目的 了解癌痛规范化治疗示范病房护士癌痛评估规范性的现状。方法 从福建省、江苏省、浙江省、河南省及广西壮族自治区6所三级甲等医院癌痛规范化治疗示范病房抽取2017年6月—9月住院的479例癌痛患者病历,采用自设的“癌痛评估评价项目和计分标准”对病历中的疼痛评估状况进行评价。 结果 479份病历中,410（85.59%）份病历癌痛评估合格,69（14.41%）份病历癌痛评估不合格;癌痛评估各维度标准化得分分别为:常规评估（98.80±8.85）分、量化评估（99.48±5.09）分、全面评估（93.57±14.12）分、动态评估（92.41±16.15）分;不同学历、职称、工作年限护士的疼痛评估合格率有差异（P<0.05）。结论 癌痛规范化治疗示范病房中护士对癌痛患者进行癌痛评估的合格率较高,要注意加强护士全面、动态地进行癌痛评估的能力,学历较高（本科及以上学历）、职称较高、工作年限较长的护士能够更规范地进行癌痛评估。

Objective To investigate the current status of standardization of cancer pain assessment by nurses in good pain management ward. Methods Totally 479 medical records from June to September 2017 were selected from the good pain management ward of 6 hospitals from Fujian,Jiangsu,Zhejiang,Henan provinces and Guangxi Zhuang Autonomous Region. The self-developed questionnaire entitled “Evaluation Form of Cancer Pain Assess-ment” was used to evaluate the standardization of pain assessment recorded in those medical records. Results Among 479 medical records,410（85.59%）recorded standardized pain assessment satisfactorily. However,69（14.41%） records did not meet the standardization criteria. The standardization scores of each dimension were 98.80±8.85 for regular assessment,99.48±5.09 for quantitative assessment,93.57±14.12 for comprehensive assessment,and 92.41±16.15 for dynamic assessment. Nurses with different education degrees,titles,and working years had significantly different assessment qualification rates（P<0.05）. Conclusion Nurses in the good pain management ward have a higher standardization rate of cancer pain assessment.Nurses’ ability of assessing the pain comprehensively and dynamically should be improved. Those nurses with higher education degree（bachelor or above）,titles,and working years can perform more standardized pain assessment for cancer patients.