頁籤選單縮合
題 名 | 癌末病人疼痛控制之研究=Pain Control for Terminal Cancer Patients |
---|---|
作 者 | 陳民虹; 邱泰源; 胡文郁; 陳慶餘; | 書刊名 | 中華民國家庭醫學雜誌 |
卷 期 | 7:1 1997.03[民86.03] |
頁 次 | 頁24-32 |
分類號 | 419.77 |
關鍵詞 | 癌末病人; 疼痛控制; Terminal cancer patients; Pain control; |
語 文 | 中文(Chinese) |
中文摘要 | 疼痛為癌末病人最常見的症狀之一,且嚴重影響病人的生活品質,所以疼痛控制 是癌末照顧的一大要務。 本研究的目的為探討癌末病人 1. 疼痛發生頻度及疼痛控制情形 2. 生活品質改善情形 3. 藥物副作用發生及控制情形。 自民國 85 年 3 月至 85 年 5 月 臺大醫院緩和醫療病房的 55 名住院病人為研究對象,每個病人都以結構式問卷詳細的疼痛 評估,做前瞻性的研究。 重要結果如下:有 80% 病人有疼痛的主訴;研究對象中有近五成 的病人有使用嗎啡,而有疼痛的病人中則有六成使用嗎啡;疼痛控制情形良好,住院天數愈 多,則病人疼痛分數的分佈愈在較低值,此外在住院的頭一個星期,病人疼痛分數的平均值 隨著住院時間而有顯著降低;受疼痛影響的生活品質項目,以「睡眠」及「情緒」二項的改 善程度有顯著意義;嗎啡引起的副作用以「便秘」及「噁心、嘔吐」最多,大多數的副作用 都有得到改善,但改善程度仍待加強。 |
英文摘要 | Pain, one of the most common complaints of terminal cancer patients, makes great influence on patients life quality. Hence, pain control in our first goal when dealing with the terminal cancer patients. The purpose of this study were to investigate: 1. the frequency of pain and the effect of pain control, 2. the improvement of life quality, and 3. the effect of side effects control. We prospectively studied 55 patients admitted to the palliative care unit from March to May in 1996. The majority of patients (80%) complianed of pain during the hospitalization, nearly half of the patients (47%) were given morphine to relieve pain. Among those who suffered from pain, 26 out of 44 patients (59%) had were given morphine. The average pain score markedly decreased in the first week of hospitalization. By the six parameters of life quality, only "sleep" and "mood" had significantly improved. Constipation and nausea/vomiting were the two most common side effects of morphine. We found that all patients achieved adequate alleviation of pain despite its side effects. |
本系統中英文摘要資訊取自各篇刊載內容。