兒童癌症之疼痛評估及處理

Childhood Cancer Patient's Pain Assessment and Management

江孟冠(Meng-Guang Chiang)

《腫瘤護理雜誌》 10卷1期 (2010/06) Pp. 13-24

https://doi.org/10.6880/TJON.201006_10(1).02

摘要

疼痛是癌症病童常見症狀，需要適切的照護模式以評估疼痛控制的成效。雖然疼痛控制的研究及知識正快速成長，但是臨床上兒童癌症病人的疼痛處理仍有許多不足的地方。本文主要是回顧相關文獻，提出目前兒童疼痛評估的趨勢，包含自我評估疼痛報告、疼痛日記及問卷、行為評估量表及生理指標。疼痛處理包含藥物及非藥物的方法以緩解病人的疼痛。建議臨床護理人員應運用不同方法來緩解病童的疼痛以達良好的疼痛控制。

關鍵字

兒童癌症 ； 疼痛評估 ； 疼痛處置

並列摘要

Pain is a common symptom in childhood cancer patients. Therefore, children need appropriate cancer pain care mode for evaluating the effectiveness of pain control. Although the research and knowledge of pain control are growing rapidly, childhood cancer patient's pain management still has some shortcomings clinically. This article is to review the relevant literatures on current trend of children's pain assessment, which includes pain self-assessment, pain log and questionnaires, behavioral assessment scale and physiological indicators. Pain management consists of drug and non-drug treatments to relieve patient's pain. In order to achieve better pain control, nurses are suggested to use different methods to alleviate patient's pain.

並列關鍵字

childhood cancer ； pain assessment ； pain management