中国肿瘤临床
中國腫瘤臨床
중국종류림상
CHINESE JOURNAL OF CLINICAL ONCOLOGY
2015年
12期
590-593
,共4页
刘勇%刘菲%卞方%曹成松%于洋
劉勇%劉菲%卞方%曹成鬆%于洋
류용%류비%변방%조성송%우양
癌痛规范化诊疗%评估%患者教育%非肿瘤专科继续教育
癌痛規範化診療%評估%患者教育%非腫瘤專科繼續教育
암통규범화진료%평고%환자교육%비종류전과계속교육
normalized management of cancer pain%assessment%patient education%continuing education in non-tumor departments
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。
目的：對已建立的癌痛規範化診療評估體繫進行初步臨床應用，探索癌痛診療工作的不足之處。方法：分析從徐州市中心醫院等三傢醫院腫瘤科採集的41份醫生問捲、43份護士問捲、50份患者問捲和12份科室問捲，找齣臨床癌痛診療工作的主要不足；對此三傢醫院腫瘤專科和與腫瘤相關的非腫瘤專科進行評估，採用秩和檢驗分析兩者關于癌痛診療工作的差異。結果：醫生、護士、科室的平均評分分彆為85.41±5.93、88.46±5.09、83.75±3.11分，而患者平均評分僅68.67±7.14分；其中患者止痛有效性與安全性評分換算為百分製後為81.69±7.71分，但關于止痛觀唸改變的評分換算後僅為55.78±11.37分。腫瘤專科平均得分82.22±2.03分，非腫瘤專科平均得分39.27±3.58分，經秩和檢驗Wilcoxon W值為120.0，P<0.01。結論：患者止痛治療的觀唸教育仍需進一步加彊；與腫瘤相關的非腫瘤專科在癌痛診療方麵有較大欠缺，迫切需要進一步加彊繼續教育。
목적：대이건립적암통규범화진료평고체계진행초보림상응용，탐색암통진료공작적불족지처。방법：분석종서주시중심의원등삼가의원종류과채집적41빈의생문권、43빈호사문권、50빈환자문권화12빈과실문권，조출림상암통진료공작적주요불족；대차삼가의원종류전과화여종류상관적비종류전과진행평고，채용질화검험분석량자관우암통진료공작적차이。결과：의생、호사、과실적평균평분분별위85.41±5.93、88.46±5.09、83.75±3.11분，이환자평균평분부68.67±7.14분；기중환자지통유효성여안전성평분환산위백분제후위81.69±7.71분，단관우지통관념개변적평분환산후부위55.78±11.37분。종류전과평균득분82.22±2.03분，비종류전과평균득분39.27±3.58분，경질화검험Wilcoxon W치위120.0，P<0.01。결론：환자지통치료적관념교육잉수진일보가강；여종류상관적비종류전과재암통진료방면유교대흠결，박절수요진일보가강계속교육。
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' 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.
