Yun-Peng Yang, Yu-Xiang Ma, Yan Huang, Yuan-Yuan Zhao, Fei Xu, Ying Tian, Ben-Yan Zou, Rui-Zhen Gao, Li Zhang
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引用次数: 16
摘要
为了改善癌症疼痛管理，中山大学肿瘤中心肿瘤内科推出了良好疼痛管理(GPM)病房项目，该项目得到了中国卫生部的认可，并在全国推广。本回顾性病例对照研究旨在评估该方案的有效性。诊断为恶性实体瘤并骨转移的患者符合条件。GPM计划开始前6个月入院的患者作为对照组，计划开始后6个月入院的患者作为GPM组。计算疼痛报告率和疼痛管理指数(PMI)。比较疼痛处理前后的疼痛程度。共分析475例患者(对照组244例，GPM组231例)。GPM组疼痛报告率明显高于对照组(62.8% vs. 37.7%， P < 0.001)。GPM组PMI显著高于对照组(0.083 vs. -0.261, P < 0.001)。因此，GPM病房项目改善了癌症患者的疼痛管理，为今后改善癌症疼痛管理提供了经验。
The good pain management (GPM) ward program in China and its impact on Chinese cancer patients: the SYSUCC experience.
To improve cancer pain management, the Medical Oncology Department of Sun Yat-sen University Cancer Center (SYSUCC) launched the Good Pain Management (GPM) Ward Program, which has been recognized by the Chinese Ministry of Health and promoted throughout the nation. This retrospective case-control study was designed to evaluate the effectiveness of the program. Patients diagnosed with malignant solid tumors with bone metastasis were eligible. Patients who were admitted 6 months before the initiation of the GPM program were used as the control group, and patients admitted 6 months after the initiation of the program were used as the GPM group. The pain-reporting rate and pain management index (PMI) were calculated. The pain levels before and after pain management were compared. A total of 475 patients (244 in the control group and 231 in the GPM group) were analyzed. The pain-reporting rate of the GPM group was significantly higher than that of the control group (62.8% vs. 37.7%, P < 0.001). The PMI of the GPM group was significantly higher than that of the control group (0.083 vs. -0.261, P < 0.001). Therefore, the GPM Ward Program improved the pain management of cancer patients and provided experience for improving cancer pain management in the future.
期刊介绍：
In July 2008, Landes Bioscience and Sun Yat-sen University Cancer Center began co-publishing the international, English-language version of AI ZHENG or the Chinese Journal of Cancer (CJC). CJC publishes original research, reviews, extra views, perspectives, supplements, and spotlights in all areas of cancer research. The primary criteria for publication in CJC are originality, outstanding scientific merit, and general interest. The Editorial Board is composed of members from around the world, who will strive to maintain the highest standards for excellence in order to generate a valuable resource for an international readership.
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