从息治疗的角度来看,突破性和偶发性癌症疼痛
Erik Torbjørn Løhre1,2,3, Gunnhild Jakobsen1,4, Tora Skeidsvoll Solheim1,2
1Cancer Clinic, St. Olavs Hospital, Trondheim University Hospital, 7030 Trondheim, Norway.
Current oncology (Toronto, Ont.)
|December 22, 2023
概括
癌症疼痛爆发显著影响疼痛管理结果. 经历较大的疼痛爆发的患者报告说,他们的整体癌症疼痛强度的改善较小.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 疼痛管理 疼痛管理
- 在瘤学瘤学.
背景情况:
- 癌症疼痛强度 (PI) 波动,在有效的疼痛管理中提出了挑战.
- 疼痛爆发和背景疼痛之间的关系需要进一步调查,以优化治疗策略.
研究的目的:
- 研究疼痛爆发和背景疼痛强度与癌症患者治疗结果之间的关联.
- 确定疼痛爆发的程度如何影响住院期间疼痛管理的有效性.
主要方法:
- 对入住急性息治疗病房的患者进行了回顾性分析.
- 采集了入院时的平均和最严重的疼痛强度 (PI) 和出院时的平均PI,使用11点数值评分表.
- 定义疼痛爆发是入院时最差和平均PI之间的积极差异;分析了与PI变化的关联.
主要成果:
- 在131名患者中,有90名患者经历了疼痛爆发.
- 患有疼痛爆发的患者与没有爆发的患者相比,平均PI (0.9) 的减少较小 (1.9,p=0.02).
- 较大的疼痛爆发 (差异和比率) 与较低的疼痛缓解相关;爆发和基线平均PI> 4的患者实现了显著的疼痛缓解.
结论:
- 显著的疼痛爆发与癌症患者的疼痛管理结果较差有关.
- 疼痛爆发的严重程度,相对于背景疼痛,是治疗有效性的关键因素.
- 息护理干预应考虑疼痛爆发的特征,以改善患者的舒适度.
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