Atencion primaria · 1995
[Treatment of pain and anxiety in terminal oncologic patients in the Castilla-La Mancha community].
Сравнительное исследованиеАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Calles Gato M D, Muñoz González F, López de Castro F, Sánchez Muñoz C, Sánchez del Viso Y, Hernández Moreno J
Аннотация
OBJECTIVE: To find what palliative treatment, in particular for pain and anxiety, terminal cancer patients in the Community of Castilla La Mancha receive.
DESIGN: A descriptive, retrospective study by means of a questionnaire.
SETTING: Primary Care. Autonomous Community of Castilla La Mancha.
PATIENTS AND OTHER PARTICIPANTS: A survey of 157 doctors with data referring to their last cancer patient deceased in the period from January to August, 1994.
MEASUREMENTS AND MAIN RESULTS: Data on 157 patients were received. Of all the tumours, lung cancer was the most common (22.93%). Pain was the symptom most often mentioned (92.91%); anxiety appeared in 70.06%. The most commonly used non-opiate analgesic was Paracetamol (58.22%). Morphine was used in 46.48%, for an average period of 2.35 months (SD = 2.21). Side-effects due to morphine appeared in 22.06%. Complementary drugs to treat pain were used in 13.01% of cases. 12% were referred to specialists for analgesic control. Doctors used pain measurement tables in 5.48% of cases. 19.09% of patients suffering anxiety received no type of treatment.
CONCLUSIONS: We think that analgesic tables to monitor the treatment should be used. Attention should be paid to the appearance of side-effects of morphine, the circulation of pain graduation tables and the evaluation of anxiety in this category of patient.
DESIGN: A descriptive, retrospective study by means of a questionnaire.
SETTING: Primary Care. Autonomous Community of Castilla La Mancha.
PATIENTS AND OTHER PARTICIPANTS: A survey of 157 doctors with data referring to their last cancer patient deceased in the period from January to August, 1994.
MEASUREMENTS AND MAIN RESULTS: Data on 157 patients were received. Of all the tumours, lung cancer was the most common (22.93%). Pain was the symptom most often mentioned (92.91%); anxiety appeared in 70.06%. The most commonly used non-opiate analgesic was Paracetamol (58.22%). Morphine was used in 46.48%, for an average period of 2.35 months (SD = 2.21). Side-effects due to morphine appeared in 22.06%. Complementary drugs to treat pain were used in 13.01% of cases. 12% were referred to specialists for analgesic control. Doctors used pain measurement tables in 5.48% of cases. 19.09% of patients suffering anxiety received no type of treatment.
CONCLUSIONS: We think that analgesic tables to monitor the treatment should be used. Attention should be paid to the appearance of side-effects of morphine, the circulation of pain graduation tables and the evaluation of anxiety in this category of patient.