The preliminary application of assessment system for cancer pain management

OBJECTIVE : To apply the as - sessment system for cancer pain management preliminarily, explore the issues in cancer pain diagnosis and treatment, and analyze the dif - ferences between oncology department and non-oncology in cancer pain diagnosis and treatment. PATIENTS AND METHODS: The validated questionnaires were collected from department of medical oncology of three hospitals including Xuzhou Central Hospital. Subjects included 41 doctors, 43 nurses, 50 patients, and 12 wards. The data was analyzed to find the main issues as far in cancer pain management. Twelve units of oncology department and 15 units of non-on - cology in three hospitals including Xuzhou Cen - tral Hospital were assessed with assessment system for cancer pain management. Rank test was conducted to analyze the differences in can - cer pain diagnosis and treatment between oncol - ogy department and non-oncology. RESULTS : The average scores of doctors, nurses, wards were 85.4, 88.5, 83.8, respective - ly, while the average score of patients was 68.7. The percentile of analgesic efficacy and safety in patients was 81.7 and the percentile of analgesic opinion changes was only 55.8, in - dicating that it was necessary to enhance the education of concept about pain management. The average scores of assessment were 82.2 ± 2.1 and 39.9 ± 3.6 for oncology and non-oncol - ogy, respectively. The Wilcoxon value of Rank test was 120.0, indicating the significant differ - ence between the two ( p < 0.01). It suggests that there is still a great shortage in cancer pain diagnosis and treatment in non-oncology, and there is an urgent need to further strength - en the cancer pain management-related contin - uing education. CONCLUSIONS: In cancer pain treatment-re - lated clinical work, patients' pain education still needs to be strengthened; in comparison with oncology, the cancer pain management-related continuing education for non-oncology also needs to be strengthened.