中国癌症疼痛现状调查中国医务人员对癌痛治疗态度、知识、实践情况的调查

A SURVEY OF ATTITUDES, KNOWLEDGE AND CLINICAL PRACTICE ON CANCER PAIN CARE IN CHINESE HEALTH PROFESIONALS

摘要:

采用“医务人员对癌症疼痛认知及临床治疗情况调查表”，对全国２９个省、区、市各级医疗卫生机构的医药卫生专业人员进行了调查。结果表明：在癌痛治疗基本知识、态度方面，２７３名参加过癌痛治疗培训的专业人员癌痛基本知识平均得分分值为９．２７±１．６７，显著高于未参加过培训人员６．８４±２．５４的平均分值（ｔ＝１４．２３，Ｐ＜０．０５）；在癌痛治疗现状上，分别有３５．６％、３７．０％和２６．８％的人认为目前癌痛患者中的７０％以上、约５０％和３０％以下得到了必要的止痛药治疗，而认为基本达到ＷＨＯ三级止痛治疗阶梯目标的仅占所有应答者的１７．１％；在有效癌痛治疗的障碍因素上，医务人员、患者的“恐瘾”心理和麻醉性镇痛药管理过严是主要障碍因素。

Abstract:

In order to estimate the attitudes, knowledge and clinical practice on cancer pain care in Chinese health professionals, a health professionals based survey was carried out in 29 provinces and municipalities of China by using a self reported questionnaire. The surveyed questions consisted of two multi choice factors: (1) knowledges and attitudes on World Health Organization(WHO) Guidelines on Cancer Pain relief and palliative care, and (2) major reasons impeded factors on cancer pain care. The results suggested that the training and education for health care professionals play an important part in implementation of WHO "Three step Analgesic Ladder". 35.6%, 37.0% and 26.8% of respondents considered that over 70%, about 50% and below 30% of cancer pain patients was treated respectively. The major reason for undertreatment or impeded factors of effective reliving cancer pain were (1) fear of opioid addiction by both medical staff and patient; and (2) overly restrictive regulations of opioid analgesic.