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肿瘤科无痛病房管理规范专家共识

Expert consensus on standardized management guidelines for pain-free wards in oncology departments

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【作者】 邱翠玲李旭英欧阳取长王树森向华刘佳惠廖德华龚倩彭洋陈婕君王玲王卫红李金花胡永红

【Author】 QIU Cuiling;LI Xuying;OUYANG Quchang;WANG Shusen;XIANG Hua;LIU Jiahui;LIAO Dehua;GONG Qian;PENG Yang;CHEN Jiejun;WANG Ling;WANG Weihong;LI Jinhua;HU Yonghong;Hunan University of Traditional Chinese Medicine;Hunan Cancer Hospital;Sun Yat-sen University Cancer Center;Hunan Provincial People’s Hospital;The Third Xiangya Hospital of Central South University;Health Science Center, Hunan Normal University;

【通讯作者】 李旭英;

【机构】 湖南中医药大学湖南省肿瘤医院中山大学肿瘤防治中心湖南省人民医院中南大学湘雅三医院湖南师范大学医学部

【摘要】 目的 制定《肿瘤科无痛病房管理规范专家共识》(以下简称“共识”),以指导医护人员规范实施肿瘤患者疼痛的全程化安全管理,提升医护人员疼痛管理水平,改善肿瘤患者生活质量。方法 采用循证医学方法,通过证据检索、评价与整合形成分级推荐意见,经专家咨询、3轮专家论证会(2024年6月—11月),修订定稿,并已在国际实践指南注册平台注册(PREPARE-2025CN088)。结果 共识核心内容包括无痛病房定义、适用范围、管理原则、制度、团队建设、目标、措施与方法(疼痛评估、疼痛治疗、疼痛护理、健康教育、随访、质量控制与评估)等内容。结论 该共识具有较好的科学性和实用性,能够为医院开展无痛病房建设与管理提供参考依据。

【Abstract】 Objective To develop an expert consensus on the standardization of pain management in cancer pain-free wards(hereinafter referred to as the "Consensus"), in order to guide healthcare professionals in implementing standardized,comprehensive safety management of cancer pain throughout the pain management process, enhance clinical competency in pain management, and improve the quality of life for cancer patients. Methods The Consensus was formulated using evidence-based medicine methods, including systematic evidence retrieval, critical appraisal, and integration of recommendations graded by evidence quality. The development process involved expert consultations and three rounds of multidisciplinary panel discussions(June to November 2024), followed by revision and finalization. The protocol was registered on the International Practice Guideline Registration Platform(Registration ID: PREPARE-2025CN088). Results The Consensus delineates core components for pain-free ward management, encompassing definitions, scope of application, operational principles, institutional frameworks, multidisciplinary team coordination, objectives, and evidence-based implementation strategies(e.g., pain assessment protocols, analgesic interventions, pain-specific nursing care, patient and caregiver education, follow-up mechanisms, quality control, and outcome evaluation). Conclusion This Consensus demonstrates scientific rigor and practical applicability, providing a standardized reference framework for establishing and optimizing pain-free wards in oncology clinical settings.

【关键词】 肿瘤无痛病房疼痛评估专家共识
【Key words】 TumorsPain-free wardPain assessmentExpert consensus
【基金】 湖南省卫生健康委员会科研项目(D202314057930)
  • 【文献出处】 肿瘤药学 ,Anti-tumor Pharmacy , 编辑部邮箱 ,2025年02期
  • 【分类号】R473.73
  • 【下载频次】128
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