[1]罗尔丹,卞 鹰.基于在线医疗平台的癌痛患者医疗服务需求分析[J].医学信息,2021,34(03):1-5.[doi:10.3969/j.issn.1006-1959.2021.03.001]
　LUO Er-dan,BIAN Ying.Analysis of Medical Service Demands for Cancer Pain Patients Based on Online Medical Platform[J].Medical Information,2021,34(03):1-5.[doi:10.3969/j.issn.1006-1959.2021.03.001]
点击复制

基于在线医疗平台的癌痛患者医疗服务需求分析()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年03期
页码:
1-5
栏目:
出版日期:
2021-02-01

文章信息/Info

Title:
Analysis of Medical Service Demands for Cancer Pain Patients Based on Online Medical Platform
文章编号:
1006-1959（2021）03-0001-05
作者:
罗尔丹; 卞 鹰
（澳门大学中华医药研究院-中药质量研究国家重点实验室，澳门 999078）
Author(s):
LUO Er-dan; BIAN Ying
(Institute of Chinese Medicine,University of Macau-State Key Laboratory of Quality Research of Traditional Chinese Medicine, Macau 999078)
关键词:
癌痛; 生活质量; 医疗服务需求; 在线医疗; 止痛治疗
Keywords:
Cancer pain; Quality of life; Medical service demand; Online medical treatment; Analgesic treatment
分类号:
R197.324；TP311.52
DOI:
10.3969/j.issn.1006-1959.2021.03.001
文献标志码:
A
摘要:
目的 了解院外癌症患者疼痛特点及其医疗服务需求。方法 于2019年12月采集“好大夫在线”及“微医网”2018年1月~12月公开的患者问诊信息，筛选出与癌痛有关的医患对话数据，通过关键信息提取、数据编码和统计学分析，描述疼痛特点，总结癌痛患者医疗服务需求。结果 集到495例癌痛患者问诊案例，其中女性占73.21%，45岁以上患者占68.09%。癌痛最常见于腹部，占27.95%，其次为胸部和头面部。疼痛性质以胀痛和钝痛居多，分别占32.18%和31.03%。癌痛对患者生活质量的影响主要体现在睡眠、身体活动、胃口和情绪上。最常见的止痛治疗方式为服用强阿片类镇痛药和非甾体类抗炎药。癌痛患者医疗服务需求包括了解疼痛原因和寻求疼痛缓解方法。医生对患者需求的回应主要集中在疼痛原因的讨论，而对止痛治疗的反馈较少。结论 外癌痛患者的部分医疗服务需求未能得到满足，建议医疗机构加强医护人员癌痛管理培训，可联合在线医疗平台，根据患者需求提供更有针对性的院外癌痛延续性管理服务。
Abstract:
Objective To understand the characteristics of pain and medical service demand of cancer patients outside hospitals.Methods In December 2019, we collected patient consultation information published by "Haodaifu Online" and "Weiyi Network" from January to December 2018, and screened out doctor-patient conversation data related to cancer pain.Through key information extraction, data coding and statistical analysis, describe the characteristics of pain and summarize the medical service needs of cancer pain patients.Results A total of 495 cases of cancer pain patients’ consultation were collected, of which 73.21% were female and 68.09% were middle-aged and elderly people over 45 years old. The most common location of cancer pain was abdomen, accounting 27.95%, followed by chest, head and face. The most common types of pain were distending pain and dull pain, accounting for 32.18% and 31.03% respectively. Cancer pain had an impact on patients’ quality of life, manifested in sleep, physical activity, appetite, and emotion. The most common treatment for cancer pain was taking analgesics, most of which were strong opioids and non-steroidal anti-inflammatory drugs. The medical service demands of patients related to cancer pain included understanding the causes of pain and seeking ways to relieve pain. The response of doctors to pain related demand mainly focused on the discussion about causes of pain, while less feedback on pain treatment.Conclusion Part of the medical service needs of patients with out-of-hospital cancer pain have not been met. It is recommended that medical institutions strengthen the training of cancer pain management for medical staff, and can cooperate with online medical platforms to provide more targeted out-of-hospital cancer pain continuation management services according to the needs of patients.

