Feasibility of quantitative pain assessment in outpatient oncology practice
Feasibility of quantitative pain assessment in outpatient oncology practice
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DOI：
10.1200/jco.2001.19.2.501
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发表时间：
2001-01-15
影响因子：
45.3
通讯作者：
Grossman, SA
中科院分区：
文献类型：
--
作者：
Rhodes, DJ;Koshy, RC;Grossman, SA
目的：尽管医生认为，未能系统地评估疼痛是门诊癌症疼痛管理的最重要障碍，但对这种情况下的疼痛评估知之甚少。我们试图确定疼痛是否被常规评估，以及常规定量疼痛评估在繁忙的肿瘤门诊实践中是否可行。患者和方法：我们对520名随机选择的在社区医院私人门诊就诊的医学和放射肿瘤学患者进行了干预前和干预后的图表回顾。干预措施包括培训健康助理（HAs）使用视觉模拟量表测量和记录患者疼痛评分。主要结果测量包括医管局对患者疼痛评分的记录，医生病历中疼痛的定量和定性提及，以及干预前后的镇痛治疗。结果：干预后，HA记录的疼痛评分从1%增加到75.6% (P
Purpose: Although physicians view failure to assess pain systematically as the most important barrier to outpatient cancer pain management, little is known about pain assessment in this setting. We sought to determine whether pain is routinely assessed and whether routine quantitative pain assessment is feasible in a busy outpatient oncology practice,Patients and Methods: We conducted a pre- and postintervention chart review of 520 randomly selected medical and radiation oncology patient visits at a community hospital-based private outpatient practice. The intervention consisted of training health assistants (HAs) to measure and document patient pain scores by using a visual analog scale. The main outcome measures included HA documentation of patient pain scores, quantitative and qualitative mention of pain in the physician note, and analgesic treatment before and after the intervention.Results: Alter the intervention, HA documentation of pain scores increased from 1% to 75.6% (P