Journal of Hospice and Palliative Care
- 제1권1호
- /
- Pages.47-55
- /
- 1998
- /
- 2765-3072(pISSN)
- /
- 2765-3080(eISSN)
말기 암 환자의 마지막 24시간 동안 진통제 사용의 분석 : 내과의사와 외과의사의 비교
The Use of Analgesics in the Last 24 hours of Life of Patients with Advanced Cancer : A Comparison of Medical Physicians and Surgeons
- 최윤선 (고려대학교 의과대학 가정의학교실) ;
- 김종민 (고려대학교 의과대학 가정의학교실) ;
- 이영미 (고려대학교 의과대학 가정의학교실) ;
- 임종국 (고려대학교 의과대학 가정의학교실) ;
- 이태호 (고려대학교 의과대학 가정의학교실) ;
- 홍명호 (고려대학교 의과대학 가정의학교실)
- Choi, Youn-Seon (Department of Family Medicine, College of Medicine, Korea University) ;
- Kim, Jong-Min (Department of Family Medicine, College of Medicine, Korea University) ;
- Lee, Young-Mee (Department of Family Medicine, College of Medicine, Korea University) ;
- Lim, Jong-Kuk (Department of Family Medicine, College of Medicine, Korea University) ;
- Lee, Tai-Ho (Department of Family Medicine, College of Medicine, Korea University) ;
- Hong, Myung-Ho (Department of Family Medicine, College of Medicine, Korea University)
- 발행 : 1998.12.19
초록
목적 : 암은 우리나라 사망원인의 첫째이며 말기암환자에서 보이는 신체증상 중 통증은 의료인이 반드시 조절을 해주어야 한다. 암환자의 90%이상에서 통증조절이 가능하며, 말기 암환자의 임종 24시간 전
Background : It is almost important therapy modality to control pain for the terminal cancer patients for the last 24 hours because those terminally illed patient deserved to have pain free and peaceful time before death. Physician who is deal with terminal cancer patients for their last 24 hours does not need to worry about drug addiction or other untoward side reactions of pain medications. The purpose of this study was to evaluate if terminally illed cancer patient was given pain medication properly and sufficiently and if there was any different behavior to control pain of terminal cancer patients between medical physicians and surgeons in terms of type, amount and administration route and frequency. Methods : A retrospective chart audit of analgesic type, amount and administration route was performed on the medical recorders of 160 hospitalized terminal cancer patients who had died in the Korea University Medical Center Anam Hospital during the period of July 1, 1994 to June 30, 1995. Patients were classified into 103 patients were cared for by medical physicians and 57 patients were cared for by surgeons. After then, we analysed the difference of pain control pattern between them. Different types and amount of analgesics were converted to a common standard, an oral morphine equivalents(OME) relative to 1mg of oral morphine. Results : 1) The total number of patients was 160, male 102 cases(63.8%), and the female was 58 cases(36.2%) respectively. 2) The mean age was 56.4(