CAJ | 학술논문

癌痛本质上是患者的主观感受，因此患者的疼痛表述是评估的依据，患者自评量表也由此在临床实践和研究中被广泛采用。一维量表常用于评估癌痛的强度，其中的数字评估量表（Numerical Rating Scale，NRS）被欧洲姑息治疗研究协作组所推荐；多维量表，如简式疼痛问卷（Brief Pain Inventory，BPI）或修订后的简式麦吉尔疼痛问卷（Short-Form McGill Pain Questionnaire， SF-MPQ-2）可更全面的评估癌痛；评估肿瘤患者的爆发痛、神经病理性疼痛时可选择有针对性的量表；对认知功能受损的患者，脸谱法评估有助于癌痛筛查，要评估癌痛还需采用多维量表。无论选择何种评估工具，均强调对癌痛进行动态评估。简便易行的电子评估量表是目前癌痛新量表研制的趋势。
암통본질상시환자적주관감수，인차환자적동통표술시평고적의거，환자자평량표야유차재림상실천화연구중피엄범채용。일유량표상용우평고암통적강도，기중적수자평고량표（Numerical Rating Scale，NRS）피구주고식치료연구협작조소추천；다유량표，여간식동통문권（Brief Pain Inventory，BPI）혹수정후적간식맥길이동통문권（Short-Form McGill Pain Questionnaire， SF-MPQ-2）가경전면적평고암통；평고종류환자적폭발통、신경병이성동통시가선택유침대성적량표；대인지공능수손적환자，검보법평고유조우암통사사，요평고암통환수채용다유량표。무론선택하충평고공구，균강조대암통진행동태평고。간편역행적전자평고량표시목전암통신량표연제적추세。
Cancer pain is an inherently subjective feeling. As such, a patient's report of pain is the basis of assessment. Self-re-ported questionnaires are extensively used in clinical practice and research. Single-item unidimensional rating scales are often used to assess pain intensity. Numerical rating scale is recommended by the European Palliative Care Research Collaborative. Multidimension-al measurements, such as brief pain inventory and short-form McGill pain questionnaire (revised version), can also be used for more comprehensive pain assessments than other questionnaires. Furthermore, specific tools can be applied when cancer-related break-through pain or neuropathic pain is assessed. For patients with cognitive function impairments, face rating scale is a useful tool to screen pain. Multidimensional measurements should also be used for further evaluation. In cancer pain evaluation, the development of simple and practical computer-administered questionnaires is a new trend. Repeated cancer pain assessment is strongly recommended regardless of the applied scale.