The underestimated role of psychological and rehabilitation approaches for management of cancer pain. A brief commentary

The underestimated role of psychological and rehabilitation approaches for management of cancer pain. A brief commentary
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DOI:
10.1701/2332.25064
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发表时间:
2016-08-01
影响因子:
--
通讯作者:
Cuomo, Arturo
Cuomo, Arturo
中科院分区:
其他
文献类型:
--
作者:
Cascella, Marco;Thompson, Nicholas Simonds;Cuomo, Arturo

文献摘要

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个体化定制的药物治疗方案是治疗癌症疼痛患者的标准方法,可以控制大约 90% 的病例的症状。如果这种策略无效,则可以使用更复杂的侵入性或微创技术。然而,患者和医疗保健专业人员常常低估癌症疼痛对心理困扰的影响,并且没有考虑心理治疗有助于控制癌症疼痛的潜在益处。这些非药物策略应成为多学科疼痛治疗的一部分,支持和加强药物治疗。这篇简短评论的目的是讨论心理和康复方法在改善癌症疼痛患者的生活质量和心理社会结果方面的作用。
Individually tailored pharmacological regimen is the standard approach for treating patients affected by cancer pain, allowing the control of symptoms in approximately 90% of cases. If this strategy is ineffective it is possible to use more complex invasive, or minimally invasive, techniques. Nevertheless, both patients and health care professionals often underestimate the impact of cancer pain on psychological distress, and do not consider the potential benefits of psychological treatments to help manage cancer pain. These non-pharmacological strategies should be part of the multidisciplinary pain therapy, supporting and strengthening drug therapy. The purpose of this brief commentary is to discuss the role of psychological and rehabilitation approaches for improving the quality of life and the psychosocial outcomes in patients with cancer pain.