CAJ | 학술논문

目的：了解乐山市相关医护人员对癌痛的认知现状，以期对癌痛的规范化诊治做全面评估及科学指导。方法对本地区18家医院的肿瘤诊治相关科室医护人员共318人，以问卷形式进行癌痛认知调查，调查问卷用SPSS 软件行信度分析，Cronbach 阿尔法数值大于0.7，表明问卷信度可靠，问卷涉及各项内容以百分数统计呈现。结果完全相信病人疼痛程度的占31.8%，担心病人使用阿片类药易成瘾的占30.7%，了解并应用疼痛分级数字化评分确定癌痛等级的占46.2%，有26%的医护人员秉持不痛就不给药的观点，使用杜冷丁止痛治疗的占16.4%，对于吗啡类药物副反应有18%的医护人员在症状严重时才处理或不处理，用药后很少或不评估的占23.5%，有31.2%的很少或不遵循三阶梯止痛原则，大剂量吗啡缓释片治疗疼痛的只占6.5%。结论乐山地区癌痛治疗尚存在医护自身判断疼痛程度、担心病人成瘾、阿片类药剂量不足及对副反应处理不及时等情况，需加强基层医疗机构医护工作者的癌痛相关知识的不断培训，提高各级医疗卫生单位医护人员癌痛诊治专业素质及专业技能，进行癌痛的规范化治疗，切实提高患者生活质量。
목적：료해악산시상관의호인원대암통적인지현상，이기대암통적규범화진치주전면평고급과학지도。방법대본지구18가의원적종류진치상관과실의호인원공318인，이문권형식진행암통인지조사，조사문권용SPSS 연건행신도분석，Cronbach 아이법수치대우0.7，표명문권신도가고，문권섭급각항내용이백분수통계정현。결과완전상신병인동통정도적점31.8%，담심병인사용아편류약역성은적점30.7%，료해병응용동통분급수자화평분학정암통등급적점46.2%，유26%적의호인원병지불통취불급약적관점，사용두랭정지통치료적점16.4%，대우마배류약물부반응유18%적의호인원재증상엄중시재처리혹불처리，용약후흔소혹불평고적점23.5%，유31.2%적흔소혹불준순삼계제지통원칙，대제량마배완석편치료동통적지점6.5%。결론악산지구암통치료상존재의호자신판단동통정도、담심병인성은、아편류약제량불족급대부반응처리불급시등정황，수가강기층의료궤구의호공작자적암통상관지식적불단배훈，제고각급의료위생단위의호인원암통진치전업소질급전업기능，진행암통적규범화치료，절실제고환자생활질량。
Objective:To investigate cognitions on cancer pain of doctors and nurses in Leshan city,and to benefit a comprehensive assessment and scientific guidance on standardized cancer pain diagnosis and treatment. Methods:318 doc-tors and nurses from relevant departments of 18 regional hospitals received questionnaire on cancer pain awareness,of which SPSS software was used for the reliability analysis. If the Cronbach alpha value was greater than 0. 7,the reliability of ques-tionnaires should be indicated. Results from all content were presented by percentages. Results:Respondents who com-pletely believed patients pain level accounted for 31. 8% ;Respondents who worried about opioid drugs addiction accounted for 30. 7% ;Respondents who understood and used pain digital scoring to describe cancer pain grade accounted for 46. 2% ;Respondents who refused to give drugs when patients didn't feel pain accounted for 26% ;Respondents who used meperidine against cancer pain accounted for 16. 4% ;Respondents who did not handle opioid drugs side effects or only handled when side effects were obvious accounted for 18% ;Respondents who did not or rarely assessed effects after treatment accounted for 23. 5% ;Respondents who rarely or did not follow the principle of three-step analgesic ladder accounted for 31. 2% ;Re-spondents who used high-dose morphine sustained release tablets against cancer pain accounted merely for 6. 5%. Conclu-sion:There are several deficiencies in cancer pain treatments in Leshan area,such as judging pain degree,worrying about addiction,using insufficient opioid dose,handling side effects untimely,so the doctors and nurses from primary medical in-stitutions need to strengthen cancer pain related knowledge,professional qualities and skills in order to improve life quality of patients.