参考文献/References:

[1]Scholz J,Finnerup NB,Attal N,et al.The IASP classification of chronic pain for ICD-11:chronic cancer-related pain[J].Pain,2019,160,(1):53-59. [2]van den Beuken-van Everdingen MH,Hochstenbach LM,Joosten EA,et al.Update on Prevalence of Pain in Patients With Cancer: Systematic Review and Meta-Analysis[J].J Pain Symptom Manage,2016,51(6):1070-1090,e9. [3]Boveldt NT,Vernooij-Dassen M,Burger N,et al.Pain and its interference with daily activities in medical oncology outpatients[J].Pain Physician,2013,16(4):379-389. [4]Takai Y,Yamamoto-Mitani N,Abe Y,et al.Literature review of pain management for people with chronic pain[J].Jpn J Nurs Sci,2015,12(3):167-183. [5]Fallon M,Giusti R,Aielli F,et al.Management of cancer pain in adult patients:ESMO Clinical Practice Guidelines[J].Annals of Oncology,2018(Suppl 4):iv166-iv191. [6]Greco M T,Roberto A,Corli O,et al.Quality of Cancer Pain Management: An Update of a Systematic Review of Undertreatment of Patients With Cancer[J].Journal of Clinical Oncology,2014,32(36):4149-4154. [7]Magee D,Bachtold S,Brown M,Farquhar-Smith P.Cancer pain: where are we now?[J].Pain Manag,2019,9(1):63-79. [8]Zhao Y,Zhang J.Consumer health information seeking in social media:a literature review[J].Health Info Libr J,2017. [9]Andersen C M.Information Therapy:A Prescription for the Digital Era[J].The Health Care Manager,2013,32(3):242-245. [10]徐艳.在线医疗社区服务及对医患双方行为的影响分析[J].医学与社会,2018,31(12):57-59. [11]陈稳,黄鑫龙,其格其,等.女性在线健康信息共享行为影响因素研究[J].医学与社会,2019,32(10):38-41,55. [12]殷平平,邓朝华,刘西成.网络健康信息搜索对医患关系的影响研究[J].医学信息学杂志,2017,38(10):2-7,35. [13]中华人民共和国国家卫生健康委员会.癌症疼痛诊疗规范(2018年版)[J].临床肿瘤学杂志,2018,23(10):937-944. [14]Swarm R A,Paice J A,Anghelescu D L,et al.Adult Cancer Pain,Version 3.2019,NCCN Clinical Practice Guidelines in Oncology[J].Journal of the National Comprehensive Cancer Network:JNCCN,2019,17(8):977-1007. [15]汪晖,张晴,黄海珊.慢性疼痛病人不同自我管理阶段护理需求的调查研究[J].护理研究,2011,25(27):2459-2461. [16]陈红,姚正娟,蔡茂怀,等.癌痛患者护理需求的质性研究[J].蚌埠医学院学报,2015,40(12):1762-1764. [17]丁如梅,王燕,范静.胰腺癌患者疼痛情况及护理需求调查[J].护理实践与研究,2019,16(2):29-31. [18]Bermúdez-Tamayo Clara,Antontio L L,Jiménez-Pernett Jaime,et al.Use of the internet as a source of health information by Spanish adolescents[J].BMC Medical Informatics and Decision Making,2010,10(1):1-6. [19]Wodarczyk M,Wodarczyk J,Zalewska K,et al.Preferences of patients with inflammatory bowel disease for receiving specialized health services using technology:the role of Internet and other sources of medical information[J].Polish Journal of Surgery,2019,91(2):1-6. [20]刘慧珍,张巨文.网络在线问诊中医生建议的人际语用研究[J].常州工学院学报(社科版),2019,37(5):92-96. [21]郑莹,李德录,许德凤,等.上海市医生对癌症疼痛治疗认识的调查[J].中国肿瘤,2001(7):23-25. [22]廖小莉,梁远,胡晓桦,等.广西壮族自治区各级医院肿瘤科设置情况调查报告[J].中国肿瘤,2013,22(2):102-105.

相似文献/References:

