门诊癌痛患者阿片类药物治疗全程管理的安全性评估
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摘要
目的:评价门诊患者全程管理接受癌痛治疗的安全性。方法:回顾性调查分析对比癌痛病房创建前后门诊癌痛患者经全程评估,指导治疗,随访等全程管理的安全性。结果:全程管理后爆发痛的次数减少,毒副作用减轻,患者心境平和。结论:门诊癌痛患者全程管理是重要的,可指导患者正确服药,学会处理爆发痛及阿片类药物毒副作用的预防及处理,提高了阿片类药物的安全使用。
Objective: To evaluate the safety of whole-process management of cancer pain patients by opioid therapy in outpatients. Methods: Compare the safety of cancer pain before and after the establishment of standardized demonstration ward by retrospective survey,including guide treatment and follow-up in whole-process management.Results: During the whole-process management,most cancer pain patients who accept opioid therapy in outpatients are peace of mind,because number of outbreaks of pain and side effects decrease. Conclusion: Whole-process management of cancer pain patients by opioid therapy in outpatients is important. Guide patients to use drugs correctly.Learn to deal with outbreaks of pain. Prevent and treat the toxic and side effects of opioids. The safe use of opioids is improved.
Objective: To evaluate the safety of whole-process management of cancer pain patients by opioid therapy in outpatients. Methods: Compare the safety of cancer pain before and after the establishment of standardized demonstration ward by retrospective survey,including guide treatment and follow-up in whole-process management.Results: During the whole-process management,most cancer pain patients who accept opioid therapy in outpatients are peace of mind,because number of outbreaks of pain and side effects decrease. Conclusion: Whole-process management of cancer pain patients by opioid therapy in outpatients is important. Guide patients to use drugs correctly.Learn to deal with outbreaks of pain. Prevent and treat the toxic and side effects of opioids. The safe use of opioids is improved.
引文
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[13]Liu Ping,Liu Li,Zheng Wei.Effect of whole-course nursing intervention for pain on negative emotion,medication compliance and breakthrough pain in patients with rectal cancer pain[J].Chin J Clin Oncol Rehabil,2018,25(2):202-204.[刘萍,刘利,郑炜.全程疼痛护理干预对直肠癌癌痛患者负性情绪和服药依从性及爆发性疼痛的影响[J].中国肿瘤临床与康复,2018,25(2):202-204.]
[14]Li Fang,Li Li,Wang Chuanying,et al.Application effect of pain standardized management model for patients with cancer pain[J].Chinese Nursing Research January,2018,3(2):267-269.[李芳,李莉,王传英,等.疼痛规范化管理模式在癌痛病人中的应用效果[J].护理研究,2018,32(2):267-269.]
[15]Jho HJ,Myung SK,Chang YJ,et al.Efficacy of pain education in cancer patients:A meta-analysis of randomized controlled trials[J].Support Care Cancer,2013,7(21):1963-1971.
[2]Tang Jingji,Wu Guangfeng,Wang Guixiang,et al.Effect of selfmanagement education on quality of life in 60 patients with advanced gastrointestinal cancer pain[J].Fujian Medical Journal,2014,36(1):147-149.[唐静姬,吴光峰,王桂香,等.60例晚期消化道肿瘤疼痛患者自我管理教育对生活质量的影响[J].福建医药杂志,2014,2,36(1):147-149.]
[3]Lu Yimei.Research progress on self-management of cancer pain patients[J].China Health Care Nutrition,2012,22(5):1157-1158.[陆益妹.癌痛患者自我管理的研究进展[J].中国保健营养,2012,22(5):1157-1158.]
[4]Zhang Guifeng,Zhang Yong,Zhang Peisheng,et al.Analysis of psychological status and related factors of family members of cancer pain patients at home[J].Journal of Clincal Oncology and Rehabilitation,2012,19(5):467-468.[张桂凤,张勇,张丕胜,等.居家癌痛患者家属的心理状态及相关因素的分析[J].中国肿瘤临床与康复,2012,19(5):467-468.]
[5]Cui Bin,Hu Yongsheng.Management of chronic pain:Evaluable stepped health care model[J].Chinese Journal of Pain Medicine,2013,19(5):257-258.[崔滨,胡永生.慢性疼痛的管理:可评估的阶梯式保健模式[J].中国疼痛医学杂志,2013,19(5):257-258.]
[6]Davies A,Zeppetella G,Andersen S,et al.Multicentre European study of breakthrough cancer pain:pain characteristics and patient perceptions of current and potential management strategies[J].Eur J Pain,2011,15(7):756-763.
[7]Rusten T,Geerling JI,Pappa T,et al.A European survey of oncology nursebreakthrough cancer pain practices[J].Eur J Oncol Nurs,2013,17(1):95-100.
[8]Chen Le,Wang Rong,Jia Hongli,et al.Investigation and study on the current situation of cancer outbreak pain management[J].Chinese Nursing Management Magazine,2015,15(15):80-82.[陈乐,王蓉,贾红力,等.癌性爆发痛管理现状的调查研究[J]中国护理管理,2015,15(15):80-82.]
[9]Wang Wenyi,Guo Xiaohong,Shang Xiaochun.Thoughts on follow-up of cancer pain patients in outpatient department[J].China Practical Medicine,2014,9(26):262-263.[王文义,郭晓红,尚晓春.关于门诊癌痛患者随访工作的思考[J].中国实用医药,2014,9(26):262-263.]
[10]Fan Zuyan,Lin Jinxiang,Wu Danchun.Effect of whole-process pain management on medication compliance and breakthrough pain for patients with cancer-related pain[J].Journal of Nursing Science,2017,32(1):33-35.[范祖燕,林金香,吴丹纯.疼痛全程管理对癌痛患者服药依从性及爆发痛的影响[J].护理学杂志,2017,32(1):33-35.]
[11]Chen Peiyu,Zou Huimei,Qiu Qiong,et al.Current situation and prospect of the standard M anagement in cancer pain[J].Medical Innovation of China,2016,13(8):142-144.[成沛玉,邹惠美,邱琼,等.癌性疼痛规范管理的现状与展望[J].中国医学创新杂志2016,13(8):142-144.]
[12]Sutou I,Nakatani T,Hashimoto T,et al.Fentanyl tolerance in the treatment of cancer pain:a case of successful opioid switc hing from fentanyl to oxycodone at a reduced equivalent dose[J].JPain Palliat Care Pharmacother,2015,29:161-165.
[13]Liu Ping,Liu Li,Zheng Wei.Effect of whole-course nursing intervention for pain on negative emotion,medication compliance and breakthrough pain in patients with rectal cancer pain[J].Chin J Clin Oncol Rehabil,2018,25(2):202-204.[刘萍,刘利,郑炜.全程疼痛护理干预对直肠癌癌痛患者负性情绪和服药依从性及爆发性疼痛的影响[J].中国肿瘤临床与康复,2018,25(2):202-204.]
[14]Li Fang,Li Li,Wang Chuanying,et al.Application effect of pain standardized management model for patients with cancer pain[J].Chinese Nursing Research January,2018,3(2):267-269.[李芳,李莉,王传英,等.疼痛规范化管理模式在癌痛病人中的应用效果[J].护理研究,2018,32(2):267-269.]
[15]Jho HJ,Myung SK,Chang YJ,et al.Efficacy of pain education in cancer patients:A meta-analysis of randomized controlled trials[J].Support Care Cancer,2013,7(21):1963-1971.