New Advances in Cancer Pain Management in Taiwan

臺灣癌症疼痛處理新進展

吳志成(Chih-Cheng Wu) ； 洪至仁(Chih-Jen Hung)

《中華民國癌症醫學會雜誌》 25卷3期 (2009/06) Pp. 167-174

https://doi.org/10.6588/JCOS.2009.25.3.2

摘要

在每次的門診或住院中探訪病患時，藉著評估疼痛和提供介入性處置我們可以提供好的疼痛照護，並可以預防或緩解許多癌症病患的受苦。在2007年時臺灣癌症臨床研究合作組織(TCOG)出臨床癌症疼痛處理指引，指引的目的主要在提供一個改善台灣癌症病患的疼痛照護；本指引中的一般主題主要在確保疼痛處置的延續性、確保對病患及告知決定的尊重、注重病患的福祉以及對病患的支持效果。臺灣癌症臨床研究合作組織的癌症疼痛處理指引重點在於疼痛評估、使用藥物及非藥物的介入處置及需要對病患的持續再評估。臺灣癌症臨床研究合作組織座談會確信如果處理指引能被系統性的應用，仔細地監測並能符合個別病患的需求，大多數病患的癌症疼痛是能被很好地控制。這癌症疼痛處理指引的目標是給所有照護癌症病患的臨床照護人員。將這指引整合至實際臨床照護將可減少癌症疼痛帶來的痛苦。

關鍵字

癌症疼痛 ； 指引

並列摘要

Good clinical care of pain can prevent or alleviate suffering for many cancer patients by assessing pain and providing intervention to the patients at each visit in clinic or every day during admission. A guideline for the clinical practice of cancer pain management was established by the Taiwan Cooperative Oncology Group (TCOG) before the end of 2007. The purpose of this guideline is to present the algorithm to improve the care of pain for all cancer patients in Taiwan. Preventing and treating pain; ensuring the continuity of pain management; ensuring respect for persons and informed decision making; attending to well-being; and supporting function are general issues in this guideline. The TCOG Clinical Practice Guideline of Cancer Pain Management is based on pain assessments, utilizes both pharmacologic and nonpharmacologic interventions, and requires continual reevaluation of the patient. The Clinical Practice Guideline of Cancer Pain Management by TCOG Panel believes that cancer pain can be well controlled in the vast majority of patients if the algorithms are systematically applied, carefully monitored, and tailored to the needs of the individual patient. The target audience for this guideline is all clinical professionals caring for cancer patients. Integration of this guideline into clinical practice is suggested to reduce the incidence of suffering from cancer pain.

並列關鍵字

cancer pain ； guideline