浙江省安宁疗护患者癌痛药物的应用及管理分析  

Analysis of drug application and management of cancer pain in hospice patients in Zhejiang Province

作　　者：顾梦婷 夏燕飞[1] 杨一龙 项巧珍[1] 张宇[1] 柴栖晨[1] 褚娇娇[1] 陈新宇[1] Gu Mengting;Xia Yanfei;Yang Yilong;Xiang Qiaozhen;Zhang Yu;Chai Qichen;Chu Jiaojiao;Chen Xinyu(Zhejiang Palliative Care Guidance Center,Zhejiang Hospital,Hangzhou 310013,China;Public Health,Hangzhou Normal University,Hangzhou 310000,China)

机构地区：[1]浙江医院浙江省安宁疗护指导中心,杭州310013 [2]杭州师范大学公共卫生,杭州310000

出　　处：《中华老年医学杂志》2025年第3期353-358,共6页Chinese Journal of Geriatrics

基　　金：浙江省中医药科技计划项目(2023ZL225)。

摘　　要：目的了解浙江省11个地市医护人员对安宁疗护的癌痛管理和临床实践情况。方法回顾性研究浙江省卫生健康委员会从2023年5月22日至29日,全省安宁疗护从业医护人员对安宁疗护癌痛管理现状、医务人员癌痛管理实践情况、医务人员对癌痛自控镇痛治疗癌痛的认知3个方面的内容进行调研。结果共收集到来自全省11个地市的198家医院505份调研问卷。二、三级医疗机构中85.71%(198/231)的医务人员参与肿瘤患者的癌痛管理;针对爆发痛最常用的处理措施是口服镇痛药物[38.53%(89/231)];37.66%(87/231)的医务人员所在医疗机构开展了自控镇痛装置技术。结论安宁疗护的癌痛管理需要加强医务人员理论培训,提供基本镇痛药物配备,尽快形成全流程规范化管理。ObjectiveTo investigate the management of cancer pain and the clinical practices of hospice care across 11 cities in Zhejiang Province.MethodsFrom May 22 to 29,2023,the Zhejiang Provincial Health Commission conducted a survey to assess the current status of hospice care practitioners regarding cancer pain management,the practices employed by medical staff in managing cancer pain,and the understanding of medical personnel concerning self-controlled analgesia for cancer pain treatment in Zhejiang Province.ResultsA total of 505 questionnaires were collected from 198 hospitals across 11 cities in the province.Among the medical staff in secondary and tertiary medical institutions,85.71%(198 out of 231)participated in the management of cancer pain in patients.Oral analgesics emerged as the most commonly used treatment for pain outbreaks,accounting for 38.53%(89 out of 231)of cases.Additionally,37.66%(87 out of 231)of medical personnel were involved in the development of self-controlled analgesia devices within their institutions.ConclusionsIn the management of cancer pain within hospice care,it is essential to enhance the theoretical training of medical staff,ensure the availability of basic analgesic medications,and establish standardized management protocols for the entire process as promptly as possible.

关 键 词：姑息疗法 疼痛 镇痛 病人控制 

分 类 号：R47[医药卫生—护理学]