[1]龚泉,王存德,李江龙,等.参芪扶正注射液联合姑息性化疗对晚期结直肠癌疗效的临床观察[J].医学信息,2018,31(01):140.[doi:10.3969/j.issn.1006-1959.2018.01.054]
　GONG Quan,WANG Cun-de,LI Jiang-long,et al.Clinical Observation on Effect of Shenqi Fuzheng Injection Combined with Palliative Chemotherapy in Patients with Advanced Colorectal Cancer[J].Medical Information,2018,31(03):140.[doi:10.3969/j.issn.1006-1959.2018.01.054]
[2]吴玲,李玉兰.个性化心理护理干预应用于骨质疏松的临床效果观察[J].医学信息,2018,31(01):158.[doi:10.3969/j.issn.1006-1959.2018.01.062]
　WU Ling,LI Yu-lan.The Clinical Effect of Personalized Psychological Nursing Intervention on Osteoporosis[J].Medical Information,2018,31(03):158.[doi:10.3969/j.issn.1006-1959.2018.01.062]
[3]刘海威.延续性护理对脑梗死运动功能障碍患者生活质量及社会支持的影响[J].医学信息,2018,31(02):160.[doi:10.3969/j.issn.1006-1959.2018.02.062]
　LIU Hai-wei.Effect of Continuous Nursing on Quality of Life and Social Support in Patients with Motor Dysfunction of Cerebral Infarction[J].Medical Information,2018,31(03):160.[doi:10.3969/j.issn.1006-1959.2018.02.062]
[4]谢勇丽,苏晓清,张雅薇.糖尿病痛性周围神经病变患者情绪调查分析[J].医学信息,2018,31(05):14.[doi:10.3969/j.issn.1006-1959.2018.05.005]
　XIE Yong-li,SU Xiao-qing,ZHANG Ya-wei.Investigation and Analysis of Mood in Patients with Diabetic Peripheral Neuropathy[J].Medical Information,2018,31(03):14.[doi:10.3969/j.issn.1006-1959.2018.05.005]
[5]陈 艾.阻塞性睡眠呼吸暂停低通气综合征患者睡眠质量和 生活质量的调查研究[J].医学信息,2018,31(06):102.[doi:10.3969/j.issn.1006-1959.2018.06.032]
　CHEN Ai.Investigation of Sleep Quality and Quality of Life in Patients with Obstructive Sleep Apnea Hypopnea Syndrome[J].Medical Information,2018,31(03):102.[doi:10.3969/j.issn.1006-1959.2018.06.032]
[6]耿金萍.加速康复外科护理对胃大部切除术患者胃肠道功能及 生活质量的影响研究[J].医学信息,2018,31(06):172.[doi:10.3969/j.issn.1006-1959.2018.06.062]
　GENG Jin-ping.Effect of Accelerated Rehabilitation Surgical Nursing on Gastrointestinal Function and Quality of Life in Patients undergoing Subtotal Gastrectomy[J].Medical Information,2018,31(03):172.[doi:10.3969/j.issn.1006-1959.2018.06.062]
[7]甘雪梅.系统护理对脑梗死患者生活质量及满意度的影响[J].医学信息,2018,31(08):172.[doi:10.3969/j.issn.1006-1959.2018.08.062]
　GAN Xue-mei.Effect of Systematic Nursing on Quality of Life and Satisfaction of Patients with Cerebral Infarction[J].Medical Information,2018,31(03):172.[doi:10.3969/j.issn.1006-1959.2018.08.062]
[8]李 静,陶治荣,李淑华,等.化疗药集中调配对临床护士生活质量和生理功能的影响[J].医学信息,2018,31(09):166.[doi:10.3969/j.issn.1006-1959.2018.09.055]
　LI Jing,TAO Zhi-rong,LI Shu-hua,et al.Influence of Centralized Deployment Chemotherapy Drugs on the Quality of Life and Physiological Function of Clinical Nurses[J].Medical Information,2018,31(03):166.[doi:10.3969/j.issn.1006-1959.2018.09.055]
[9]林晓岚,郑丽花,陈苑莉,等.微信随访对慢性乙型肝炎患者抗病毒治疗效果和 生活质量的影响研究[J].医学信息,2018,31(10):164.[doi:10.3969/j.issn.1006-1959.2018.10.057]
　LIN Xiao-lan,ZHENG Li-hua,CHEN Yuan-li,et al.Effect of WeChat Follow-up on Antiviral Treatment and Quality of Life in Patients with Chronic Hepatitis B[J].Medical Information,2018,31(03):164.[doi:10.3969/j.issn.1006-1959.2018.10.057]
[10]侯艳雁,王 杰,邓丛磊.重复经颅磁刺激联合步态适应性训练对脑卒中患者运动康复及生活质量的影响[J].医学信息,2022,35(09):157.[doi:10.3969/j.issn.1006-1959.2022.09.040]
　HOU Yan-yan,WANG Jie,DENG Cong-lei.Effects of Repetitive Transcranial Magnetic Stimulation Combined with Gait Adaptive Training on Motor Rehabilitation and Quality of Life in Patients with Stroke[J].Medical Information,2022,35(03):157.[doi:10.3969/j.issn.1006-1959.2022.09.040]

更新日期/Last Update: 1900-01-01