journal of Clinical Oncology

基　　金：徐州市卫生局科技计划项目(编号:XM13B053);徐州市中心医院博士创新团队科技项目(编号:XZB201226)资助~~

摘　　要：目的:对已建立的癌痛规范化诊疗评估体系进行初步临床应用,探索癌痛诊疗工作的不足之处。方法:分析从徐州市中心医院等三家医院肿瘤科采集的41份医生问卷、43份护士问卷、50份患者问卷和12份科室问卷,找出临床癌痛诊疗工作的主要不足;对此三家医院肿瘤专科和与肿瘤相关的非肿瘤专科进行评估,采用秩和检验分析两者关于癌痛诊疗工作的差异。结果:医生、护士、科室的平均评分分别为85.41±5.93、88.46±5.09、83.75±3.11分,而患者平均评分仅68.67±7.14分;其中患者止痛有效性与安全性评分换算为百分制后为81.69±7.71分,但关于止痛观念改变的评分换算后仅为55.78±11.37分。肿瘤专科平均得分82.22±2.03分,非肿瘤专科平均得分39.27±3.58分,经秩和检验Wilcoxon W值为120.0,P<0.01。结论:患者止痛治疗的观念教育仍需进一步加强;与肿瘤相关的非肿瘤专科在癌痛诊疗方面有较大欠缺,迫切需要进一步加强继续教育。Objective：To make a preliminary application of the assessment system for cancer pain management and find insuffi-ciency in the clinical practice of cancer pain diagnosis and treatment. Methods：Data from 41 doctor questionnaires, 43 nurse question-naires, 50 patient questionnaires, and 12 ward questionnaires from the tumor departments of 3 hospitals were analyzed, and the insuffi-ciency in cancer pain management was determined. The wards in the tumor and non-tumor departments related to oncology were as-sessed using rank test, and differences between the 2 wards were investigated. Results：The average scores of doctor, nurse, and wards were 85.41±5.93, 88.46±5.09 and 83.75±3.11, respectively, whereas patient score was 68.67±7.14. To further analyze the patient subsys-tem by converting into a hundred-mark system, the effectiveness and safety scores for the pain management was 81.69±7.71. However, patients＇; opinion score on pain treatment was only 55.78±11.37. The score of tumor departments was 82.22±2.03, whereas related non-tumor departments had a score of 39.27 ± 3.58. Wilcoxon W value was at 120.0 with P〉0.01 after rank test. Conclusion：Education on patients＆#39; opinion on cancer pain management should be promoted in the tumor wards, and continuous education on cancer pain diagno-sis and treatment is needed in the non-tumor departments relative to oncology.

关 键 词：癌痛规范化诊疗 评估 患者教育 非肿瘤专科继续教育 

分 类 号：R730[医药卫生—肿瘤]