摘要
癌症疼痛是恶性肿瘤患者常见的症状，严重影响其生活质量。为实现更精准的疼痛管理，本研究基于多维度评估方法对癌症疼痛进行系统分析，并探讨针对性干预措施的效果。研究选取200例癌症疼痛患者作为样本，采用视觉模拟评分法（VAS）、简明疼痛量表（BPI）及心理社会评估工具对其生理、心理和社会支持层面进行全面评估。同时，结合个体化药物治疗与非药物干预手段，如认知行为疗法和放松训练，实施为期12周的综合干预计划。结果显示，多维度评估能够更准确地反映患者的疼痛特征及其影响因素，而综合干预显著降低了疼痛强度（VAS评分平均下降3.2分），并改善了患者的心理状态和社会适应能力。本研究创新性地将多维度评估与个性化干预相结合，为癌症疼痛管理提供了新思路，强调了生物-心理-社会医学模式在临床实践中的重要性，为优化癌症疼痛护理策略奠定了理论基础。关键词：癌症疼痛；多维度评估；综合干预；视觉模拟评分法；生物-心理-社会医学模式
Multidimensional Assessment and Intervention Effect Analysis for Cancer Pain
Abstract
Cancer pain is a common symptom among patients with malignant tumors, significantly impairing their quality of life. To achieve more precise pain management, this study conducted a systematic analysis of cancer pain based on a multidimensional assessment approach and explored the effectiveness of targeted interventions. A sample of 200 cancer pain patients was selected and comprehensively evaluated in terms of physiological, psychological, and social support dimensions using the Visual Analog Scale (VAS), Brief Pain Inventory (BPI), and psychosocial assessment tools. Simultaneously, an integrated 12-week intervention plan was implemented, combining individualized pharmacological treatment with non-pharmacological interventions such as cognitive-behavioral therapy and relaxation training. The results demonstrated that multidimensional assessment could more accurately reflect the characteristics of pain and its influencing factors, while the integrated intervention significantly reduced pain intensity (average VAS score decreased by 3.2 points) and improved patients' psychological status and social adaptability. This study innovatively combined multidimensional assessment with personalized interventions, providing new insights into cancer pain management and emphasizing the importance of the biopsychosocial medical model in clinical practice, thus laying a theoretical foundation for optimizing cancer pain care strategies.
Keywords: Cancer Pain; Multi-Dimensional Assessment; Comprehensive Intervention; Visual Analogue Scale; Bio-Psycho-Social Medical Model
目录
摘要 I
Abstract II
引言 1
1 癌症疼痛的多维度评估体系 1
1.1 疼痛强度评估方法 1
1.2 心理因素对疼痛的影响 2
1.3 社会支持在评估中的作用 2
2 干预措施的设计与实施 2
2.1 药物干预的效果分析 3
2.2 非药物干预的可行性研究 3
2.3 综合干预方案的设计原则 3
3 干预效果的量化评估 4
3.1 疼痛缓解程度的测量 4
3.2 生活质量改善的评价指标 4
3.3 患者满意度的调查分析 5
4 多维度评估与干预的优化策略 5
4.1 个性化评估方案的构建 5
4.2 干预措施的动态调整机制 6
4.3 提高患者依从性的方法探索 6
结论 7
参考文献 8
致谢 9
