癌症末期住院病人疼痛症狀處理之探討

Investigation of Management of Pain Symptoms of Inpatients with End-stage Cancer

黃麗鈴(Li-Ling Huang) ； 陳貞吟(Jen-Yin Chen) ； 劉憶萍(I-Ping Lin) ； 李琴惠(Chin-Hui Li)

《安寧療護雜誌》 8卷1期 (2003/02) Pp. 28-35

https://doi.org/10.6537/TJHPC.2003.8(1).3

摘要

本研究旨在探討癌症末期住院病人疼痛型態，以及止痛藥物使用情形及成效。以奇美醫學中心民國八十九年五月至八十九年十月間末期住院癌症病人的結案病歷35份，做回溯式的資料蒐集，使用結構式的登錄表：「疼痛評估記錄單」登錄相關資料。結果得知：疼痛症狀期間平均為13.91天，平均疼痛程度為7.66分（重度痛），最痛程度10分（重度痛），最痛程度平均8.54分，男性與女性疼痛情形及教育程度無特別差异，依據世界衛生組織癌痛控制三階段療程，使用第三階段藥物來控制占56.4%，最常使用之止痛劑為Morphine，其次為NSAIDs類藥物。期望有助於醫護人員明瞭癌末住院個案的疼痛及用藥現況，期能更正确、迅速、有效的解決病人的疼痛問題，提昇症狀控制的照護品質。

關鍵字

癌症末期住院病人 ； 疼痛症狀處理 ； 嗎啡

並列摘要

The condition and effect of analgesic use for 35 discharged cases with end-stage cancer at different pain degrees in Chi-Mei Medical Center from May to October in 2000 were investigated. The retrospective data were acquired with pain-evaluated structural charts. Resultantly, the average duration was 13.9 days. For all the pain values, the average was 7.7; as for the severe pain value, the maximum was 10; the average, 8.5. The said values were not significantly different as to sex and educational background. According to World Health Organization, Morphine was the most widely used for the third stage (56.4%); NSAIDs were the second. The aims hereby were to help medical staff understand the present pain and medication for relieving the pain more accurately, efficiently and effectively, and eventually to better off medicare concerning controlling the symptoms.

並列關鍵字

inpatients with end-stage cancer ； management of pain symptoms ； Morphine