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目的了解医护人员对癌症疼痛治疗认识对癌症患者生存质量影响。方法对湛江2所中心医院76名癌症相关治疗科室的医护人员(医生28名,护士48名)采用自制量表进行癌痛相关知识调查,应用QLQ.C30量表及VRS法对同期门诊住院114名癌症患者进行生存质量及疼痛测评,并将114名癌症患者分为三级止痛阶梯治疗组与非三级止痛阶梯治疗组,对结果进行比较分析。结果1)癌痛基本知识基本得分经过专业培训的专科医生(10.25±1.48)明显高于未经培训人员。2)Ⅰ级、Ⅱ级、Ⅲ级癌痛患者的QLQ-C30得分较无痛癌症患者明显增高;同时Ⅲ级癌痛患者的QLQ-C30得分较Ⅰ级、Ⅱ级患者明显增高。3)三级止痛阶梯治疗组癌痛分级与QLQ-C30得分均较非三级止痛阶梯治疗组低。结论医护人员对有关癌痛治疗理论和方法的认识缺乏是阻碍癌痛治疗的重要因素,加强癌痛控制教育是提高癌痛患者生存质量的关键。
Objective To understand the impact of medical staff’s understanding of cancer pain treatment on the quality of life of cancer patients. Methods A total of 76 health-care workers (28 doctors and 48 nurses) in cancer-related treatment departments of 2 central hospitals in Zhanjiang were surveyed by self-made scale for knowledge of cancer pain. QLQ.C30 and VRS A total of 114 cancer patients were divided into three levels of analgesic ladder treatment and non-tertiary analgesic ladder treatment group, and the results were compared. Results 1) The basic scores of cancer pain basic score of professionally trained specialists (10.25 ± 1.48) was significantly higher than untrained staff. 2) The QLQ-C30 scores of grade Ⅰ, grade Ⅱ and grade Ⅲ cancer patients were significantly higher than those of non-pain cancer patients. The QLQ-C30 scores of patients with grade Ⅲ cancer pain were significantly higher than those of grade Ⅰ and grade Ⅱ patients. 3) The grade of pain relief and QLQ-C30 in three-grade pain-relieving treatment group were lower than that of non-three-grade pain-relieving treatment group. Conclusion The lack of understanding of the theory and method of cancer pain treatment among medical staff is an important factor that hinder the treatment of cancer pain. To strengthen the education of cancer pain control is the key to improve the quality of life of cancer pain patients.