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| Effect of standardized treatment technology popularization on treatment measures and efficacy in cancer pain patients in county |
| HUANG Yueqiu1 ZHANG Kai2 WANG Junwei3 |
1.Department of Pain Management, Tiantai People′s Hospital of Zhejiang Province, Zhejiang Province, Taizhou 317200, China;
2.Department of Oncology, Tiantai People′s Hospital of Zhejiang Province, Zhejiang Province, Taizhou 317200, China;
3.Department of Infectious Disease, Tiantai People′s Hospital of Zhejiang Province, Zhejiang Province, Taizhou 317200, China |
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Abstract Objective To explore the effect of standardized treatment technology popularization on treatment measures and efficacy in cancer pain patients in county. Methods By reviewing exclusive medical records, seven hundred and seven cancer pain cases (106 recipes) with special anesthesia records in Zhejiang Province Tiantai District from January 1, 2014 to June 31, 2015 were divided into the pre-standardized treatment group, nine hundred and fifty-two cancer pain cases (857 recipes) with special anesthesia records from July 1, 2015 to December 31, 2016 in Zhejiang Province Tiantai District were divided into the post-standardized treatment group. The methods of standardized cancer pain treatment popularization included training-examination, field guidance, education for patients, close follow-up, and continuous improvement. The opioid drugs (Morphine Injection, Morphine Tablets, Oxycodone Hydrochloride Sustained-release Tablets) usage, nonstandard condition of doctors′ treatment for cancer pain and compliance of patients to treatment between the two groups were compared. Results Compared with the pre-standardized treatment group, the per capita oral dose of opioid drugs in the post-standardized treatment group was increased (P ＜ 0.01); the per capita injection dose of opioid drugs, the proportion of doctors using the injection without indication, the medication inconsistent with the score, using opioid drugs for the first time without titration, unreasonable dose adjustment, no prevention for the adverse reaction, nonstandard treatment of explosive pain, and the proportion of patients not taking the medicine in a standard time, not taking the medicine in a standard way, and not adjusting the dose according to the doctor's advice were decreased, the differences were highly statiscally significant (P ＜ 0.01). Conclusion Training, examination, filed guidance can improve the standardization of medical staff treatment in basic-level hospitals. Various forms of education and close follow-up can improve the compliance of patients and their families to standardized treatment. As a result, the pain control rate has been greatly improved and the sufferings of patients have been alleviated to a great extent. The comfort level of advanced tumor palliative care and home care, and the life quality of patients are also improved.
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