安寧緩和療護中物質濫用患者的疼痛評估策略

Strategies for the Pain Evaluation of Patients with Substance Abuse in Palliative Care

黃奕彰(Yi-Chang Huang) ； 劉明恩(Ming-En Liu)

《安寧療護雜誌》 13卷2期 (2008/05) Pp. 219-225

https://doi.org/10.6537/TJHPC.2008.13(2).7

摘要

疼痛是臨床上癌症病患的一項常見問題，面對物質濫用患者因癌症產生的相關疼痛，處置上可能會面對兩難。安寧緩和醫療的目標與特色是緩解病患的苦難以及增進生活品質，在此亦包含了物質濫用患者。當這些患者面對威脅生命的疾病時，不論是過去或現在的物質濫用相關病史，皆可能因物質濫用的議題而使疾病的治療，或安寧緩和療護的提供更顯複雜化。而且，針對疼痛治療的選擇可能會因爲臨床工作者對物質濫用患者的迷思而有所不確定。本文藉由相關文獻的回顧，期望能提供安寧緩和醫療的臨床工作者，在面對物質濫用患者時的疼痛評估策略。

關鍵字

安寧緩和療護 ； 物質濫用

並列摘要

Pain is a common problem for people living with cancer. A particularly challenging therapeutic dilemma may present itself when a patient with substance abuse presents clinically with cancer pain. The feature and goal of palliative care is to prevent and relieve suffering and to improve quality of life for people, including who with substance abuse. In these patients who live with life-threatening diseases, a remote or current history of drug abuse presents a stigmatizing issue that can complicate the management of underlying diseases and palliative therapies. Treatment options may be uncertain due to myths which exist about therapy for patients with substance abuse. This article reviews the literature and discusses strategies of pain evaluation of patients with substance abuse.

並列關鍵字

palliative care ； substance abuse