管理癌症疼痛的管理
1Department of Pain Medicine and Palliative Care, Beth Israel Medical Center, New York, NY 10003, USA. Rportenoy@bethisraelny.org
Lancet (London, England)
|May 21, 1999
概括
有效的癌症疼痛管理对于患者的生活质量至关重要. 尽管有可用的治疗方法,但由于知识差距,系统性问题和患者因素,治疗不足仍然存在,这凸显了需要更新临床医生知识和患者教育的需要.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 疼痛管理 疼痛管理
背景情况:
- 癌症患者经历了影响生活质量的各种症状.
- 不适当控制的癌症疼痛会对患者和家人产生不利影响.
- 世界卫生组织 (WHO) 和专业机构在癌症护理中强调疼痛管理.
研究的目的:
- 为了突出癌症的患病率和影响.
- 为了确定有效的癌症疼痛管理的障碍.
- 通过教育和更新实践,倡导改善疼痛控制.
主要方法:
- 综述不同疾病阶段癌症疼痛的流行数据.
- 分析导致疼痛管理不足的因素.
- 综合改善疼痛缓解的建议.
主要成果:
- 慢性疼痛影响30-50%的活跃治疗患者和70-90%的晚期疾病患者.
- 高达90%的患者可以通过简单的药物疗法获得缓解.
- 不充分的管理源于临床医生的治疗不足,患者报告不足以及系统性障碍.
结论:
- 改善癌症疼痛管理需要为从业者提供当前的医疗信息.
- 患者教育对于加强疼痛控制和治疗的坚持至关重要.
- 解决系统和个体障碍是实现最佳止痛疗法的关键.
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