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Managing Pain in Patients With Cancer: The Chinese Good Pain Management Experience

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机构: [1]Huazhong University of Science and Technology and Tongji Hospital, Wuhan [2]Shanghai Changzheng Hospital, Shanghai [3]Peking Union Medical College Hospital [4]Anhui Provincial Hospital, Anhui [5]Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin [6]Guangdong Lung Cancer Institute, Guangdong General Hospital, Guangdong [7]Tangdu Hospital and Tangdu Comprehensive Cancer Center, Cancer Institute, 4thMilitary Medical University, Xi’an [8]Sun Yat-Sen University Cancer Center, Guangzhou [9]3rd AffiliatedHospital of Harbin Medical University, Harbin, Heilongjiang [10]The People’s Liberation Army Cancer Centre, Nanjing Bayi Hospital, Nanjing, Jiangsu,210002, People’s Republic of China [11]Beijing University Cancer Hospital, Beijing
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Purpose The number of cancer cases in China has increased rapidly from 2.1 million in 2000 to 4.3 million in 2015. As a consequence, pain management as an integral part of cancer treatment became an important health care issue. In March 2011, the Good Pain Management (GPM) program was launched to standardize the treatment of cancer pain and improve the quality of life for patients with cancer. With this work, we will describe the GPM program, its implementation experience, and highlight key lessons that can improve pain management for patients with cancer. Methods We describe procedures for the selection, implementation, and assessment procedures for model cancer wards. We analyzed published results in areas of staff training and patient education, pain management in practice, analgesic drugs administration, and patient follow-up and satisfaction. Results Pain management training enabled medical staff to accurately assess the level of pain and to provide effective pain relief through timely dispensation of medication. Patients with good knowledge of treatment of pain were able to overcome their aversion to opioid drugs and cooperate with nursing staff on pain assessment to achieve effective drug dose titration. Consumption of strong opioid drugs increased significantly; however, there was no change for weaker opioids. Higher pain remission rates were achieved for patients with moderate-to-severe pain levels. Proper patient follow-up after discharge enabled improved outcomes to be maintained. Conclusion The GPM program has instituted a consistent and high standard of care for pain management at cancer wards and improved the quality of life for patients with cancer. (c) 2016 by American Society of Clinical Oncology Licensed under the Creative Commons Attribution 4.0 License

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第一作者机构: [1]Huazhong University of Science and Technology and Tongji Hospital, Wuhan
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通讯机构: [10]The People’s Liberation Army Cancer Centre, Nanjing Bayi Hospital, Nanjing, Jiangsu,210002, People’s Republic of China
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