癌症患者对止痛药物使用认知度调查及对策

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1、癌症患者对止痛药物使用认知度调查及对策［摘要］目的调查多家医院住院癌症患者对止痛用药认知状况，为改善镇痛药三阶梯用药提供参考。方法调查多家二级以上医院2013年度159例住院癌症患者对止痛药物使用认知度，并对用药结果进行分析。结果大多数患者认为疼痛是可以通过药物进行控制，但对应用药物知识掌握认识不足。有151例患者（占97.37%）对疼痛是否可以通过药物进行控制持肯定态度；回答按医嘱按时服药93例（占58.49%）,回答痛时服66例（占41.51%）；认为注射止痛效果注射效果好于其他方法109例（占68.55%）；担心使用止痛药物会出现副作用的130例（占87.76%）；对用

2、药出现副作用后处理，回答马上停药57例（占35.85%）,认为止痛效果不理想的原因为病情加重53例（占33.33%）,认为是药物无效38例（占23.90%）。结论部分癌痛患者对应用止痛药物相关知识认识不足，医、药、护三方加强对患者及家属应用癌痛药物宣教，提高用药依从性和治疗效果。［关键词］癌痛；止痛药物；认知度；调查分析［中图分类号］R971.2［文献标识码］B［文章编号］2095-0616(2014)16-47-03Theinvestigateandmeasuresintotheawarenesslevelonanalgesictherapyinpatientswithca

3、ncerXIEWeiqianZENGYiWEIPingyuanWEIBaohanQINXingliuLINLinQUANYaoweiLIANGMinqingEighthAffiliatedHospitalofGuangxiMedicalUniversityinGuigangCityGuigangPeople'sHospital,Guigang537100,China[Abstract]ObjectiveToinvestigatetherecognitionofusinganalgesicdrugincancerpatientsinseveralhospitals,provid

4、esarefereneefortheimprovementofanalgesicmedicationthreeladdertherapy・Methodsasurveyonawarenesslevelofanalgesicdruguseof159hospitalizedcancerpatientsinhospitals(secondclassabove)during2013annual，andanalyzethetreatmentresults・ResultsMostpatientsthinkthatpaincanbecontrolledwithmedication，butth

5、eapplicationknowledgeofdrugmaybeinsufficiency.Therewere151cases(97.37%)lookpositivelyonpaincontrolledbydrug；someofthemaccordingtothedoctor'sadvicetotakemedicineontimein93cases(58.49%),66cases(41.51%)takingmedicineafterfeelingthepain；thattheeffectofinjectionofanalgesicisbetterthanothermethod

6、sin109cases(68.55%)；130casesfearsideeffectsofanalgesicdrugs(87.76%)；themeasurestosideeffectsaftertreatment,stoptakingmedicineimmediatelyin57cases(35.85%)，someonethinksthecauseofanalgesiceffectsfarfromsatisfactoryisexacerbationsin53cases(33.33%),38cases(23.90%)supportdrugthatisinvalid・Conelu

7、sionPatientswithcancerpainandinadequateunderstandingoftheapplicationofanalgesicdrugsrelatedknowledge,medical,medicine,protectingthreeparttostrengthentheapplicationandeducationofthepatientsandtheirfamilymemberswithcancerpaindrug,thusimprovethedrugcomplian