摘要
目的为了解监测-培训-计划(MTP)策略对癌症疼痛药物治疗干预的影响,推进"三阶梯止痛"在珠海地区的实施。方法 2007年4月至2008年1月对珠海市人民医院进行癌症疼痛药物治疗的动态调研及MTP策略干预。结果在干预前实施"三阶梯止痛"治疗百分率仅6.7%,给药途径以注射为主,占93.3%,固定时间给药仅占26.7%,没有病历显示进行疼痛评估,指南遵从率差。通过3轮MTP策略干预后,癌症疼痛药物治疗指南遵从率大有提高,效果显著。结论尽管WHO早在20世纪80年代已发布癌症三阶梯止痛治疗原则,我国也在90年代初推行,但是经过将近20年后,笔者所调研的医院对该原则实施情况不容乐观。MTP策略为推进"三阶梯止痛"实施的有效方法。
Objective To know intervention effect of monitoring-training-planning strategy on adult cancer pain drug treatment and to promote putting three-step analgesic laddersI into practice in area Zhuhai.Method Dynamic investigation and MTP intervention were used in adult cancer pain drug treatment during April 2007 to January 2008 in the People′s Hospital of Zhuhai.Results Rates of practising three-step analgesic laddersI and using injection were respectively 6.7% and 93.3% before using intervention.Injection was the chief route of drug administration.No case received pain evaluation and rate of guideline compliance was low,while the rate of following guide line improved very much after 3 circulations of MTP intervention.Conclusion Although the therapeutic principle of three-step analgesic laddersI in adult cancer pain had been published in 1980s and carried out in 1990s in our country,the principle has not been practised very good in hospitals investigated.MTP is utility for promoting the therapeutic principle of three-step analgesic laddersI into practice.
出处
《中国肿瘤临床与康复》
2010年第3期286-288,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
癌症疼痛
三阶梯止痛
监测-培训-计划策略
干预
Adult cancer pain
Three-step analgesic laddersI
Monitoring-Training-Planning strategy
Intervention
